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是时候扩展“流程”了吗?

Time to extend the 'process'?

作者信息

McMurray A

出版信息

Aust J Adv Nurs. 1989 Jun-Aug;6(4):40-3.

PMID:2789767
Abstract

During the past two decades, nurses and nursing students have been encouraged to organize care planning via the 'nursing process'. Although it is helpful to adopt a systematic approach to planning nursing care, it may be time to evaluate our use of the process; to consider whether strict adherence to it has shifted nursing's perspective from holism to an unduly mechanistic approach to care giving. Several research studies support the notion that intuitive processes are an important aspect of clinical judgement. In order to educate future generations of nurses for expertise in practice rather than mediocrity, these processes must be acknowledged and taken account of in curriculum planning; the nursing process should be recognized as merely a fraction of the equation for practice.

摘要

在过去二十年里,护士和护理专业学生一直被鼓励通过“护理程序”来组织护理计划。虽然采用系统的方法来规划护理工作是有帮助的,但或许是时候评估我们对这一程序的使用了;要考虑严格遵循该程序是否已使护理的视角从整体观转向了一种过度机械的护理方式。多项研究支持这样一种观点,即直觉过程是临床判断的一个重要方面。为了培养未来一代具备专业实践能力而非平庸能力的护士,这些过程必须在课程规划中得到认可和考虑;护理程序应仅被视为实践要素的一部分。

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