在急诊护士中与选临床决策相关的因素:范围审查
Krisada Suamchaiyaphum1, Allison R Jones, Pariya L Fazeli
1Author Affiliations: School of Nursing, University of Alabama at Birmingham, Birmingham, AL (Mr Suamchaiyaphum, Dr Jones, Dr Fazeli); Princess Agrarajakumari Faculty of Nursing, Chulabhorn Royal Academy, Bangkok, Thailand (Mr Suamchaiyaphum).
Journal of nursing care quality
|August 11, 2025
概括
紧急护士分拣中的临床决策是复杂的,受护士和患者因素以及组织文化的影响. 提高分类精度和效率需要标准化的协议和支持系统.
科学领域:
- 护理 护理 护理
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 临床决策在急诊护士分拣中至关重要.
- 这个概念在分拣护士中缺乏明确的定义.
研究的目的:
- 定义紧急护士分拣中的临床决策.
- 利用罗杰斯的进化概念分析来提供一个全面的定义.
主要方法:
- 进行了对CINAHL,PubMed和Embase数据库的范围审查.
- 包括2012-2025年的研究,重点关注急诊/分离护士和决策.
主要成果:
- 分析了22项符合纳入标准的研究.
- 确定先例 (护士/患者特征,文化),属性 (批判性思维,直觉,推理,决策支持系统) 和后果 (分离精度,结果,资源优化).
结论:
- 紧急护士分拣决策是多方面的.
- 标准化的协议和支持系统对于一致,准确和高效的分类是必不可少的.
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