摘要
目的分析国内外重症护理临床决策的研究热点及趋势,为后续研究提供参考。方法在中国知网和Web of Science核心集数据库中检索相关文献,时间为2013年1月1日—2024年5月6日,使用Excel、VOSviewer及Citespace软件进行可视化分析。结果最终纳入265篇文献,Web of Science 153篇,中国知网112篇。全球历经突发公共卫生事件的影响,发文量近十年迎来首次高峰期,进入研究的起步阶段。关键词聚类显示,重症护理决策下道德困境是全球共同关注热点,国际聚焦于重症临终患者的决策困境,国内聚焦于基于循证的科学方法辅助护理决策。结论重症护理决策下的道德困境、循证支持与能力提升是目前的研究热点,建议通过实践经验转化、道德韧性培养、人工智能革新3个方面推动重症护理临床决策的发展与革新。
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.
作者
张帅
陈莹莹
杨慧
夏莹
ZHANG Shuai;CHEN Yingying;YANG Hui;XIA Ying(Ward 1,Neurology Department,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Ward 1,Rheumatology and Immunology Department,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Internal Medicine Comprehensive Ward,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Renal Medicine Ward,Department of Internal Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中华急危重症护理杂志》
2026年第1期96-102,共7页
Chinese Journal of Emergency and Critical Care Nursing
基金
中央高水平医院临床科研专项(2022-PUMCH-B-130)。
关键词
重症护理
临床决策
研究热点
文献计量学
可视化分析
Intensive Care Nursing
Clinical Decision-Making
Research Hotspots
Bibliometrics
Visual Analysis
