Reay Gudrun, Rankin James A
Faculty of Nursing, University of Calgary, Calgary, AB, Canada.
Int Emerg Nurs. 2013 Apr;21(2):97-102. doi: 10.1016/j.ienj.2012.03.010. Epub 2012 Jun 16.
Theory in nursing is frequently thought of as being a mainly academic exercise with little relevance to the everyday practice of nursing. In nursing there is disagreement about what theory is and what it is not. Scientific theory is an abstract systematic explanation of how concepts are related to each other. Many nursing theories do not fit this description and should therefore, in the opinion of the authors, be thought of as models. Nursing knowledge has been described as the knowledge that is useful to nurses, whether it is derived from the discipline of nursing or other disciplines. Decision-making (DM) and triage nursing have been investigated by several nurse researchers, however, most have not clearly articulated a theoretical or conceptual framework. The recognition primed decision (RPD) model is based on research about DM under uncertain conditions such as time pressure, limited time available, high stakes, and changing cues. The context of emergency triage nursing DM is congruent with the RPD model. The authors propose that the RPD model can serve as a foundation for research that seeks to understand DM by triage nurses with the aim of yielding new knowledge that is useful for their practice.
护理理论常常被认为主要是一种学术活动，与护理的日常实践关联不大。在护理领域，对于什么是理论以及什么不是理论存在分歧。科学理论是对概念如何相互关联的抽象系统解释。许多护理理论并不符合这一描述，因此，在作者看来，应被视为模型。护理知识被描述为对护士有用的知识，无论它源自护理学科还是其他学科。几位护士研究人员对决策（DM）和分诊护理进行了调查，然而，大多数人并未清晰阐述理论或概念框架。识别启动决策（RPD）模型基于对在诸如时间压力、可用时间有限、高风险和线索变化等不确定条件下的决策研究。急诊分诊护理决策的背景与RPD模型相符。作者提议，RPD模型可作为研究的基础，旨在通过分诊护士理解决策，以产生对其实践有用的新知识。
