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この研究成果の引用には次のURIを利用してください。: http://hdl.handle.net/10285/306

種類: Departmental Bulletin Paper
タイトル: Experienced psychiatric nurses' clinical judgments in everyday practices.
著者: Nakayama, Yoko
キーワード: Clinical Judgment
Experienced Nurse
Interpretive Study
Psychiatric Care
掲載誌: 聖路加看護大学紀要
号: 22
開始ページ: 52
終了ページ: 58
発行年月日: 1996年3月1日
ISSN: 02892863
抄録別表記: The purpose of this study was to explore the characteristics of clinical judgment through uncovering the everyday practices of experienced psychiatric nurses.Participants were 13 nurses and 4 licensed assistant nurses who worked at a private mental hospital.The participants were interviewed and encouraged to describe their everyday practices and clinical judgment episode.The narrative texts were interpreted by the researcher in this study.As a result, the following characteristics emerged:1)Clinical judgment embedded in everyday practices is based on the experienced nurse's expert ability of knowing the patient and grasping the patient's situation;2)Clinical judgment is clinical wisdom, including intuition, based on the nurse's experience;3)Clinical judgment in patient-nurse interactions is strongly affected by closeness/distance in the relationship.Clinical judgment is not context free, rather it is very situational;4)When group consensus and the nursing care plan exert conformity pressure, the group consensous tends to obstruct the development of an individual nurse's judgment.
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リンクURL: http://hdl.handle.net/10285/306


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