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急诊室中专家护士的决策制定。

Decision-making in A&E by expert nurses.

作者信息

Marsden J

机构信息

Manchester Metropolitan University.

出版信息

Nurs Times. 1998;94(41):62-5.

PMID:9832875
Abstract

The A&E service at Manchester Royal Eye Hospital uses triage as a method of prioritising patients to ensure that those whose needs are urgent receive immediate attention. The service has been extended to include formalised telephone triage. This study investigates the way in which telephone triage decisions are made by nurse practitioners in A&E. Although the sample is small, interviews with nurse practitioners reinforce previous theories about expert knowledge and decision-making. The practitioners use a process of hypothesis testing and a systematic and complex framework for decision-making.

摘要

曼彻斯特皇家眼科医院的急症室服务采用分诊作为优先安排患者的方法,以确保那些有紧急需求的患者能立即得到诊治。该服务已扩展至包括正式的电话分诊。本研究调查了急症室护士从业者做出电话分诊决定的方式。尽管样本量较小,但对护士从业者的访谈强化了先前关于专业知识和决策的理论。从业者采用假设检验的过程以及一个系统且复杂的决策框架。

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