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Critical Thinking II01:25

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协作临床推理:一个范围审查.

Ching-Yi Lee1, Hung-Yi Lai1, Ching-Hsin Lee2

  • 1Department of Neurosurgery, Chang Gung Memorial Hospital at Linkou and Chang Gung University College of Medicine, Taoyuan, Taiwan.

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概括
此摘要是机器生成的。

协作临床推理 (CCR) 对患者安全至关重要,但研究往往侧重于决策,忽视了其定义和结构. 需要明确的理论框架来促进医疗团队对CCR的理解.

关键词:
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科学领域:

  • 医疗保健 医疗保健 医疗保健 医疗保健
  • 医学教育 医学教育
  • 临床实践 临床实践

背景情况:

  • 协作临床推理 (CCR) 对于最佳的患者结果和安全至关重要.
  • 在了解CCR的定义,结构和影响方面存在差距.
  • 本研究通过对相关文献进行范围审查来解决这一差距.

研究的目的:

  • 探索和综合现有关于协作临床推理 (CCR) 的研究.
  • 确定关于CCR定义,结构和影响的当前知识状态.
  • 突出CCR未来研究的领域.

主要方法:

  • 进行了全面的范围审查.
  • 在主要的数据库中进行了搜索:Medline,PsychInfo,Scopus和Web of Science.
  • 纳入标准侧重于2011年至2020年间发表的全文文章,不包括"共享决策".

主要成果:

  • 该综述包括了24篇文章,表明对CCR的研究兴趣日益增长.
  • 大多数研究 (14) 专注于决策过程.
  • 确定的主要影响者包括沟通,信任和团队动态,但只有两篇文章提供了具体的CCR定义.

结论:

  • 尽管CCR在决策研究中普遍存在,但在CCR的定义和结构方面仍然存在重大差距.
  • 明确的理论框架,例如Blondon等人的理论框架. 和Kiesewetter等,对于推进CCR研究至关重要.
  • 需要进一步探索专业间的协作和临床推理.