Edwards B
Bournemouth University, UK.
Accid Emerg Nurs. 1998 Jan;6(1):18-23. doi: 10.1016/s0965-2302(98)90053-4.
The concept of nursing expertise has been the focus of considerable debate since the early 1980s, yet an agreed definition of the concept and the precise criteria by which it can be evaluated remains elusive. This paper will describe an exploratory study into A & E nurses' constructs of the nature of nursing expertise. Seven first level Accident and Emergency (A & E) nurses were interviewed using Kelly's Repertory Grid Technique. Each was asked to provide examples of nurses with whom they are working or have worked, to match eight given examples designed to represent varying levels of clinical expertise. The informants were asked to consider in what way two of their chosen examples were alike and differed from a third in their clinical practice. A total of 55 bi-polar constructs emerged which were clustered under four main headings. These suggested that A & E nurses perceived expert practice to be characterized by a high level of empirical knowledge, supportive team building, assertive clinical leadership and patient-focused involvement.
自20世纪80年代初以来，护理专业知识的概念一直是大量辩论的焦点，但对于该概念的一致定义以及用以评估它的精确标准仍然难以捉摸。本文将描述一项针对急诊护士对护理专业知识本质的理解的探索性研究。采用凯利的 repertory 网格技术对七名一级急诊护士进行了访谈。要求每位护士提供与其共事过或曾经共事过的护士的例子，以匹配八个旨在代表不同临床专业水平的给定例子。要求受访者思考他们所选的两个例子在临床实践中在哪些方面相似以及与第三个例子有何不同。总共出现了55个两极概念，这些概念归为四个主要类别。这些表明急诊护士认为专家实践的特点是具有高水平的经验知识、支持性的团队建设、坚定的临床领导力和以患者为中心的参与。
