对ICU患者代理决策者的决策疲劳的现象学研究
Yaoning Zhuang1, Peipei Li2, Ying Xu1
1Intensive Care Unit, Affiliated Hospital of Putian University, Putian, China.
Medicine
|October 1, 2025
概括
在重症监护室 (ICU) 的代理决策者很早就会经历决策疲劳,其特征是情绪疲和认知过度负担. 了解这些挑战对于改善患者护理和决策质量至关重要.
科学领域:
- 医学伦理 医学伦理
- 心理学 心理学 心理学
- 临界护理医学 临界护理医学
背景情况:
- 代理决策者在医疗决策过程中面临着重大的心理和时间压力.
- 现有的关于重症监护室 (ICU) 代孕者的决策疲劳的研究主要是定量性的,缺乏经验深度.
研究的目的:
- 探索ICU患者在入院后的前48小时内替代决策者对决策疲劳的实践经验.
- 为临床工作人员提供见解,以开发有效的决策支持策略和提高决策质量.
主要方法:
- 使用半结构面试进行定性现象学研究.
- 通过主题分析实现数据和的有目的抽样.
- 考拉伊兹基的方法用于数据分析和改进.
- 研究包括十位代理决策者.
主要成果:
- 代理决策者报告说,在ICU入院早期阶段,他们感到决策疲劳.
- 发现的关键主题包括情绪疲,认知负载增加,决策犹,相互矛盾的选择和缺乏支持.
- 决策疲劳会在ICU入院后的前48小时内影响代孕.
结论:
- 在最初的48小时内,对于ICU代理决策者来说,决策疲劳是一个重要的问题.
- 临床医疗人员必须认识到这种现象,并实施支持性干预.
- 加强决策支持可以提高重症监护机构代理决策的质量.
更多相关视频
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
9.2K
08:24The Joint Effect of Social Comparison and Social Distance on Evaluation of Intertemporal Choice Outcomes in Event-related Potential Studies
Published on: August 25, 2023
1.1K
相关概念视频
Self-Regulation
223
Self-regulation, also known as self-control, encompasses a range of cognitive and behavioral processes that allow individuals to adjust their internal states and outward actions to align with socially acceptable norms and long-term goals. It plays a fundamental role in adaptive functioning, from resisting impulsive behaviors to persisting through challenging tasks. While its benefits are widely recognized, self-regulation is not limitless. Muraven and Baumeister's theory posits that...
223
Decision Making
898
Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Automatic decision-making is fast, intuitive, and relies on gut feelings...
898
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K
Decision Making: Traditional Method
5.1K
The process of hypothesis testing based on the traditional method includes calculating the critical value, testing the value of the test statistic using the sample data, and interpreting these values.
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
5.1K
Reason and Intuition
7.4K
The human brain processes information for decision-making using one of two routes: an intuitive system and a rational system (Epstein, 1994; popularized by Kahneman, 2011 as System 1 and System 2, respectively). The intuitive system is quick, impulsive, and operates with minimal effort, relying on emotions or habits to provide cues for what to do next, while the rational system is logical, analytical, deliberate, and methodical. Research in neuropsychology suggests that the...
7.4K
Obedience
35.2K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.2K
