目的:为了表征主题焦点,结构,临床推理和判断护理研究的发展。
方法:文献计量分析。
方法:我们使用文献计量学方法分析了1528篇文章。
方法:我们于2024年1月7日检索了Scopus书目数据库。
结果:通过关键字共现分析,我们发现最常见的关键词是临床判断,临床推理,护理教育,模拟,护理,临床决策,护生,护理评估,批判性思维,护理诊断,患者安全,护士,护理过程,临床能力,和风险评估。焦点主题,结构,关键词映射揭示了护理研究在临床推理和判断方面的进展,聚类,时间跟踪。
结论:通过评估关键护理研究领域,我们为研究人员扩展了目前关于临床推理和临床判断的论述,教育工作者,和实践者。护理专业人员在临床实践中使用临床推理和判断方面仍然必须应对严峻的挑战。对临床推理过程的进一步了解和理解以及临床判断的发展必须成功地从研究转化为护理教育和实践。
■本研究强调了护士在使用临床推理和判断方面的护理知识差距,并鼓励护理教育者和专业人员专注于培养护士在患者安全方面的临床推理和判断。
结论:在解决护士使用临床推理和判断时,特别是在病人安全方面,这项研究发现,在某些临床环境中,临床推理和判断的使用仍然是护理专业人员面临的挑战.因此,这项研究应该对护理学者的研究选择产生影响,关于护理教育者的教学实践,和护士的临床实践。
■通过采用公认的文献计量报告方法,遵守了相关的EQUATOR指南。
OBJECTIVE: To characterize the thematic foci, structure, and evolution of nursing research on clinical reasoning and judgment.
METHODS: Bibliometric analysis.
METHODS: We used a bibliometric method to analyze 1528 articles.
METHODS: We searched the Scopus bibliographic database on January 7, 2024.
RESULTS: Through a keyword co-occurrence analysis, we found the most frequent keywords to be clinical judgment, clinical reasoning, nursing education, simulation, nursing, clinical decision-making, nursing students, nursing assessment, critical thinking, nursing diagnosis, patient safety, nurses, nursing process, clinical competence, and risk assessment. The focal themes, structure, and evolution of nursing research on clinical reasoning and judgment were revealed by keyword mapping, clustering, and time-tracking.
CONCLUSIONS: By assessing key nursing research areas, we extend the current discourse on clinical reasoning and clinical judgment for researchers, educators, and practitioners. Critical challenges must still be met by nursing professionals with regard to their use of clinical reasoning and judgment within their clinical practice. Further knowledge and comprehension of the clinical reasoning process and the development of clinical judgment must be successfully translated from research to nursing education and practice.
UNASSIGNED: This study highlights the nursing knowledge gaps with regard to nurses\' use of clinical reasoning and judgment and encourages nursing educators and professionals to focus on developing nurses\' clinical reasoning and judgment with regard to their patients\' safety.
CONCLUSIONS: In addressing nurses\' use of clinical reasoning and judgment, and with regard to patient safety in particular, this study found that, in certain clinical settings, the use of clinical reasoning and judgment remains a challenge for nursing professionals. This study should thus have an effect on nursing academics\' research choices, on nursing educators\' teaching practices, and on nurses\' clinical practices.
UNASSIGNED: Relevant EQUATOR guidelines have been adhered to by employing recognized bibliometric reporting methods.