Noon Amy J
King's College Hospital Foundation Trust, Accident and Emergency Department, Denmark Hill, SE5 9RS, United Kingdom.
Int Emerg Nurs. 2014 Jan;22(1):40-6. doi: 10.1016/j.ienj.2013.01.003. Epub 2013 May 17.
High quality clinical decision-making (CDM) has been highlighted as a priority across the nursing profession. Triage nurses, in the Accident and Emergency (A&E) department, work in considerable levels of uncertainty and require essential skills including: critical thinking, evaluation and decision-making. The content of this paper aims to promote awareness of how triage nurses make judgements and decisions in emergency situations. By exploring relevant literature on clinical judgement and decision-making theory, this paper demonstrates the importance of high quality decision-making skills underpinning the triage nurse's role. Having an awareness of how judgements and decisions are made is argued as essential, in a time where traditional nurse boundaries and responsibilities are never more challenged. It is hoped that the paper not only raises this awareness in general but also, in particular, engages the triage nurse to look more critically at how they make their own decisions in their everyday practice.
高质量的临床决策（CDM）已被视为整个护理行业的首要任务。急诊（A&E）部门的分诊护士工作时面临着极大的不确定性，需要具备包括批判性思维、评估和决策在内的基本技能。本文内容旨在提高人们对分诊护士在紧急情况下如何进行判断和决策的认识。通过探讨临床判断和决策理论的相关文献，本文证明了高质量决策技能对分诊护士角色的重要性。在传统护士的界限和职责从未像现在这样受到挑战的时代，了解判断和决策的方式被认为至关重要。希望本文不仅能提高人们的总体认识，特别是能促使分诊护士更批判性地审视他们在日常工作中如何做出自己的决策。
