护士管理者的决策：快速且有利于补救。
Nurse managers' decisions: fast and favoring remediation.
机构信息
The University of Arizona College of Nursing, Tucson, AZ 85721-0203, USA.
出版信息
J Nurs Adm. 2010 Apr;40(4):188-95. doi: 10.1097/NNA.0b013e3181d40f7c.
Abstract
How do nurse managers make decisions about quality issues on their units? We asked 10 nurse managers in 3 Arizona hospitals to describe how they resolved a recent quality issue. The managers tended to use a linear, but cognitively expensive strategy, often jumping from problem to solution without a clear goal and selecting solutions biased toward remedial education. Decision support tools should help managers think more systemically and efficiently, while encouraging consideration of more alternatives to reach targeted goals.
摘要
护士长如何对其科室的质量问题做出决策？我们邀请了亚利桑那州 3 家医院的 10 位护士长，让她们描述如何解决最近出现的一个质量问题。护士长们倾向于使用一种线性但认知成本较高的策略，常常在没有明确目标的情况下从问题直接跳到解决方案，并且偏向于选择补救性教育的解决方案。决策支持工具应该帮助管理人员更系统、更有效地思考，同时鼓励他们考虑更多的替代方案，以达到目标。
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本文引用的文献
1
Authentic leadership, organizational culture, and healthy work environments.
Crit Care Nurs Q. 2009 Jul-Sep;32(3):189-98. doi: 10.1097/CNQ.0b013e3181ab91db.
2
Future directions in evaluation research: people, organizational, and social issues.
Methods Inf Med. 2004;43(3):215-31.
3
The art of decision-making.
J Nurs Adm. 2003 Jun;33(6):343-9.
4
Thinking outside the box. Encouraging flexible thinking for problems and decisions.
Nurs Manag (Harrow). 2002 Jul-Aug;9(4):19-22. doi: 10.7748/nm2002.07.9.4.19.c2111.
5
Different lenses, improved outcomes: a new approach to the analysis and design of healthcare information systems.
Int J Med Inform. 2002 Apr;65(1):59-74. doi: 10.1016/s1386-5056(02)00003-5.
6
Evaluating informatics applications--some alternative approaches: theory, social interactionism, and call for methodological pluralism.
Int J Med Inform. 2001 Nov;64(1):39-56. doi: 10.1016/s1386-5056(01)00184-8.
7
Informational basis for expert intuition.
J Adv Nurs. 2001 Apr;34(2):246-55. doi: 10.1046/j.1365-2648.2001.01751.x.
8
Bringing decision support to nurse managers.
Comput Nurs. 2000 May-Jun;18(3):137-44; quiz 146-8.
9
Managerial decision making in critical care areas. Accounting for the effectiveness and efficiency of new technologies.
Crit Care Nurs Clin North Am. 1997 Mar;9(1):35-44.
10
Decision making in today's complex environment.
Nurs Adm Q. 1991 Summer;15(4):1-5. doi: 10.1097/00006216-199101540-00003.
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