Development of the Nursing Model of Clinical Judgment and the Arts in Child and Family Nursing

2002年至2005年，对儿童及家庭护理的临床判断和护理艺术进行调查，建立反映专家护士护理框架的护理模式。在本研究的第一步，我们回顾了与临床判断、护理艺术、儿童和家庭护理专业知识相关的文献。结果表明：1)国内和国际护理实践的问题；2)护理过程及其结果；3)临床判断的特点；4)专业临床教育。第二步，采用定性研究方法，采用情景访谈法，建立护理艺术模型，描述护理专业知识。结果，确定了五种护理艺术模式和护理行动过程。每个模型包括以下过程：1)对情况的敏感，2)临床判断，3)护理，4)确定护理方向，5)接近团队成员，6)护理结果。研究还发现该模型在临床决策和激活跨学科协作系统方面的有效性。

From 2002 to 2005, the research was conducted to investigate the clinical judgment and nursing arts in child and family nursing, and to develop the nursing model which reflects the framework of care delivery by expert nurses.In the primary step of this research, review of the literature related to clinical judgment, nursing arts, and nursing expertise in child and family was conducted. The results identified the followings : 1)issues of nursing practice, nationally and internationally, 2)caring processes and its outcomes, 3)features of clinical judgment, 4)clinical education in profession.In the second step, the qualitative research was applied by using the episodic interview method to develop the nursing art model which describes the nursing expertise. As a result, five nursing art models and the process of nursing actions were identified. Each model includes the following processes : 1)being sensitive to situations, 2)clinical judgment, 3)nursing care, 4) confirming the direction of nursing care, 5)approaching the team members, and 6)nursing outcomes.The study also found the effectiveness of the model in clinical decision making and activating the systems of inter-discipline collaboration.