从自然决策视角推演出实践启动决策模型用于急性护理研究。
Deriving the Practice-Primed Decision Model from a naturalistic decision-making perspective for acute care nursing research.
机构信息
University of California, San Diego, Department of Biomedical Informatics, United States of America.
University of Arizona, College of Nursing, United States of America.
出版信息
Appl Nurs Res. 2019 Apr;46:20-23. doi: 10.1016/j.apnr.2019.01.003. Epub 2019 Jan 26.
AIM
The purpose of this article is to present the derivation of the Practice Primed Decision Model from a naturalistic decision-making framework for use in guiding future nursing decision-making research.
BACKGROUND
Acute care nurses make decisions in demanding environments under the influence of many factors. The influence of these factors on nurse decision-making is not well understood leading to gaps in understanding how to best support acute care nurse decision-making.
METHODS
The strategy of theory derivation was used in the development of a new model for use in nursing research. This model incorporates important elements identified in naturalistic decision making, a Recognition Primed Decision Model and an integrative review of nurse decision-making literature.
CONCLUSION
The new model, Practice Primed Decision Model, provides a new perspective to guide nurse decision-making research. This model includes factors influential to the nurse decision-making process that is more realistic in time limited, high stakes decision-making situations.
目的
本文旨在从自然决策框架推导出实践触发决策模型，用于指导未来的护理决策研究。
背景
在充满挑战的环境中，急症护理护士在多种因素的影响下做出决策。这些因素对护士决策的影响尚不清楚，导致人们对如何最好地支持急症护理护士决策存在理解上的差距。
方法
在开发新的护理研究模型时，使用了理论推导策略。该模型纳入了自然决策、识别触发决策模型以及对护士决策文献综合回顾中确定的重要元素。
结论
新模型——实践触发决策模型，为指导护士决策研究提供了新视角。该模型纳入了对护士决策过程有影响的因素，更符合限时、高风险决策情境的实际情况。
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