Decision fatigue in the emergency department

Dubash, Roxanne; Bertenshaw, Claire; Ho, James H

doi:10.1111/1742-6723.13670

Cited by 6 publications

(17 citation statements)

References 13 publications

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“…The common in uencing factors suggest that work pressure and income level are important factors for balanced decision fatigue. Research shows that the great work pressure of nurses comes from high load, con icts between doctors and nurses, lack of resources and training, a large amount of writing work, etc 27,28 . Allan et al 29 modeled data from approximately 4,000 calls received by 150 nurses at the National Medical Telephone Hotline Centre in Scotland and showed an average 20.5% increase in the percentage of conservative decisions made per hour during the day from the end of the break to the next break.…”

Section: Analysis Of In Uencing Factors Of Decision-making Fatigue Am...mentioning

confidence: 99%

Current status and influencing factors of decision fatigue among nursing staff in NICU: a cross-sectional study

Li,

Zhou,

Liu

et al. 2023

Preprint

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Background The work in NICU puts forward higher requirements for nurses' professional ability and emergency response ability. Nurses often need to face a variety of complex emergencies, quickly make decisions, which easily lead to decision fatigue. At present, the domestic research mainly focuses on the decision-making fatigue of patients' families, and no relevant research has been found on the decision-making fatigue of NICU nurses. Objectives To investigate the status of decision fatigue of nursing staff in NICU and analyze its influencing factors, so as to provide reference for formulating and implementing corresponding intervention measures. Design An online cross- sectional survey. Participants Nurses working at provincial tri Service hospitals in Yunnan, China Primary and secondary outcome measures In February, 2023, 218 NICU nurses in four Class III A hospitals in Yunnan Province were investigated by using general information questionnaire, Chinese version of decision fatigue scale and self-control scale, and the influencing factors of decision fatigue of NICU nurses were analyzed by multiple stepwise regression. Results The total score of decision fatigue scale for 218 nursing staff in NICU was (18.56±2.812) and the score of self-control was (49.37±9.962). Multivariate stepwise regression analysis showed that age, length of service, professional title, monthly income, and self-control were the influencing factors of decision fatigue for nursing staff in NICU (all P <.05). Conclusion Nurses in NICU had higher degree of decision-making fatigue. Managers should pay attention to the status quo of decision-making fatigue of nursing staff in NICU and take corresponding intervention measures on influencing factors.

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Section: Analysis Of In Uencing Factors Of Decision-making Fatigue Am...mentioning

confidence: 99%

Current status and influencing factors of decision fatigue among nursing staff in NICU: a cross-sectional study

Li,

Zhou,

Liu

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…Healthcare providers, including emergency physicians, operate under demanding circumstances that can lead to the depletion of cognitive resources. The stress of work, long hours, and constant need for decision-making can contribute to the onset of decision fatigue [8,9].…”

Section: Relevance In Healthcarementioning

confidence: 99%

“…Decision fatigue is highly relevant in healthcare because of the critical nature of decisions made by healthcare professionals and the potential consequences of suboptimal decision-making. In the context of emergency medicine, where timely and accurate decisions are imperative, the relevance of decision fatigue becomes even more pronounced [ 3 , 8 ].…”

Section: Reviewmentioning

confidence: 99%

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Decision Fatigue in Emergency Medicine: An Exploration of Its Validity

Yadav,

Rawal,

Jeyaraman

2023

Cureus

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Emergency physicians face a relentless stream of complex, high-stakes decisions in a fast-paced and dynamic environment. The concept of decision fatigue, a phenomenon characterized by a decline in the quality of decision-making after a long sequence of choices, has garnered increasing attention within healthcare. Several investigations show that the number and complexity of decisions made during prolonged shifts correlate with increased self-reported fatigue; however, the effect on clinical decision quality is uncertain. Conversely, a subset of studies found no clear relationship between decision fatigue and errors in clinical judgment. Importantly, some researchers argue that decision fatigue may be mitigated by factors such as experience, training, and support systems. This narrative review highlights the existing literature on decision fatigue among emergency physicians and explores whether this concept holds as a valid concern or remains a myth in the context of their practice.

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“…You need to focus your decision-making energy…". 2 The pandemic of COVID-19 has shown that this enemy is real and bedside intensive care nurses were the most impacted. 3 The practice of surgery is also known to have decision fatigue.…”

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confidence: 99%