Taylor C
School of Nursing, Deakin University, Victoria, Australia.
J Adv Nurs. 1997 Aug;26(2):329-36. doi: 10.1046/j.1365-2648.1997.1997026329.x.
Problem solving in clinical nursing practice is the essence of good care delivery. This paper gives an overview of a research study which identified the cognitive problem solving process nurses use while delivering care. The study was conducted in the clinical setting and used a qualitative research methodology of observation, followed by in-depth semi-structured interview. The analysis of the study revealed diagnostic reasoning is the process used by clinicians. Information regarding the differences between novices and experts is offered as topics for discussion throughout the paper, and recommendations for changes to educational processes are made.
临床护理实践中的问题解决是优质护理服务的核心。本文概述了一项研究，该研究确定了护士在提供护理时所使用的认知问题解决过程。该研究在临床环境中进行，采用了观察的定性研究方法，随后进行了深入的半结构化访谈。研究分析表明，诊断推理是临床医生所使用的过程。本文通篇提供了有关新手和专家之间差异的信息作为讨论主题，并提出了教育过程变革的建议。
