Clinical Decision Making of Staff Nurses

Prescott, P.; Dennis, Karen E.; Jacox, Ada

doi:10.1111/j.1547-5069.1987.tb00591.x

Cited by 43 publications

(35 citation statements)

References 16 publications

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“…This finding is not inconsistent with the body of literature that holds that the nature of the decision making process is task specific (Baggs et al . 1992, Corcoran 1986, Prescott et al . 1987, Tanner & Lindeman 1989, Hughes & Young 1990, Henry 1991).…”

Section: Discussionmentioning

confidence: 99%

Nurses’ perceptions of collaborative nurse–physician transfer decision making as a predictor of patient outcomes in a medical intensive care unit

Higgins

1999

Journal of Advanced Nursing

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This prospective correlational study examined nurses' perceptions of collaborative nurse-physician transfer decision making as a predictor of patient outcomes in a medical intensive care unit, adjusting for risk. The convenience sample consisted of 175 patient transfer decisions. Charts and computerized databases were used to collect patient information, and a questionnaire developed by the investigator was used to obtain demographic data from the 42 medical intensive care nurses. An adapted version of the Decision About Transfer scale served to measure the nurses' perceptions of collaboration and satisfaction with respect to specific patient transfer decisions, as well as decision task complexity, and the Acute Physiology and Chronic Health Evaluation was utilized to adjust for patient risk. Information Processing Theory guided the study. Hierarchical logistic regression analyses first showed that the nurses' perceptions of collaboration were not a significant predictor of patient outcomes. Furthermore, the analysis also showed that decision task complexity and the nurses' years of critical care experience did not significantly moderate the contribution of nurses' perceptions of collaboration to patient outcome prediction. Finally, a Pearson product moment correlation coefficient of 0.28 revealed a statistically significant (P = 0.000), positive relationship between the nurses' perceptions of collaboration and their satisfaction with the decision making process about decisions to transfer.

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Section: Discussionmentioning

confidence: 99%

Nurses’ perceptions of collaborative nurse–physician transfer decision making as a predictor of patient outcomes in a medical intensive care unit

Higgins

1999

Journal of Advanced Nursing

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“…The results of these qualitative studies indicate that clinical experience was one of the most critical influences on the overall decision-making process (Bakalis, 2006;Traynor, Boland, & Buus, 2010). Researchers from the United Kingdom, United States, and Iran found that education had a positive effect on nurses' CDM (Hagbaghery, Salsali, & Ahmadi, 2004;Prescott, Dennis, & Jacox, 1987;Rhodes, 1985). Bucknall (2003) concluded that three important environmental influences on nurses' real decisions in the critical care setting in Australia were patient situation, physical and personnel resource, and interpersonal relationships.…”

Section: Factors Influencing Nurses' Cdm Skillsmentioning

confidence: 93%

An Investigation of Factors Influencing Nurses’ Clinical Decision-Making Skills

Yang

Liu

et al. 2016

West J Nurs Res

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This study aims to investigate the influencing factors on nurses' clinical decision-making (CDM) skills. A cross-sectional nonexperimental research design was conducted in the medical, surgical, and emergency departments of two university hospitals, between May and June 2014. We used a quantile regression method to identify the influencing factors across different quantiles of the CDM skills distribution and compared the results with the corresponding ordinary least squares (OLS) estimates. Our findings revealed that nurses were best at the skills of managing oneself. Educational level, experience, and the total structural empowerment had significant positive impacts on nurses' CDM skills, while the nurse-patient relationship, patient care and interaction, formal empowerment, and information empowerment were negatively correlated with nurses' CDM skills. These variables explained no more than 30% of the variance in nurses' CDM skills and mainly explained the lower quantiles of nurses' CDM skills distribution.

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“…1990) and are more willing to work within such team settings. The hospital milieu is characterized by the presence of a multidisciplinary team, sets of policies and procedures readily available, and ready access to supervisory personnel ( Prescott et al . 1987 ).…”

Section: Framework Of Practicementioning

confidence: 99%

Who cares? Who cures? The ongoing debate in the provision of health care

Baumann

Deber

Silverman

et al. 1998

Journal of Advanced Nursing

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In the debate about the role of health professionals, two normative models have been placed in opposition - 'care vs. cure'. To many, the cure model has been associated with physicians, and the care model with nursing and the other allied health professions. As the shortcomings of a cure-orientated model have been recognized, particularly in dealing with chronic disease, more attention has been focused on care, with many writing as though the two were mutually exclusive. In this paper, we suggest that these models are instead end-points on a continuum which ideally should be used by all health providers, rather than being characteristic of different clinical professionals. This conceptualization places less concern on what should be done by doctors as opposed to nurses, and more on the needs of the particular situation. The resulting convergence among roles should not imply that nursing and the allied health professions will adopt the medical model, but that medicine, nursing and others will work together with patients for all members' mutual benefit. In this expanded continuum, the focus for decision making becomes the patient and family in partnership and collaboration with health professionals.

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Clinical Decision Making of Staff Nurses

Cited by 43 publications

References 16 publications

Nurses’ perceptions of collaborative nurse–physician transfer decision making as a predictor of patient outcomes in a medical intensive care unit

Nurses’ perceptions of collaborative nurse–physician transfer decision making as a predictor of patient outcomes in a medical intensive care unit

An Investigation of Factors Influencing Nurses’ Clinical Decision-Making Skills

Who cares? Who cures? The ongoing debate in the provision of health care

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