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重復(fù)一下小班長(zhǎng)的觀點(diǎn)：太愛《The Journal of Nursing Management》這個(gè)雜志啦！初嘗試護(hù)理管理主題的老師可以去試一下這個(gè)雜志~

首先，大家一定見過很多中文護(hù)理核心上關(guān)于相關(guān)性研究的文獻(xiàn)，比如，

• [1]侯向華,張學(xué)長(zhǎng),孫丹丹,張情,張立文,李偉.我國(guó)男護(hù)士心理契約與工作投入的相關(guān)性研究[J].中國(guó)護(hù)理管理,2020,20(09):1390-1395.

• [2]景麗偉,江佳隆,邢鳳梅,周松飛,張超.中高齡居家不出老年人領(lǐng)悟社會(huì)支持與生活質(zhì)量的相關(guān)性研究[J].中國(guó)護(hù)理管理,2020,20(08):1192-1196.

• [3]蔣婷婷,單巖,杜理平,李艷艷,周越,蔡利,蔣鑫鑫,高雅靖.老年血液透析患者認(rèn)知衰弱現(xiàn)狀及其與跌倒恐懼的相關(guān)性研究[J].中國(guó)護(hù)理管理,2020,20(07):1005-1009.

基本的思路都是：①使用兩個(gè)量表去做橫斷面調(diào)查；②匯報(bào)兩個(gè)變量的得分現(xiàn)狀，并分析其相關(guān)性。

今天給大家分享的這篇源自《The Journal of Nursing Management》上的文獻(xiàn)，思路基本也是與上述一致。

文獻(xiàn)：Moazez, M, Miri, S, Foroughameri, G, Farokhzadian, J. Nurses’ perceptions of systems thinking and safe nursing care: A cross‐sectional study. J Nurs Manag. 2020; 28: 822– 830. https://doi.org/10.1111/jonm.13000

 護(hù)士對(duì)系統(tǒng)思維與安全護(hù)理的認(rèn)知：一項(xiàng)橫斷面研究

小班長(zhǎng)分享這篇文獻(xiàn)的推薦的理由是：其“局限性”部分的寫作很漂亮。我先給大家附上（提示：基本橫斷面研究的局限性寫作逃不開這3點(diǎn)內(nèi)容）：

LIMITATIONS 局限性

The present study had several limitations. First, use of a self-reporting method for data collection could result in exaggerative scores and personal bias. Second, the cross-sectional method applied in this study could not evaluate the cause and effect relationship between safe nursing care and systems thinking. Third, this study was carried out in one university; therefore, the results are not generalizable to other universities and settings. As a result, we recommend future researchers to conduct experimental and cohort studies by controlling the confounding variables in various clinical settings.

存在3個(gè)方面的局限性。①使用自我報(bào)告的方法收集數(shù)據(jù)可能會(huì)導(dǎo)致夸大的分?jǐn)?shù)（偏高）和個(gè)人偏見。②本研究采用的橫斷面方法不能確定安全護(hù)理與系統(tǒng)思維兩個(gè)之間的因果關(guān)系。③本研究是在其中一所大學(xué)進(jìn)行的，因此，研究結(jié)果可能并不適用于其他大學(xué)和單位環(huán)境。因此，我們建議未來的研究人員通過控制各種臨床環(huán)境中的混雜變量來進(jìn)行試驗(yàn)和隊(duì)列研究。

Abstract摘要

Aim To assess nurses’ perceptions of systems thinking, safe nursing care and the correlation between them.

研究目的：評(píng)估護(hù)士對(duì)系統(tǒng)思維能力和安全護(hù)理的認(rèn)知，及其相關(guān)性研究。

Background Systems thinking and safe nursing care are the key elements of quality improvement approaches, such as accreditation and patient safety programmes. However, these two variables have not been well studied in different health care settings.

研究背景：系統(tǒng)思維和安全護(hù)理是質(zhì)量改進(jìn)方法的關(guān)鍵要素，如護(hù)理認(rèn)證體系和患者安全計(jì)劃。然而，這兩個(gè)變量在不同的衛(wèi)生保健環(huán)境中還沒有得到很好的研究。

Methods In this cross‐sectional study, 300 nurses were selected using the stratified random sampling method. The data were collected using a demographic data form, systems thinking scale and assessment of safe nursing care questionnaire.

研究方法：采用橫斷面研究設(shè)計(jì)，應(yīng)用分層隨機(jī)抽樣方法，選取300名護(hù)士進(jìn)行調(diào)查。采用一般人口學(xué)資料調(diào)查表、系統(tǒng)思維量表和安全護(hù)理評(píng)估問卷進(jìn)行數(shù)據(jù)收集。

其中，①系統(tǒng)思維量表systems thinking scale：主要是用來評(píng)估護(hù)士識(shí)別、理解和整合事件發(fā)展，因果，多因素，反饋及相關(guān)因素等的能力。（簡(jiǎn)單來說，就是評(píng)估護(hù)士在安全護(hù)理中的系統(tǒng)思維能力）②安全護(hù)理評(píng)估量表assessment of safe nursing care (ASNC)：該調(diào)查表評(píng)估了護(hù)士在防止患者受到傷害和最大程度地及早發(fā)現(xiàn)錯(cuò)誤方面的實(shí)踐。

Results The scores of nurses’ perceptions of systems thinking (63.25 ± 9.20) and safe nursing care (4.13 ± 0.60) were above average. A positive correlation was found between systems thinking and safe nursing care (r=0.66,p<0.001), and its dimensions: nursing skills (r=0.61,p<0.001), psychological needs (r=0.56,p<0.001), physical needs (r=0.51,p<0.001) and teamwork (r=0.56, p<0.001).

研究結(jié)果：

①現(xiàn)狀：護(hù)士系統(tǒng)思維感知得分為(63.25±9.20)、安全護(hù)理感知得分為(4.13±0.60)均高于平均水平。

②相關(guān)性：系統(tǒng)思維總分與安全護(hù)理總分呈正相關(guān)(r = 0.66, p＜0.001)，系統(tǒng)思維與安全護(hù)理各維度的相關(guān)性：護(hù)理技能(r=0.61, p＜0.001)，心理需求(r=0.56, p＜0.001)，生理需要(r=0.51, p＜0.001)和團(tuán)隊(duì)合作(r=0.56, p＜0.001）。

Conclusion Regarding the correlation between systems thinking and safe nursing care, nurses and other medical professionals, especially novices, are recommended to strengthen their systems thinking skills to improve the safe nursing care.

研究結(jié)論：關(guān)于系統(tǒng)思維與安全護(hù)理的相關(guān)性結(jié)果顯示，建議護(hù)士及其他醫(yī)學(xué)專業(yè)人員，特別是初學(xué)者，加強(qiáng)系統(tǒng)思維技能，以提高安全護(hù)理水平。

Implications for Nursing Management 

Nurse managers should deal with organisational condition and factors affecting some poor aspects of systems thinking and safe nursing care. They must lead, support and allocate resources to the foundations of systems thinking to achieve safe nursing care.

對(duì)護(hù)理管理的啟示：護(hù)士管理者應(yīng)處理組織現(xiàn)狀和影響系統(tǒng)思維和安全護(hù)理的一些不良方面的因素。他們必須領(lǐng)導(dǎo)、支持和分配資源以構(gòu)建系統(tǒng)思維能力，進(jìn)而實(shí)現(xiàn)安全護(hù)理。

備注：感興趣的老師，可以去看一下原文。簡(jiǎn)單提示這些~