Randell Rebecca, Mitchell Natasha, Thompson Carl, McCaughan Dorothy, Dowding Dawn
Centre for HCI Design School of Informatics City University Northampton Square London EC1V 0HB, UK. rebecca.randell.1@ city.ac.uk
Health Informatics J. 2009 Mar;15(1):5-16. doi: 10.1177/1460458208099864.
Nurses are increasingly working more autonomously in extended roles, yet we know little about the nature of the decisions they make. Decisions vary in terms of complexity, ambiguity and presentation, and the nature of the decision task impacts on the process of decision making, such as the likelihood of using a decision tool. Thus, knowledge about the nature of nursing decisions is essential for development of effective decision tools. This article presents an analysis of 410 nurse-patient consultations and interviews with 76 primary care nurses, and explores the nature of the decisions that primary care nurses make and the impact of that on their use of and attitudes towards decision tools.
护士在扩展角色中越来越多地自主工作，但我们对他们所做决策的性质了解甚少。决策在复杂性、模糊性和呈现方式方面各不相同，决策任务的性质会影响决策过程，比如使用决策工具的可能性。因此，了解护理决策的性质对于开发有效的决策工具至关重要。本文对410次护士与患者的会诊以及对76名初级护理护士的访谈进行了分析，探讨了初级护理护士所做决策的性质以及这对他们使用决策工具和对决策工具的态度的影响。
