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 ›› 2026, Vol. 7 ›› Issue (1): 96-102.doi: 10.3761/j.issn.2096-7446.2026.01.016

• Evidence Synthesis Research • Previous Articles     Next Articles

Visualization analysis of research hotspots and development trend for intensive nursing care decision-making

ZHANG Shuai1(), CHEN Yingying2, YANG Hui3, XIA Ying4,*()   

  1. 1. Ward 1Neurology Department,Peking Union Medical College Hospital,Chinese Academy of Medical SciencesBeijing 100730, China
    2. Ward 1Rheumatology and Immunology Department,Peking Union Medical College Hospital,Chinese Academy of Medical SciencesBeijing 100730, China
    3. Internal Medicine Comprehensive WardPeking Union Medical College Hospital,Chinese Academy of Medical SciencesBeijing 100730, China
    4. Renal Medicine WardDepartment of Internal Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical SciencesBeijing 100730, China
  • Received:2025-01-27 Online:2026-01-10 Published:2026-01-06
  • Contact: XIA Ying,E-mail:xiaying881@sina.com
  • Supported by:
    National High Level Hospital Clinical Research Funding(2022-PUMCH-B-130)

Abstract:

Objective To analyze the research hotspots and development trend of intensive nursing care decision-making at home and abroad,in order to provide references for subsequent research. Methods We searched the CNKI and Web of Science Core database from January 1,2013 to May 6,2024,and used Excel,VOS viewer and Citespace to conduct the visualization analysis. Results A total of 265 articles were included in the search,153 articles from WOS while 112 articles from CNKI. The world has experienced the impact of public health emergencies,and the number of publications has reached its first peak in the past decade,entering the initial stage of research. Keyword clustering revealed that moral dilemmas in critical care decision-making constitute a globally shared research focus,international studies predominantly focused on critically ill end-of-life patients’ moral dilemmas,while China’s research priorities centered on evidence-based scientific methods to support nursing decision-making. Conclusion Ethical dilemmas in critical care decision-making,evidence-based support,and competency enhancement are current research hotspots. It is recommended to advance the development and innovation of clinical decision-making in critical care through three key strategies,including translating practical experience into practice,fostering moral resilience,and integrating artificial intelligence innovation.

Key words: Intensive Care Nursing, Clinical Decision-Making, Research Hotspots, Bibliometrics, Visual Analysis