Bucknall T, Thomas S
Aust J Adv Nurs. 1995 Summer;13(2):10-7.
A survey of 230 practising critical care nurses was conducted to examine the frequencies with which the nurses made decisions to perform 10 critical care tasks drawn from cardiac, respiratory and gastrointestinal management. The relationship between the nurses' levels of appointment and the frequencies with which they made their decisions was also studied. Substantial intra-respondent and inter-respondent variations were found in the frequencies with which nurses reported that they made the decisions. Chi-square analysis showed that there was a positive association (p < 0.05) between nurses' appointment levels and the frequency with which decisions were made to perform five of the tasks. Notwithstanding these associations, it is of concern that the professional preparation of some nurses had not been at a level that equipped them to routinely make these decisions. The findings of the study have implications for the development of standards of practice guidelines and critical care education.
对230名重症监护护士进行了一项调查，以检查护士做出执行源自心脏、呼吸和胃肠道管理的10项重症监护任务决策的频率。还研究了护士的职称水平与他们做出决策的频率之间的关系。在护士报告做出决策的频率方面，发现了受访者内部和受访者之间存在很大差异。卡方分析表明，护士的职称水平与执行五项任务的决策频率之间存在正相关（p < 0.05）。尽管存在这些关联，但令人担忧的是，一些护士的专业培训水平不足以使他们能够常规地做出这些决策。该研究结果对实践指南标准和重症监护教育的发展具有启示意义。
