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한경자 ( Han Kyung-Ja ) - 서울대학교 간호대학
( Kim Hesook-Suzie ) - University of Rhode Island College of Nursing
김매자 ( Kim Mae-Ja ) - 서울대학교 간호대학
홍경자 ( Hong Kyung-Ja ) - 서울대학교 간호대학
박성애 ( Park Sung-Ae ) - 서울대학교 간호대학 간호학과
( Yun Soon-Nyoung ) - 서울대학교 간호대학
송미순 ( Song Mi-Soon ) - 서울대학교 간호대학
정연이 ( Jung Yoen-Yi ) - 삼성의료원 적정진료운영실
김혜원 ( Kim Hae-Won ) - 관동대학교 간호학과
( Kim Dong-Oak Debbie ) - 대전대학교 한의과대학 간호학과
최희정 ( Choi Hee-Jung ) - 건국대학교 간호학과
김경애 ( Kim Kyung-Ae ) - 서울대학교 간호대학
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Abstract
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Purpose: The purpose of the paper is to discover the patterns and processes of decision-making in clinical nursing practice.
Methods: A set of think-aloud data from five critical care nurses during 40 to 50 minutes of caregiving in intensive care units were obtained and analyzed by applying the procedures recommended by Ericsson and Simon for protocol analysis.
Results: Four thinking processes before acting were identified to constitute various sorts of thoughts in which the nurses were engaged during patient care: reviewing, validation, consideration, rationalization, and action. In addition, three patterns of sequential streaming of thinking (short, intermediate, long) were identified to reveal various ways the nurses dealt with clinical situations involving nursing tasks and responsibilities.
Conclusion: This study specifies the initial categories of thoughts for each of the processes and various patterns with which these processes are sequentially combined, providing insights into the ways nurses think about problems and address their concerns. The findings suggest that the thinking in clinical practice involves more than focused decision-making and reasoning, and needs to be examined from a broader perspective.
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KeyWords
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clinical practice nursing research, critical care, nurses, thinking
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원문 및 링크아웃 정보
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등재저널 정보
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