eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2025, Vol. 6 ›› Issue (11): 1399-1403.doi: 10.3761/j.issn.2096-7446.2025.11.019

• Review • Previous Articles     Next Articles

Research progress on behavioral economics analysis and optimization strategy of clinical decision-making among ICU nurses

ZHANG Shuai(), CHEN Yingying, YANG Hui, XIA Ying()   

  • Received:2025-02-22 Online:2025-11-10 Published:2025-11-04

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