Nurses' reflections on problems associated with decision-making in critical care settings
Nurses' reflections on problems associated with decision-making in critical care settings
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DOI：
10.1046/j.1365-2648.1997.1997025229.x
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发表时间：
1997-02-01
影响因子：
3.8
通讯作者：
Thomas, S
中科院分区：
文献类型：
--
作者：
Bucknall, T;Thomas, S
本研究调查护士的看法与他们的决策在重症监护环境中的问题。本文报道了230名澳大利亚执业重症监护护士的调查。在回答一组结构化的问题，在决策的各种困难，它被发现之间的22和56%的护士报告说，每周或更频繁的基础上遇到的困难“由于知识基础”，“缺乏时间作出决定”，“缺乏时间来实施决策”，和“个人价值观与其他工作人员的冲突”。近三分之一（30.3%）的受访者表示，他们不同意其他工作人员负责在他们的单位至少每周作出决定。护士们也被邀请以书面形式就他们在各个领域的担忧发表评论。护士不满意的主要来源包括：治疗决定的病人与穷人的bepaly在线网投;不和谐的医务人员有关的决策自主权问题，特别是与初级医生;护理的时间限制;新的重症监护技术的需求后，护士的知识基础;和在职教育，以解决这个问题的需要。最后，本文提出了利用深度访谈进一步研究这些问题的论点。
The present study investigated nurses' perceptions of the problems associated with their decision-making in critical care settings. This paper reports a survey of 230 Australian practising critical care nurses. In responses to a set of structured questions concerning various difficulties in making decisions, it was found that between 22 and 56% of nurses reported to be experiencing difficulties on a weekly or more frequent basis 'due to knowledge base', 'lack of time to make decisions', 'lack of time to implement decisions', and 'personal values conflicts with other staff'. Nearly one-third (30.3%) of the respondents indicated that they disagreed with other staff who were responsible for making decisions in their units on at least a weekly basis. The nurses were also invited to comment in writing on their concerns in a variety of areas. Major sources of nurse dissatisfaction included: treatment decisions for patients with poor prognoses; disharmony with medical staff concerning decision autonomy issues, especially with junior doctors; time constraints on nursing care; the demands of new intensive care technology upon the nurses' knowledge bases; and the need for in-service education to address this problem. The paper concludes with arguments for the use of in-depth interviews to further study these issues.