PMID: 11899638Mar 20, 2002Paper

Making decisions: nursing practices in critical care

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Judy Currey, L Worrall-Carter

Abstract

This article reports the types and complexity level of decisions made in everyday clinical practice by critical care nurses. It also reports factors that influence the complexity of those decisions. A combination of methods were chosen for the two phase study. In the first phase, 12 qualified critical care nurses documented decisions (over a 2 hour period) on a clinical decision recording form designed by the researcher. In the second phase, participants attended a semi-structured focus group. From the analysis, five types of decisions were identified; assessment, intervention, organisation, communication and education. In addition to these documented decisions, three factors that influenced decision complexity were identified from a thematic analysis of the transcribed interviews; communication, patient related and properties of the decision. Nurses reported that communication decisions were the most difficult to make. However, the concept of nurses knowing the patient reduced the level of decision complexity. It is suggested that this has important implications for decision making practices of nurses working in the area of critical care and potentially for patient outcomes.

References

Jan 1, 1992·Image--the Journal of Nursing Scholarship·J Jenny, J Logan
Jun 1, 1990·Research in Nursing & Health·K K Hughes, W B Young
Jun 1, 1986·Research in Nursing & Health·S A Corcoran
Jan 1, 1987·Image--the Journal of Nursing Scholarship·M E Duffy
Jan 1, 1985·Nursing Administration Quarterly·F F Bourbonnais, A Baumann
Jan 1, 1993·Image--the Journal of Nursing Scholarship·C A TannerD R Gordon
Sep 1, 1993·The Journal of Perinatal & Neonatal Nursing·I Hurst
Oct 1, 1996·Western Journal of Nursing Research·N TabakJ Cohen-Mansfield
Feb 1, 1997·Journal of Advanced Nursing·J Cioffi, R Markham

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Citations

Oct 21, 2004·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Kim Hong BernerFelicity Astin
Mar 11, 2004·Journal of Clinical Nursing·Berith Hedberg, Ullabeth Sätterlund Larsson
Jul 17, 2014·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Anne GerberAnne-Sylvie Ramelet
May 28, 2016·Journal of Advanced Nursing·Josef TrapaniMaria Cassar

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