Krishnan Preetha
J Nurs Educ. 2018 Feb 1;57(2):73-78. doi: 10.3928/01484834-20180123-03.
Clinical decision making is a fundamental aspect of nurses' clinical practice and has a direct impact on the health and well-being of each patient.
An exploratory analysis of the concept of clinical decision making in nursing will be provided from the two predominant theoretical perspectives: the systematic-positivist model and the intuitive-humanistic model. The origin, aim, value, ontology and epistemology, assumptions, communicability, and context specificity of these two models are discussed.
As nurses work in ever-changing health care environments, either the positivist model or the intuitive model is adequate to describe the dynamic processes nurses use in clinical decision making. Therefore, it was suggested that the cognitive processes used in decision making were neither completely analytical nor completely intuitive.
Clinical decision making is complex. A combination of scientific evidence-based knowledge in conjunction with intuition and contextual factors could enable nurses to utilize excellent clinical decision making. [J Nurs Educ. 2018;57(2):73-78.].
临床决策是护士临床实践的一个基本方面，对每个患者的健康和福祉都有直接影响。
将从两个主要理论视角对护理中临床决策的概念进行探索性分析：系统实证主义模型和直觉人文主义模型。讨论了这两种模型的起源、目的、价值、本体论和认识论、假设、可传播性以及情境特异性。
由于护士在不断变化的医疗环境中工作，实证主义模型或直觉模型都不足以描述护士在临床决策中使用的动态过程。因此，有人提出决策中使用的认知过程既不是完全分析性的，也不是完全直觉性的。
临床决策很复杂。科学的循证知识与直觉和情境因素相结合，可以使护士做出出色的临床决策。[《护理教育杂志》。2018年；57(2)：73 - 78。]
