PMID: 9176692May 1, 1997Paper

The use of decision analysis to examine ethical decision making by critical care nurses

Heart & Lung : the Journal of Critical Care
K K Hughes, E M Dvorak

Abstract

To examine the extent to which critical care staff nurses make ethical decisions that coincide with those recommended by a decision analytic model. Nonexperimental, ex post facto. Midwestern university-affiliated 500 bed tertiary care medical center. One hundred critical care staff nurses randomly selected from seven critical care units. Complete responses were obtained from 82 nurses (for a final response rate of 82%). The dependent variable--consistent decision making--was measured as staff nurses' abilities to make ethical decisions that coincided with those prescribed by the decision model. Subjects completed two instruments, the Ethical Decision Analytic Model, a computer-administered instrument designed to measure staff nurses' abilities to make consistent decisions about a chemically-impaired colleague; and a Background Inventory. The results indicate marked consensus among nurses when informal methods were used. However, there was little consistency between the nurses' informal decisions and those recommended by the decision analytic model. Although 50% (n = 41) of all nurses chose a course of action that coincided with the model's least optimal alternative, few nurses agreed with the model as to the most optimal course...Continue Reading

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Citations

Jun 27, 2003·Heart & Lung : the Journal of Critical Care·Frank D HicksArthur S Elstein
Nov 28, 2007·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·R Louise Rose, Tracey Bucknall
Dec 5, 2003·Nursing in Critical Care·Marie E Riley
Aug 10, 2005·International Journal of Medical Informatics·Vimla L Patel, Leanne M Currie
Oct 7, 2000·Journal of Clinical Nursing·T K Bucknall
Jun 6, 2003·British Journal of Nursing : BJN·A Keen

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