Offredy M
Faculty of Health and Human Science, University of Hertfordshire, Hatfield, England.
J Adv Nurs. 1998 Nov;28(5):988-1000. doi: 10.1046/j.1365-2648.1998.00823.x.
This paper is concerned with the conceptual frameworks which could be applied to nurse practitioners in general practice in reaching decisions during patient consultations. Four strategies of decision making are explained within a practice context: hypothetico-deductive method, decision analysis, pattern recognition and intuition. The study uses retrospective verbalization and observation of 20 nurse practitioners working alongside general practitioners to explore decision making issues. The results of the study show that important factors relating to decision making include: the ability to recognize patterns in clinical situations to fit with patterns previously seen; an appreciation of the consequences of inappropriate action; and the ability to concentrate simultaneously on complex and sometimes masked patient cues as well as multiple treatment options.
本文关注的是可应用于普通科执业护士在患者会诊过程中做出决策的概念框架。在实践背景下解释了四种决策策略：假设演绎法、决策分析、模式识别和直觉。该研究采用回顾性口述和对20名与全科医生一起工作的执业护士的观察，以探讨决策问题。研究结果表明，与决策相关的重要因素包括：识别临床情况中与先前所见模式相匹配的模式的能力；对不当行为后果的认识；以及同时专注于复杂且有时被掩盖的患者线索和多种治疗选择的能力。
