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

本研究于2002年至2005年期间，探讨儿童与家庭护理中的临床判断与护理艺术，并探讨专家型护理人员提供照护架构的护理模式。研究结果发现：（1）国内外护理实务的议题、（2）照护过程与结果、（3）临床判断的特徴、（4）专业临床教育。结果确定了五种护理艺术模式和护理行动过程。每一模式包含以下过程：1）对情境的敏感、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，并发现模式在临床决策及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.