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运用情绪智力能力进行临床推理和决策:一项定性、探索性研究。

The use of emotional intelligence capabilities in clinical reasoning and decision-making: A qualitative, exploratory study.

机构信息

School of Health and Human Sciences, Southern Cross University, Coffs Harbour, NSW, Australia.

出版信息

J Clin Nurs. 2018 Feb;27(3-4):e600-e610. doi: 10.1111/jocn.14106. Epub 2017 Dec 6.

DOI:10.1111/jocn.14106
PMID:29048766
Abstract

AIMS AND OBJECTIVES

To explore clinical nurses' experiences of using emotional intelligence capabilities during clinical reasoning and decision-making.

BACKGROUND

There has been little research exploring whether, or how, nurses employ emotional intelligence (EI) in clinical reasoning and decision-making.

DESIGN

Qualitative phase of a larger mixed-methods study.

METHODS

Semistructured qualitative interviews with a purposive sample of registered nurses (n = 12) following EI training and coaching. Constructivist thematic analysis was employed to analyse the narrative transcripts.

RESULTS

Three themes emerged: the sensibility to engage EI capabilities in clinical contexts, motivation to actively engage with emotions in clinical decision-making and incorporating emotional and technical perspectives in decision-making.

CONCLUSION

Continuing to separate cognition and emotion in research, theorising and scholarship on clinical reasoning is counterproductive.

RELEVANCE TO CLINICAL PRACTICE

Understanding more about nurses' use of EI has the potential to improve the calibre of decisions, and the safety and quality of care delivered.

摘要

目的与目标

探索临床护士在临床推理和决策过程中运用情绪智力能力的体验。

背景

关于护士是否以及如何将情绪智力(EI)应用于临床推理和决策,相关研究甚少。

设计

一项更大混合方法研究的定性部分。

方法

对接受 EI 培训和辅导的注册护士(n=12)进行半结构化定性访谈。采用建构主义主题分析方法对叙事转录进行分析。

结果

出现了三个主题:在临床环境中运用 EI 能力的敏感性、在临床决策中积极处理情绪的动机以及在决策中整合情感和技术视角。

结论

继续将认知和情感在研究、理论和学术上割裂开来,对临床推理是适得其反的。

对临床实践的意义

更多地了解护士对 EI 的使用,有可能提高决策质量,并提高护理的安全性和质量。

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