ICU护士工作场所认知失败现状及影响因素分析
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女,硕士在读,护士

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临沂市人民医院研究生培养基金资助项目(YJS202463)


Current status and influencing factors of workplace cognitive failure among ICU nurses
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    摘要:

    目的 调查ICU护士工作场所认知失败现状,并分析其影响因素,为管理者开展针对性培训降低ICU护士工作场所认知失败提供理论依据。方法 2025年1-3月,采用一般资料调查表、工作场所认知失败量表、中文版ICU医护人员感知压力源量表、工作-家庭支持量表、简版心理弹性量表及压力知觉量表对山东省6所三级公立综合医院的361名ICU护士进行调查。结果 ICU护士工作场所认知失败得分为(29.14±9.63)分,92.52%的ICU护士报告了至少一项认知失败体验。ICU护士工作场所认知失败与感知压力源、压力知觉呈正相关,与工作-家庭支持、心理弹性呈负相关(均P<0.05)。多元线性回归显示,学历、感知压力源、工作-家庭支持、心理弹性、压力知觉是ICU护士工作场所认知失败的主要影响因素(均P<0.05),可解释总变异的51.8%。结论 ICU护士工作场所认知失败呈现低严重程度-高普遍性特征。护理管理者需关注ICU护士工作场所认知失败状况,早期识别并准确干预,以减少ICU护士工作场所认知失败的发生。

    Abstract:

    Objective To investigate the current status of workplace cognitive failure (WCF) among ICU nurses and analyze its inf-luencing factors, providing a theoretical basis for managers to develop targeted training programs to reduce WCF among ICU nurses.Methods From January to March 2025, a survey was conducted with 361 ICU nurses from 6 tertiary public general hospitals in Shandong Province using a general information questionnaire, the Workplace Cognitive Failure Scale, the Perceived Stressors in Intensive Care Units Scale, the Work-Family Support Scale, the 10-item Connor-Davidson Resilience Scale, and the Perceived Stress Scale.Results The average score of WCF among ICU nurses was (29.14±9.63), and 92.52% of them reported experiencing at least one episode of WCF.Among ICU nurses was positively correlated with stressors and perceived stress, and negatively correlated with work-family support and psychological resilience (all P<0.05).Multiple linear regression showed that education level, stressors, work-family support, psychological resilience, and perceived stress were the main influencing factors of ICU nurses′ WCF (all P<0.05), accounting for 51.8% of the total variance.Conclusion WCF among ICU nurses exhibits a "low severity-high prevalence" characteristic. Nursing managers need to pay attention to the status of WCF among ICU nurses, identify it early, and intervene accurately to reduce its occurrence.

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秦一心,赵晨翔,吴岚,张肖,王瑞,武甜甜,王凤玲. ICU护士工作场所认知失败现状及影响因素分析[J].护理学杂志,2025,(17):9-13

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  • 收稿日期:2025-05-07
  • 最后修改日期:2025-07-02
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  • 在线发布日期: 2025-10-10