Gordon M, Murphy C P, Candee D, Hiltunen E
Boston College School of Nursing, Chestnut Hill, Massachusetts.
ANS Adv Nurs Sci. 1994 Jun;16(4):55-70. doi: 10.1097/00012272-199406000-00007.
Literature on clinical judgment is discussed as a background for proposing an integrated model of diagnostic-therapeutic and ethical reasoning. Information processing and nursing process components related to problem identification and problem solving serve as a framework for the integration of the two domains of clinical reasoning. Discussion focuses on the integration of process components, identification of areas of research, and the use of the model in education and practice.
本文讨论了临床判断的相关文献,以此作为提出诊断-治疗与伦理推理综合模型的背景。与问题识别和解决相关的信息处理及护理程序组件,构成了临床推理两个领域整合的框架。讨论重点在于程序组件的整合、研究领域的确定,以及该模型在教育和实践中的应用。