护理研究和实践中的决策-认知连续理论的应用:一个元聚合的系统性审查
Tricia O'Connor1,2, Jo Gibson1, Joanne Lewis3
1School of Nursing, Midwifery and Public Health, University of Canberra, Bruce, Canberra, Australia.
Journal of clinical nursing
|October 16, 2023
概括
这篇评论发现认知连续理论可以转移到护理研究中,但很少被严格应用. 提出了一个以人为中心的新模式,以改善临床决策和患者护理.
科学领域:
- 护理科学 护理科学
- 定性研究方法论 定性研究方法论
- 健康决策的制定方法
背景情况:
- 护理实践在很大程度上依赖于决策,使得系统的知识对于改善患者的结果至关重要.
- 认知连续理论为理解决策过程提供了一个框架.
- 将理论框架整合到定性护理研究中,对于推进基于证据的实践至关重要.
研究的目的:
- 系统地审查认知连续理论在定性护理研究中的应用.
- 通过理论使用和方法学的定性网络 (QUANTUM) 类型学来评估理论在研究过程中的整合程度.
- 确定差距,并提出临床决策理论发展的未来方向.
主要方法:
- 进行了一项元聚合系统性审查.
- 搜索包括CINAHL,Medline,PsycINFO,Embase和PubMed从创立到2022年5月的时间.
- 包括七项研究,使用乔安娜·布里格斯研究所 (JBI) 检查清单进行质量评估,并使用JBI方法合成. 量子类型学评估了理论整合.
主要成果:
- 出现了五个关键发现:个体护士决策能力,经验水平,决策支持工具,资源可用性和访问高级员工/同行.
- 其中的七项研究中,只有两项严格应用了认知连续理论.
- 大多数研究都是描述性-探索性的,表明理论应用的深度有限.
结论:
- 认知连续理论证明了可转移到护理研究,但它的演变和批评是有限的.
- 在审查的决策研究中,在采用以患者为中心的方法方面存在重大差距.
- 未来的研究应该专注于开发和测试认知连续理论的以人为中心的护理模型,以加强临床决策.
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