护理本科实习生自我导向学习能力与人文关怀能力对护理临床决策能力影响的路径分析

目的:调查护理本科实习生自我导向学习能力、人文关怀能力与护理临床决策能力水平,探讨自我导向学习能力与人文关怀能力对护理临床决策能力的影响,并分析其影响路径.方法:采用自我导向学习评定问卷(SRSSDL)、人文关怀能力评价问卷(CAI)、护理临床决策测评问卷(CDMNS)对367名护理本科实习生进行调查.结果:护理本科实习生的SRSSDL总分为(170.99±54.16)分,CAI总分为(173.38±29.14)分,CDMNS总分为(113.99±17.47)分.自我导向学习能力总分及5个维度得分与护理临床决策能力总分及4个维度得分呈正相关,人文关怀能力总分及其认知维度得分与护理临床决策能力总分呈正相关,且人文关怀能力总分及3个维度得分与明确目标维度得分呈显著正相关.结构方程模型显示,人文关怀能力能正向预测自我导向学习能力和护理临床决策能力(β=0.07,0.08,P<0.05),人文关怀能力通过自我导向学习能力对护理临床决策能力的间接效应为0.06,总效应为0.14,由Bootstrap法得出自我导向学习能力在人文关怀能力与护理临床决策能力间的中介效应为42.86％.结论:护理本科实习生自我导向学习能力与人文关怀能力相对缺乏,护理临床决策能力处于中等水平,自我导向学习能力在人文关怀能力与护理临床决策能力间起部分中介作用.     

不同学校本科护生护理临床决策能力的比较研究

目的 比较不同学校本科护生的护理临床决策能力,为加强护理本科生护理临床决策能力培养提供依据.方法 利用护理专业大学生临床决策能力测量工具对四川省4所大学2008年护理专业毕业实习1本科生进行问卷调查.结果 4所学校护生临床决策能力不同,最高得分（94.06±5.09）分,最低得分（89.01±5.68）分,学校之间得分差异有统计学意义（P＜0.05）.结论 四川省部属重点大学护生的临床决策能力高于普通院校护生,教学方法更有利于学生护理临床决策能力的培养.     

临床护士护理伦理决策能力现状及影响因素研究

目的 了解临床护士护理伦理决策能力的现状及影响因素,为提高临床护士的护理伦理决策能力提供依据.方法 随机抽取四川省5所三级甲等综合性医院的359名临床护士为调查对象,应用2007版护理伦理决策问卷(JAND)进行调查.结果 临床护士的护理伦理决策问卷总分为(267.91±16.62)分;两个维度得分为伦理选择(145.66±9.47)分、伦理行动(122.25±8.84)分.进入多元回归方程,各因素中,获取专业知识的途径对总分的影响最大,其次是学历和护理伦理决策培训.结论 临床护士的护理伦理决策能力有待提高,护理教育者及临床管理者应根据影响因素,通过多种途径提高临床护士的护理伦理决策能力.     

临床护士评判性思维与临床决策能力的相关性研究

目的 了解临床护理人员评判性思维能力与护理决策能力的现状,探讨临床护理人员评判性思维能力与护理决策能力的关系.方法 采用评判性思维倾向性调查表(中文版)和护理临床决策能力调查表,对汕头市3所三甲医院223名临床护理人员进行问卷调查.结果 临床护士评判性思维总分平均为(292.12±24.67),决策能力总平均分为(140.72±11.34);评判性思维与决策能力呈显著正相关(P＜0.01).结论 临床护士评判性思维与护理决策能力呈正相关,评判性思维能力越强,护理临床决策能力越强.     

不同学制本科护生护理临床决策能力的比较研究

目的 了解不同学制护理本科生护理临床决策能力的情况.方法 使用自设的本科护生临床决策能力问卷调查415名四川省4所大学2008年护理专业本科实习生.结果 本科护生总临床决策能力(287.37±32.52)分;4年制本科护生临床护理决策能力评分(295.32±29.76)分;5年制本科护生临床护理决策能力评分(282.6...     

本科护生护理临床决策能力的调查研究

目的 分析四川省护理本科生临床决策能力现状.方法 利用护理专业大学生临床决策能力测量工具调查四川省4所大学2008年护理专业毕业实习10～12个月的本科生415名,并对调查结果进行分析.结果 四川省护理本科生临床决策能力总平均分为(72.86±4.53)分;各维度得分率以确定目标能力最高,评价反馈能力最低;本科护生临床决策能力的合格率为99.52%,良好占4.82%,及格占94.70%,不合格占0.48%.结论 四川省本科护生护理临床决策能力多数为合格水平,但尚未达到优秀.     

临床护士评判性思维态度倾向性与护理伦理决策能力的相关性研究

目的 了解临床护士评判性思维态度倾向性和护理伦理决策能力的现状及影响因素,分析两者之间的相关性.方法 在四川省5所三级甲等综合性医院中分层随机抽取359名临床护士进行问卷调查,问卷由一般情况调查表、护理伦理决策量表(JAND)及中文版评判性思维态度倾向性问卷(CTDI-CV)3部分组成.结果 临床护士CTDI-CV总均分为(285.06:±26.79)分,JAND总均分为(267.91±16.62)分.护理伦理决策能力的影响因素为学历、获取专业知识的途径、护理伦理决策培训.评判性思维态度倾向性与护理伦理决策能力呈正相关.结论 临床护士护理伦理决策能力及评判性思维态度倾向性得分处于中等水平,两者呈正相关,在学校教育和医院继续教育中,可通过加强对护士评判性思维态度倾向的培养来提高其护理伦理决策能力.     

临床决策能力测评研究进展

临床决策能力是护生和护士必须掌握的核心能力之一.现就临床决策能力测评的意义、方法、现状和趋势进行综述,旨在为护理教育和护理管理工作提供参考.     

护理临床决策能力研究现状与进展

综述了国内外护理临床决策能力的测量、评判性思维与临床决策能力、护理临床决策能力的影响因素和护理临床决策能力的发展。     

护理临床决策能力研究现状与进展

综述了国内外护理临床决策能力的测量、评判性思维与临床决策能力、护理临床决策能力的影响因素和护理临床决策能力的发展。     

护理专业本科实习学生临床决策能力的现状调查

目的了解护理专业本科学生临床决策能力。方法对在重庆市5所三级甲等医院实习的护理专业学生253人进行临床决策能力测量。结果护理本科实习学生临床决策能力总分为（81．60±9．85）分，临床环境适应性、临床思维、知识结构、护患沟通能力、综合基础素质得分较低。结论护理专业学生临床决策能力水平偏低，提示应采取针对性干预措施，不断提高其临床决策能力。     

护理临床决策能力在护理教育中的培养现状

从护理临床决策的概念、内涵、教学模式和评价方法等方面对护理临床决策能力在护理教育中的培养现状进行了综述。     

临床决策能力测评研究进展

临床决策能力是护生和护士必须掌握的核心能力之一。现就临床决策能力测评的意义、方法、现状和趋势进行综述,旨在为护理教育和护理管理工作提供参考。     

The application of decision making concepts by nurse practitioners in general practice

The application of decision making concepts by nurse practitioners in general practice ¶This paper is concerned with the conceptual frameworks which could be applied to nurse practitioners in general practice in reaching decisions during patient consultations. Four strategies of decision making are explained within a practice context: hypothetico-deductive method, decision analysis, pattern recognition and intuition. The study uses retrospective verbalization and observation of 20 nurse practitioners working alongside general practitioners to explore decision making issues. The results of the study show that important factors relating to decision making include: the ability to recognize patterns in clinical situations to fit with patterns previously seen; an appreciation of the consequences of inappropriate action; and the ability to concentrate simultaneously on complex and sometimes masked patient cues as well as multiple treatment options.     

临床推理与决策课程对护理本科生评判性思维能力的影响

目的探讨内地首门“临床推理与决策”课程对护理本科生评判性思维能力的影响。方法采用前后对照设计。在“临床推理与决策”课程开设前后,组织选修该门课程的38名护生填写评判性思维态度倾向量表一中文版（CTDI—CV）,进行前后对照分析。结果教学后护理本科生的评判性思维能力总分为（318．05±24．87）分,高于教学前的（308．49±22．96）分,组间比较差异具无统计学意义（t=-1．839,P=0．074）。7个评判性思维维度中,寻找真相、系统化能力以及批判性思维的自信心得分增加,差异有统计学意义（t分别为-2．727,～2．622,-2．417;P〈0．05）。结论在护理本科生中推行临床推理与决策课程有助于提高学生的评判性思维能力。     

The influence of clinical supervision on nurses' moral decision making

The aim of this study was to investigate the influence of clinical supervision on nurses' moral decision making. The sample consisted of 15 registered nurses who took part in clinical supervision sessions. Data were obtained from interviews and analysed by a hermeneutic transformative process. The hermeneutic interpretation revealed four themes: increased self-assurance, an increased ability to support the patient, an increased ability to be in a relationship with the patient, and an increased ability to take responsibility. In conclusion, it seems that clinical supervision enhances nurses' ability to provide care on the basis of their decision making. However, the qualitative and structural aspects of clinical supervision have to be investigated further in order to develop professional insight into the way that nurses think and react.     

护士对老年轻度认知障碍患者参与临床决策认知的质性研究

目的 深入了解长期护理轻度认知障碍（mild cognitive impairment,MCI）患者的护士对老年MCI患者参与临床决策的认知和建议,为促进医患共享决策提供参考。 方法 运用现象学研究法,于2020年11月—2021年2月选取13名长期护理MCI患者的护士进行半结构式深入访谈,采用Colaizzi 7步分析法对访谈资料进行分析。 结果 护士对老年MCI患者参与临床决策的认知可归纳为5个主题：①患者参与临床决策是尊重患者意愿的体现;②患者参与临床决策是综合提升护理质量的保障;③患者参与临床决策受其决策能力所限;④情绪消极应对状况影响患者参与临床决策;⑤患者参与临床决策在临床实施受阻。护士对老年MCI患者参与临床决策的建议可归纳为3个主题：①进一步激发患者的决策意识;②呼吁家属支持;③期望改善实施条件。 结论 医患共享决策具有重要的实践意义,但在临床实施中存在一定的阻碍。今后仍需加强患者的决策意识,培养护士的决策能力,完善医患共享决策的实施条件,以充分发挥护士的引导作用。     

Enhancing orthopaedic nurses' clinical decision making.

Clinical decision making ability is necessary for safe and effective orthopaedic nursing practice. By clinical decision making, we mean the rendering of a judgment about patient care using analytical and intuitive processes and incorporating professional knowledge. Although recent research findings indicate that there is no single approach that clinicians use to make all decisions, there are several general aspects of decision making processes. Among these are the development of mental representations, decision-making procedures, and pattern recognition. Five selected strategies for enhancing these general processes are described and illustrated with patient situations relevant to orthopaedic nursing.     

Decision-making skills and critical thinking ability among associate degree, diploma, baccalaureate, and master's-prepared nurses

A key component of nursing practice is the nurse's ability to process information and to make decisions. One goal of most educational programs for nurses is to enhance students' cognitive abilities and clinical decision-making skills. This study investigated the differences in critical thinking ability and decision-making skills among 121 associate degree, diploma, baccalaureate, and master's-prepared nurses. Results indicated that nurses with master's and baccalaureate degrees had the highest scores in critical thinking ability. Subjects' decision-making skills were measured related to: 1) frequency in making decisions, 2) difficulty in making decisions, and 3) factors which influence decision making. No significant differences were found among the four groups related to the three dimensions of decision-making skills. Experience and knowledge were the most influential factors in decision making. Study findings have implications for investigating differences among nursing students related to cognitive abilities.