手术场所麻醉师护士的决策动态:一种定性研究
Nicolas Milleville1, Sabine Pruvot1, Audrey Gourdin2
1Registered nurse anesthetist at CHU Lille, Hôpital Huriez, Pôle d'Anesthésie Réanimation, Lille, France.
AANA journal
|December 2, 2025
概括
认证注册护士麻醉师 (CRNAs) 在手术中的决策依赖于经验,与麻醉师的合作和患者的安全. 心理因素和伦理考虑也会对他们的临床判断产生重大影响.
科学领域:
- 麻醉学 麻醉学
- 护理实践 护理实践
- 定性研究是指质量研究.
背景情况:
- 在手术室的注册护士麻醉师 (CRNA) 临床决策至关重要.
- 影响CRNA实践的因素包括经验,教育,团队合作,技术,心理状态和道德.
研究的目的:
- 探索CRNAs的多方面的临床决策过程.
- 确定在各种医院环境中塑造CRNA实践的关键因素.
主要方法:
- 定性,描述和探索性研究设计.
- 与法国10个CRNA进行的半结构面试.
- 使用布劳恩和克拉克的框架进行诱导性主题分析.
主要成果:
- 六个主题出现了:责任/患者安全,经验/直觉,协作,心理/情感影响,技术和道德.
- 患者安全和基于信任的与麻醉师的合作是决策的核心.
- 经验促进了直观的决策;压力和疲劳影响认知表现.
- 技术是一种支持工具;道德困境显著影响复杂的决策.
结论:
- CRNA决策是一个复杂的,取决于背景的过程,整合了个人的专业知识和人际关系的动态.
- 调查结果强调了基于模拟的教育和专业间培训的需要.
- 结构化的伦理反思对于推进麻醉实践至关重要.
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