通过能力的镜头探索护士的决策:在复杂的护理环境中理解自主性的框架
1Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada.
Journal of advanced nursing
|June 9, 2025
概括
在ICU的护士.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 生物伦理学生物伦理学
背景情况:
- 在重症监护室 (ICU) 护士的决策自主性对于患者护理至关重要.
- 了解影响这种自主性的因素对于改善医疗保健服务至关重要.
- 以前的研究往往侧重于个人能力,可能忽视系统影响.
研究的目的:
- 应用阿马尔蒂亚·森的能力方法来分析ICU护士的决策自主性.
- 探索资源,转化因素和代理机构如何相互作用来塑造护士的决策能力.
主要方法:
- 定性研究重新分析了与39名经验丰富的加拿大ICU护士进行半结构面试的数据.
- 利用阿马尔蒂亚·森的能力方法作为概念框架.
- 检查了资源,个人/社会/机构转换因素和专业机构之间的相互作用.
主要成果:
- 护士的决策能力包括获取信息,解释信息并做出可行的决定.
- 值得重视的结果包括临床有效性,患者舒适性和专业成长.
- 自主权和对决策采取行动的能力受到资源限制,机构政策,跨专业动态和等级制度的限制.
结论:
- 能力方法为了解环境条件如何影响护士的自主性提供了一个框架.
- 它强调了超越个人能力的结构和关系因素的影响.
- 需要支持性环境来增强护士在重症监护中的行动能力和决策能力.
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