Kissinger J A
Truman Medical Center-West, Kansas City, MO, USA.
Nurs Forum. 1998 Apr-Jun;33(2):18-26. doi: 10.1111/j.1744-6198.1998.tb00212.x.
Overconfidence has an effect on clinical practice and patient outcomes. The author utilizes Walker and Avant's procedure for conceptual analysis to give a systematic definition to overconfidence as it relates to decision-making in nursing. The characteristics that demonstrate the presence of overconfidence are: (a) failure to consider alternative perspectives, (b) failure to distinguish inferences from assertions, (c) favoring positive over negative information, (d) unwarranted certainty in the prediction of accuracy, and (e) control. An increased awareness of the existence of overconfidence can increase the reliability of nursing judgment.
过度自信会对临床实践和患者预后产生影响。作者运用沃克和阿万特的概念分析程序,对与护理决策相关的过度自信给出了系统的定义。表明存在过度自信的特征包括:(a)未能考虑其他观点;(b)未能区分推断与断言;(c)偏好正面信息而非负面信息;(d)对预测准确性过度肯定;(e)控制。提高对过度自信存在的认识可以提高护理判断的可靠性。