Utilizing conjoint analysis to explicate health care decision making by emergency department nurses: a feasibility study

Utilizing conjoint analysis to explicate health care decision making by emergency department nurses: a feasibility study
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DOI:
10.1016/j.apnr.2008.03.004
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发表时间:
2010-02-01
影响因子:
2.2
通讯作者:
Frazer, Christine
Frazer, Christine
中科院分区:
医学4区
文献类型:
--
作者:
Fisher, Kathleen;Orkin, Fredrick;Frazer, Christine

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这项描述性研究测试了使用临床模拟来了解急诊科护士为智力障碍 (ID) 患者做出的代理决策的可行性。用于识别决策模式的联合分析结果表明,护士在为客户做出重要的医疗保健决策时依赖于未来的健康状况、功能状态和家庭投入。这些信息增强了我们对护士应提供的复杂服务和支持的理解。随着智力障碍患者年龄的增长和发病率的增加,护士和护理人员作为关键医疗保健决策者的作用正在增强。 (C) 2010 Elsevier Inc. 保留所有权利。
This descriptive study tests the feasibility of using clinical simulation to understand proxy decision making by emergency department nurses for individuals with intellectual disability (ID). Results from a conjoint analysis used to identify decision-making patterns indicated that nurses relied on future health status, functional status, and family input while making important health care decisions for their clients. This information enhances our understanding of the complex array of services and supports that nurses are expected to provide. As individuals with ID age and experience increased morbidity, the role of the nurse and caregivers as critical health care decision makers is increasing. (C) 2010 Elsevier Inc. All rights reserved.