College of Nursing and Health Professions, Drexel University, Philadelphia, PA 19102, USA.
Appl Nurs Res. 2010 Feb;23(1):30-5. doi: 10.1016/j.apnr.2008.03.004. Epub 2009 Jan 15.
This descriptive study tests the feasibility of using clinical simulation to understand proxy decision making by emergency department nurses for individuals with intellectual disability (ID). Results from a conjoint analysis used to identify decision-making patterns indicated that nurses relied on future health status, functional status, and family input while making important health care decisions for their clients. This information enhances our understanding of the complex array of services and supports that nurses are expected to provide. As individuals with ID age and experience increased morbidity, the role of the nurse and caregivers as critical health care decision makers is increasing.
本描述性研究旨在测试使用临床模拟来理解急诊科护士为智障人士 (ID) 做出代理决策的可行性。用于识别决策模式的联合分析结果表明，护士在为其客户做出重要的医疗保健决策时，依赖于未来的健康状况、功能状态和家庭意见。这些信息增强了我们对护士预期提供的复杂服务和支持的理解。随着 ID 人士年龄的增长和发病率的增加，护士和护理人员作为关键医疗保健决策者的角色正在增加。
