Vigilance in Nurses Working in Intensive Care Units  

作　　者：Mehdi Ajri-Khameslou Mojgan Najafi Mansoureh Karimollahi Mehdi Ajri-Khameslou;Mojgan Najafi;Mansoureh Karimollahi(Nursing Department, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran)

机构地区：[1]Nursing Department, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran

出　　处：《Open Journal of Nursing》2021年第9期715-727,共13页护理学期刊（英文）

摘　　要：<strong>Background and Aim: </strong>Vigilance is an essential element in intensive care nursing. This study was conducted to determine nursing vigilance in nurses working in the intensive care units of educational and medical centers in Ardabil, Iran. <strong>Methods: </strong>This was a cross-sectional descriptive-analytical study with 192 ICU nurses as the participants. The data were obtained through questionnaires regarding demographic characteristics and nursing vigilance. SPSS software version 24 was used for the statistical analysis. <strong>Results: </strong>The mean total vigilance score was 3.86 ± 0.23 of 5. The mean scores of the timely diagnosis of changes, pattern recognition, and clinical decision-making subscales were 4.07 ± 0.26, 04.04 ± 0.41, and 3.44 ± 0.25, respectively. No significant relationships were observed between the total or subscale vigilance scores and other demographic characteristics. <strong>Conclusion: </strong>We assessed ICU nurses’ vigilance behaviors and found that their mean vigilance score was higher than the expected average, indicating our participants had a high level of clinical vigilance. These results suggest a need for effective educational interventions to boost clinical decision-making skills in ICU nurses, especially younger nurses.<strong>Background and Aim: </strong>Vigilance is an essential element in intensive care nursing. This study was conducted to determine nursing vigilance in nurses working in the intensive care units of educational and medical centers in Ardabil, Iran. <strong>Methods: </strong>This was a cross-sectional descriptive-analytical study with 192 ICU nurses as the participants. The data were obtained through questionnaires regarding demographic characteristics and nursing vigilance. SPSS software version 24 was used for the statistical analysis. <strong>Results: </strong>The mean total vigilance score was 3.86 ± 0.23 of 5. The mean scores of the timely diagnosis of changes, pattern recognition, and clinical decision-making subscales were 4.07 ± 0.26, 04.04 ± 0.41, and 3.44 ± 0.25, respectively. No significant relationships were observed between the total or subscale vigilance scores and other demographic characteristics. <strong>Conclusion: </strong>We assessed ICU nurses’ vigilance behaviors and found that their mean vigilance score was higher than the expected average, indicating our participants had a high level of clinical vigilance. These results suggest a need for effective educational interventions to boost clinical decision-making skills in ICU nurses, especially younger nurses.

关 键 词：Nursing Vigilance Intensive Care Unit NURSE Clinical Decision-Making 

分 类 号：R47[医药卫生—护理学]