探索印度尼西亚急诊护士在创伤护理中的临床决策能力：定性研究
Exploring Clinical Decision-Making Competencies of Emergency Nurses in Trauma Care in Indonesia: Qualitative Study.
作者信息
Saharuddin Saharuddin, Nurachmah Elly, Masfuri Masfuri, Gayatri Dewi, Kimin Amelia, Sakti Muhammad, Saidi Sanisah Binti, Yona Sri
机构信息
Faculty of Nursing, Universitas Indonesia, Gedung Pascasarjana FIK UI & Laboratorium, Jl. Prof. Dr. Bahder Djohan, Kampus UI Depok, Depok, 16424, Indonesia, 62 85399772768, 62 217864124.
Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia.
出版信息
Asian Pac Isl Nurs J. 2025 Jun 25;9:e74282. doi: 10.2196/74282.
BACKGROUND
Clinical decision-making is vital for emergency nurses, especially in trauma care that requires swift, accurate actions. In Indonesia, where resources are limited, little is known about how nurses manage such challenges.
OBJECTIVE
This study aimed to explore the clinical decision-making competencies of emergency nurses in trauma care, focusing on challenges, strategies, and influencing factors.
METHODS
This was a qualitative study using semi-structured interviews with 16 emergency nurses, complemented by observations and document analyses. Data were analyzed thematically, with triangulation, thereby ensuring validity.
RESULTS
Six key themes emerged: (1) recognize cues; (2) analyze cues; (3) prioritize hypothesis; (4) generate solutions; (5) take actions; and (6) evaluate outcomes. These highlight the adaptive and multidimensional nature of decision-making in emergencies.
CONCLUSIONS
The decision-making of emergency nurses integrates analysis, prioritization, collaboration, and reflection. Enhanced training, such as simulation-based learning, and addressing systemic barriers can improve competencies. Policymakers should provide adequate resources and robust standards to support nurses under pressure.
背景
临床决策对急诊护士至关重要，尤其是在需要迅速、准确行动的创伤护理中。在资源有限的印度尼西亚，对于护士如何应对此类挑战知之甚少。
目的
本研究旨在探讨急诊护士在创伤护理中的临床决策能力，重点关注挑战、策略和影响因素。
方法
这是一项定性研究，对16名急诊护士进行了半结构化访谈，并辅以观察和文件分析。采用主题分析法对数据进行分析，并进行三角验证，以确保有效性。
结果
出现了六个关键主题：（1）识别线索；（2）分析线索；（3）确定假设优先级；（4）生成解决方案；（5）采取行动；（6）评估结果。这些突出了紧急情况下决策的适应性和多维性。
结论
急诊护士的决策过程整合了分析、优先级确定、协作和反思。加强培训，如基于模拟的学习，并消除系统性障碍，可以提高能力。政策制定者应提供充足的资源和有力的标准，以支持处于压力下的护士。
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