床边护理临床推理的决策支持策略:范围审查
Lara Daniela Matos Cunha1,2,3, Filipa Ventura1,4, Márcia Pestana-Santos4,1
1Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal.
International journal of nursing studies advances
|August 13, 2025
概括
护士可以通过使用床边策略来支持临床推理来增强患者的护理. 本综述强调了规范和反思的方法,强调了批判性思维和在复杂的医疗环境中的适应能力.
科学领域:
- 护理科学 护理科学
- 临床决策 - 临床决策
- 医疗保健实践 医疗保健实践
背景情况:
- 临床推理对于积极的患者结果至关重要.
- 护士在培养临床推理能力方面发挥着至关重要的作用.
- 床边支持策略有助于复杂的临床情况下的认知重组.
研究的目的:
- 绘制护士用于支持临床推理的床边决策策略的证据.
主要方法:
- 根据乔安娜·布里格斯研究所的建议进行了范围审查.
- 在多个数据库中进行了搜索 (Medline,CINAHL,科学网,Scopus,Cochrane,RCAAP,谷歌学者).
- 包括葡萄牙语,英语,西班牙语或瑞典语的定性和定量研究;不包括以人工智能为重点或纯粹的教育研究.
主要成果:
- 14项研究符合1889年结果的纳入标准.
- 研究跨越了不同的国家和设计,涉及护士,患者和医疗保健团队.
- 确定了两个关键策略:规范性 (基于指导方针) 和反思性 (基于自我反思).
结论:
- 在床边普遍存在反射策略,强调在不确定的临床环境中适应能力.
- 尽管人工智能的进步,培养护士的批判性思维和决策能力仍然至关重要.
- 床边策略对于有效的护理临床推理和改善患者护理至关重要.
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