ICU护士临床决策的行为经济学分析与优化对策研究进展

doi:10.3761/j.issn.2096-7446.2025.11.019

摘要/Abstract

摘要：

护理临床决策是护士基于理论与实践经验，运用评判性思维，针对临床问题制订并实施最优方案的系统化过程。ICU护士的工作特点是在信息有限且时间紧迫的情况下做出大量快速决策，并对患者病情产生直观影响。该文对ICU护士临床决策的行为经济学进行分析，从有限理性理论、偏差理论和前景理论对ICU护士临床决策的形成进行探讨，从有限理性、有限意志力和动态偏好3个方面对ICU护士临床决策发生偏差的成因进行阐述。该文提出引入大语言模型辅助决策、引入助推策略、鼓励共同决策的发展，为提高重症医疗团队中护理决策的质量奠定根基，以便更好地服务于临床实践。

关键词: 重症监护病房, 护士, 临床决策, 经济学, 行为, 综述文献专题

Abstract:

Nursing clinical decision-making is a systematic process in which nurses use critical thinking to formulate and implement the optimal scheme for clinical problems based on theory and practical experience. The characteristics of ICU nurses' work is to make rapid and massive decisions under the condition of limited information and time constraints，which make intuitive impact on patient condition. This paper analyzes ICU nurse clinical decision-making from the perspective of behavioral economics，and discusses the formation of clinical decision-making from the theory of bounded rationality，deviation theory and prospect theory，elaborate on the causes of clinical decision-making bias in ICU nurses from bounded rationality，limited willpower，and dynamic preferences. This paper put forward strategies such as introducing large language model to assist decision making，nudge theory，promoting the development of joint decision-making，so as to lay the foundation for improving the quality of nursing decision-making in critical care teams and better serve clinical practice.

Key words: Intensive Care Units, Nurses, Clinical Decision-Making, Economics, Behavioral, Review Literature as Topic

张帅, 陈莹莹, 杨慧, 夏莹. ICU护士临床决策的行为经济学分析与优化对策研究进展[J]. 中华急危重症护理杂志, 2025, 6(11): 1399-1403.

ZHANG Shuai, CHEN Yingying, YANG Hui, XIA Ying. Research progress on behavioral economics analysis and optimization strategy of clinical decision-making among ICU nurses[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(11): 1399-1403.

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