新毕业的护士在重症监护中的决策不确定性的经验:一个解释性的描述
Maude Crétaz1,2, Patrick Lavoie1,2
1Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada.
Nursing in critical care
|February 1, 2026
概括
在重症监护室 (ICU) 的新毕业护士由于复杂的病例和团队审查而经历不确定性. 他们使用自我质疑和团队支持来应对这些挑战并建立信心.
科学领域:
- 护理教育 护理教育
- 关键护理护理 关键护理护理
- 专业发展专业发展
背景情况:
- 在ICU的新毕业的护士面临临临床决策和不确定性的重大挑战.
- 新手ICU护士的不确定性经验未得到充分研究.
- 不确定性影响新护士预测患者结果的能力.
研究的目的:
- 探索在重症监护病房的新毕业护士们的不确定性生活经验.
- 了解这个人群中不确定性的条件,原因,表现和后果.
主要方法:
- 定性解释性描述性研究.
- 与护士进行半结构面试,护士在ICU工作经验不到两年.
- 持续对面试数据进行比较分析.
主要成果:
- 不确定性是新的ICU护士体验性学习过程中的一个代部分.
- 不熟悉或危急的患者情况和团队审查加剧了不确定性.
- 护士利用自我质疑,个人知识,团队专业知识和资源来缓解不确定性.
结论:
- 新的ICU护士的不确定性受到临床复杂性和人际关系动态的影响,特别是团队互动.
- 护士团队可以支持或加剧不确定性的感觉.
- 新毕业的护士质疑患者护理轨迹以及他们在ICU中的合法性.
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