Clinical judgement and decision‐making in nursing – nine modes of practice in a revised cognitive continuum

Standing, Mooi

doi:10.1111/j.1365-2648.2007.04583.x

Cited by 88 publications

(112 citation statements)

References 36 publications

(42 reference statements)

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“…Indeed, Hammond, Hamm, Grassia, and Pearson (1987) empirically tested and found support for these predictions in judgments of expert highway engineers and others have found similar support in for CCT in domains such as nursing (Standing, 2008), management, (Dhami & Thomson, 2012), and social work (Van de Luitgaarden, 2009).…”

Section: Cognitive Continuum Theorymentioning

confidence: 82%

Leveraging Social Judgment Theory to Examine the Relationship between Social Cues and Signals in Human-Robot Interactions

Wiltshire

Snow

Lobato

et al. 2014

Proceedings of the Human Factors and Ergonomics Society Annual

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Human-robot interaction (HRI) research requires new techniques for understanding the social dynamics that occur at the interface between humans and robots. Prior work has focused on incorporating the social cues and social signals distinction from the field of social signal processing and complementing this with recent advances in understanding human social cognition that specify two primary types of cognitive processes. A related account, stemming from Social Judgment Theory (SJT), specifies a Lens Model for which cues can be interpreted as well as the task conditions that would induce either of the types of cognitive processes. Surprisingly, SJT-based research has not yet examined the social cue and signal relationship. We argue it provides an ideal path forward for such research and we integrate these related disciplines of study to provide a theoretically derived account that can be useful for both the design of humanhuman and HRI experiments focused on social interaction dynamics.

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Section: Cognitive Continuum Theorymentioning

confidence: 82%

Leveraging Social Judgment Theory to Examine the Relationship between Social Cues and Signals in Human-Robot Interactions

Wiltshire

Snow

Lobato

et al. 2014

Proceedings of the Human Factors and Ergonomics Society Annual

View full text Add to dashboard Cite

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“…The high frequency of decisions requires nurses to have a rapid response to any changes. Patients in ICUs are always seriously ill, unstable and unpredicted and thereby nurses have to make decisions based on sudden and ill structured tasks, unexpected outcomes and complicated goals [12]. Consequently, nurses in ICUs would not have adequate time to choose analytical reasoning to make decisions step by step but to choose a faster means of making decisions.…”

Section: Theories Of Decision-making Related To the Use Of Physical Rmentioning

confidence: 99%

Clinical decision making on the use of physical restraint in intensive care units

Fawcett

2014

International Journal of Nursing Sciences

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Intensive care units Intuition Heuristics Physical restraint a b s t r a c t Physical restraint is a common nursing intervention in intensive care units and nurses often use it to ensure patients' safety and to prevent unexpected accidents. However, existing literature indicated that the use of physical restraint is a complex one because of inadequate rationales, the negative physical and emotional effects on patients, but the lack of perceived alternatives. This paper is aimed to interpret the clinical decision-making theories related to the use of physical restraint in intensive care units in order to facilitate our understanding on the use of physical restraint and to evaluate the quality of decisions made by nurses. By reviewing the literature, intuition and heuristics are the main decision-making strategies related to the use of physical restraint in intensive care units because the rapid and reflexive nature of intuition and heuristics allow nurses to have a rapid response to urgent and emergent cases. However, it is problematic if nurses simply count their decision-making on experience rather than incorporate research evidence into clinical practice because of inadequate evidence to support the use of physical restraint.Besides that, such a rapid response may lead nurses to make decisions without adequate assessment and thinking and therefore biases and errors may be generated. Therefore, despite the importance of intuition and heuristics in decision-making in acute settings on the use of physical restraint, it is recommended that nurses should incorporate research evidence with their experience to make decisions and adequate assessment before implementing physical restraint is also necessary.

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“…Intuitive thought is suggested to be a sub-conscious decision process that is difficult to conceptualise but linked to emotion (Hammond 1996), whilst remaining largely invisible when attempting to articulate it (Standing 2008). Strick and Dijksterhuis (2011) suggest that intuition uses senses, feelings and thoughts to provide a depth of understanding that is linked to emotions.…”

Section: Cognition and Emotional Markersmentioning

confidence: 99%

The role of clinician emotion in clinical reasoning: Balancing the analytical process

2016

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TitleThe role of clinician emotion in clinical reasoning: balancing the analytical process.Key words: Physiotherapy; reasoning; emotion. Authors DiscussionIt is proposed that clinicians should consider the emotions associated with decision-making, especially when there is concern surrounding a presentation. Reflecting on practice in the clinical environment and subsequently applying this to a patient presentation should involve some acknowledgement of clinicians' physical responses, emotions and how they may play a part in any decision made. Presenting intuition and gut-feeling as separate reasoning methods and how these processes co-exist with other more accepted reasoning such as hypotheticodeductive is also discussed. ConclusionMusculoskeletal physiotherapy should consider the elements of feelings, emotions and physical responses when applying reflective practice principles. Furthermore, clinicians dealing with difficult and challenging presentations should look at the emotional as well as the analytical experience when justifying decisions and learning from practice.

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Clinical judgement and decision‐making in nursing – nine modes of practice in a revised cognitive continuum

Cited by 88 publications

References 36 publications

Leveraging Social Judgment Theory to Examine the Relationship between Social Cues and Signals in Human-Robot Interactions

Leveraging Social Judgment Theory to Examine the Relationship between Social Cues and Signals in Human-Robot Interactions

Clinical decision making on the use of physical restraint in intensive care units

The role of clinician emotion in clinical reasoning: Balancing the analytical process

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