床旁临床决策。

Clinical Decision Making at the Bedside.

机构信息

Jefferson College of Nursing, Thomas Jefferson University, 901 Walnut Street, Suite 804, Philadelphia, PA 19107, USA.

Surgical Intensive Care Unit, Thomas Jefferson University Hospital, 111 South 11th Street, Philadelphia, PA 19107, USA.

出版信息

Nurs Clin North Am. 2020 Mar;55(1):29-37. doi: 10.1016/j.cnur.2019.10.003. Epub 2019 Dec 25.

DOI:10.1016/j.cnur.2019.10.003

PMID:32005363

Abstract

The complexity and rapidly changing environment of health care places significant pressure on nurses. How nurses make decisions within this environment has been an area of inquiry in the literature. Clinical decision making is the application of distinct thinking patterns and analysis of data at hand used to make judgements about patient care. Models of clinical decision making provide a foundation for understanding how nurses make decisions. Key factors associated with clinical decision making include experience, intuition, use of information and sources, and environment. Further work is needed to increase understanding of the processes by which nurses make clinical decisions.

摘要

医疗保健的复杂性和快速变化的环境给护士带来了巨大的压力。护士在这种环境下如何做出决策一直是文献研究的一个领域。临床决策是运用独特的思维模式和对现有数据的分析来做出关于患者护理的判断。临床决策模型为理解护士如何做出决策提供了基础。与临床决策相关的关键因素包括经验、直觉、信息和资源的使用以及环境。需要进一步的工作来增加对护士做出临床决策的过程的理解。