Melchior-MacDougall F, Lander J
J Wound Ostomy Continence Nurs. 1995 Mar;22(2):81-7; discussion 88. doi: 10.1097/00152192-199503000-00008.
Nurses routinely make complex clinical decisions under conditions of uncertainty. They collect large, unwieldy data sets in the process of making these clinical decisions. To assist nurses in collecting and organizing data and in making complex clinical decisions, some nursing scholars recommend decision support systems. One such support system, a decision tree leads the nurse from general to specific assessments and ultimately to a decision choice or outcome. In this study, a decision tree was examined for its utility in promoting accuracy in decision making for management of chronic wounds among home care nurses. Home care nurses who used the decision tree made better decisions about staging and product choices for chronic wounds. More research is necessary to discover whether decision trees for the management of chronic wounds translate into improved client outcomes.
护士经常在不确定的情况下做出复杂的临床决策。在做出这些临床决策的过程中，他们会收集大量繁杂的数据集。为了帮助护士收集和整理数据以及做出复杂的临床决策，一些护理学者推荐使用决策支持系统。其中一种这样的支持系统，即决策树，引导护士从一般评估到具体评估，最终做出决策选择或得出结果。在本研究中，对一种决策树在提高家庭护理护士对慢性伤口管理决策准确性方面的效用进行了检验。使用该决策树的家庭护理护士在慢性伤口的分期和产品选择方面做出了更好的决策。有必要进行更多研究，以确定用于慢性伤口管理的决策树是否能转化为改善患者的治疗结果。
