Department of Nursing, Graduate School, Kyung Hee University, Seoul 02447, Korea.
Department of Nursing, College of Science and Technology, Daejin University, Pocheon-si 11159, Korea.
Int J Environ Res Public Health. 2022 Mar 18;19(6):3596. doi: 10.3390/ijerph19063596.
The study's purpose was to identify the meaning and the attributes of Korean nurses' clinical decision making. A sequential and systematic literature review with reflection according to the conceptual analysis method of Walker and Avant was used in this study. Data sources included the National Assembly Library, the National Digital Science Library, ProQuest, PubMed, MEDLINE, and CINAHL. Finally, twenty-six articles were included in this concept analysis. The concept of Korean nurses' clinical decision making consisted of the following attributes: clinical reasoning, choosing and applying challenging alternatives, and professional assessment and resetting. Antecedents consisted of: recognizing complex and diverse patient situations with high uncertainty, the need to solve problems according to priority, prior experience in clinical decision making, and interrelationships with fellow medical staff. Consequences consisted of: providing high-quality nursing services, improving the patient's safety, and increased satisfaction with clinical decision making. Based on these results, the conceptual attributes of Korean nurses' clinical decision making had slightly different characteristics but were organically interrelated. The results of analyzing the concept of Korean nurses' clinical decision making provide a better understanding of it and contribute to expanding nursing knowledge and developing a valid and reliable measurement.
本研究旨在确定韩国护士临床决策的意义和属性。本研究采用了沃克和阿凡特的概念分析方法的顺序和系统的文献回顾与反思。资料来源包括国会图书馆、国家数字科学图书馆、ProQuest、PubMed、MEDLINE 和 CINAHL。最终，这一概念分析纳入了 26 篇文章。韩国护士临床决策的概念包括以下属性：临床推理、选择和应用具有挑战性的替代方案，以及专业评估和重新设置。前因包括：识别具有高度不确定性的复杂和多样化的患者情况、根据优先级解决问题的需要、临床决策制定方面的先前经验以及与其他医务人员的相互关系。结果包括：提供高质量的护理服务、提高患者安全性和提高对临床决策的满意度。基于这些结果，韩国护士临床决策的概念属性具有略微不同的特征，但有机地相互关联。分析韩国护士临床决策概念的结果有助于更好地理解它，并有助于扩展护理知识和开发有效和可靠的测量工具。
