Critical care nurses' critical thinking and decision making related to pain management

Rababa, Mohammad; Al‐Rawashdeh, Sami

doi:10.1016/j.iccn.2020.103000

Cited by 24 publications

(26 citation statements)

References 31 publications

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“…Moreover, although limited studies in our review discussed the role of nurses’ autonomous decision-making in pain management, reporting it to be insufficient among critical care unit nurses, several published studies have reported that nurses’ lack of autonomous decision-making impedes effective pain management. 57 …”

Section: Discussionmentioning

confidence: 99%

Nurses’ Perceived Barriers to and Facilitators of Pain Assessment and Management in Critical Care Patients: A Systematic Review

Rababa¹,

Al-Sabbah²,

Hayajneh³

2021

JPR

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Section: Discussionmentioning

confidence: 99%

Nurses’ Perceived Barriers to and Facilitators of Pain Assessment and Management in Critical Care Patients: A Systematic Review

Rababa¹,

Al-Sabbah²,

Hayajneh³

2021

JPR

Self Cite

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“…Nurses may sometimes make decisions based on intuition and experience, leading to poor or irrational decisions [21]. Intuitive decision-making is forming inferences of meanings, relationships, and possibilities through insight [23]. Though intuition does not always lead to accurate decisions, using intuition depending on experience and accumulative knowledge in clinical decision-making can improve nursing practice and encourage nurses to apply standard guidelines for identifying and managing sepsis.…”

Section: Introduction: Backgroundmentioning

confidence: 99%

Nurses’ knowledge, attitudes, practice, and decision-making skills related to sepsis assessment and management

et al. 2022

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Objectives: The present study examines the critical care nurse’s knowledge, attitudes, practice (KAP), and decision-making related to early assessment and management of sepsis. Methods: This cross-sectional descriptive study utilized a convenience sample of 70 nurses working in a college hospital in the northern region of Jordan. Data were gathered employing a sepsis vignette and valid questionnaires via Google document. The nursing decision-making instrument and the knowledge, attitudes, and practice survey were utilized to assess nurses’ decision-making skills, knowledge, attitudes, and practice, respectively. Nurses’ sociodemographic/professional data, including gender, marital status, experience, education, and work environment, were also measured. Result: The participating nurses reported poor KAP, and analytical decision-making skills related to sepsis management. Experienced nurses and those with a master’s degree reported significantly better KAP, and intuitive decision-making skills than naïve and those with a bachelor’s degree. Nurses with analytical decision-making modes reported higher levels of knowledge, attitudes, and practice than nurses with intuitive or flexible analytical-intuitive decision-making modes. Conclusion: Poor decision-making skills, as well as knowledge, attitudes, and practice related to sepsis assessment and management, is a substantial problem that demands a productive re-evaluation of the current sepsis management practices. Boosting the knowledge and improving the practices on sepsis assessment and management through comprehensive educational programs and campaigns are necessary to improve nurses’ decision-making skills.

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“…The possibility of achieving better and more significant results in the services managed by nurses is also reinforced by the presence of professionals with high know-how abilities to adopt critical thinking in favor of decision-making (19)(20)(21)(22)(23) .…”

Section: Discussionmentioning

confidence: 99%

Influencing factors in the nurses’ decision-making process in Ibero-American university hospitals

Silva

Santos

Conceição

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: to analyze the factors that influence nurses’ decision-making process in Ibero-American university hospitals. Method: a case study with a qualitative approach and of the multicenter type, carried out with 30 Ibero-American nurses. The data were collected through semi-structured interviews, analyzed by thematic categories and interpreted according to the theoretical framework of Creating Effective Organizations. Results: it was identified that the decision-making process permeates the development of nurses’ own competencies, suffering influences from health management training and previous individual experiences. The following categories emerged: Technical-scientific preparation in decision-making; Hierarchization of the decision-making process; and Autonomous professional practice. Conclusion: the absence/presence of a rigid hierarchy, as well as technical-scientific preparation and autonomy, are factors that limit or expand the range of possibilities in nurses’ decision-making, with consequences in care management. Thus, discussions about this theme should be encouraged, in order to promote nurses’ autonomy for decision-making and favor a reduction of bureaucracy in the processes that prevent/hinder advances in these services.

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Critical care nurses' critical thinking and decision making related to pain management

Cited by 24 publications

References 31 publications

Nurses’ Perceived Barriers to and Facilitators of Pain Assessment and Management in Critical Care Patients: A Systematic Review

Nurses’ Perceived Barriers to and Facilitators of Pain Assessment and Management in Critical Care Patients: A Systematic Review

Nurses’ knowledge, attitudes, practice, and decision-making skills related to sepsis assessment and management

Influencing factors in the nurses’ decision-making process in Ibero-American university hospitals

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