How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
2025

How the ICU Work Environment Affects Nurses' Care Quality

Sample size: 192 publication 10 minutes Evidence: high

Author Information

Author(s): Seo Mi Hwa, Kim Eun A., Kim Hae Ran

Primary Institution: Chonnam National University Hwasun Hospital

Hypothesis

The ICU nursing work environment moderates the relationship between clinical judgment and person-centered care among ICU nurses.

Conclusion

The study found that ICU nurses' clinical judgment ability positively affects person-centered care, and the nursing work environment plays a significant moderating role in this relationship.

Supporting Evidence

  • Clinical judgment ability and ICU nursing work environment were significant predictors of person-centered care.
  • The study explained 47.0% of the variance in person-centered care.
  • Positive moderating effects were observed when the ICU nursing work environment score was above 2.90.

Takeaway

This study shows that when ICU nurses are better at making decisions about patient care, they provide better care to patients, especially when they work in a supportive environment.

Methodology

A cross-sectional survey was conducted with ICU nurses using structured questionnaires and analyzed using hierarchical multiple regression.

Limitations

The study used convenience sampling from four hospitals, limiting the generalizability of the results.

Participant Demographics

Most participants were women (90.6%), with an average age of 32.78 years, and 87% held a bachelor's degree.

Statistical Information

P-Value

p < .001

Confidence Interval

Boot. 95%CI = 0.13~0.42

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0316654

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