Decision making by emergency nurses in triage assessments

Cioffi, Jane

doi:10.1016/s0965-2302(98)90077-7

Cited by 89 publications

(113 citation statements)

References 22 publications

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“…Whereas (O'Connell, 2000) found that nurses make sense of the situation to minimize uncertainty by adapting work practices through collecting required information and prioritize patient care plan. While (Cioffi, 1998;Benner et al, 1999;and Hedberg & Larsson, 2003) found that nurses rely on experience to make their clinical decisions when facing uncertain situation. Adding to that (Carr et al, 2001) found that to buffer the effect of uncertainty nurses participate patients in decision-making if collaboration with colleagues was not available.…”

Section: Discussionmentioning

confidence: 99%

Intensive Care Unit Nurses' Uncertainty and Patient Safety Culture

El-Demerdash¹,

Obied²

2017

IJSN

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Intensive care unit (ICU) nurses face many uncertain situations that may affect their patient care decisions and jeopardize patients' safety.Aim: This study aimed to explore the relationship between uncertainty and patient safety culture among intensive care unit nurses at Tanta Main University Hospital. Results: 74.2% of participant ICU nurses' experienced high levels of uncertainty. Above half (56.1% and 56.1%) of them always experienced being uncomfortable and confused& loss of control when facing uncertain situations in ICUs. 84.5% and 76.8% of them always used team work; and learn from past experience to deal with uncertainty. 47.1% of them evaluated patient safety in their ICUs as acceptable and bad. There was a high statistical negative correlation between the levels of patient safety culture and experiencing uncertainty by ICU nurses at p= 0.000.Conclusions: ICU nurses experienced high level of uncertainty; they rely on experience and teamwork rather than evidence-based practices to manage clinical uncertainty. High statistical significant negative correlation was found between patient safety culture and experiencing uncertainty by ICU nurses.

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Section: Discussionmentioning

confidence: 99%

Intensive Care Unit Nurses' Uncertainty and Patient Safety Culture

El-Demerdash¹,

Obied²

2017

IJSN

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“…Two participants in Chung's (4) study told of how recent experiences had assisted them in revealing critical conditions in patients that seemingly presented with non-significant symptoms. With reference to Cioffi (1998), Chung termed this decision-making device a "representative heuristic," which involves using relevant past experiences as a mental shortcut for making quick judgments.…”

Section: Use Of Experience and Intuitionmentioning

confidence: 99%

Vol 6, No 1 (2016)

Professionalism¹

2016

P&P

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“…17 In situations with tight time pressures, high stakes or increased ambiguity, experts often use intuitive approaches. [20][21][22] Intuition has been previously linked with radiography practice. 13,14 Conflicting demands between image quality, radiation dose and patient experience during the application of mammography compression may result in uncertainty and ambiguity, both challenges to problem solving.…”

Section: -11mentioning

confidence: 99%

Breast compression – An exploration of problem solving and decision-making in mammography

et al. 2015

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Objective: Mammography breast compression decreases radiation dose and reduces potential for motion and geometric unsharpness, yet there is variability in applied compression force within and between some centres. This article explores the problem solving process applied to the application of breast compression force from the mammography practitioners' perspective.Methods: A qualitative analysis was undertaken using an existing full data set of transcribed qualitative data collected in a phenomenological study of mammography practitioner values, behaviours and beliefs. The data emerged from focus groups conducted at six NHS breast screening centres in England (participant n=41), and semi-structured interviews with mammography educators (n=6). A researcher followed a thematic content analysis process to extract data related to mammography compression problem solving, developing a series of categories, themes and sub-themes. Emerging themes were then peer-validated by two other researchers, and developed into a model of practice.Results: Seven consecutive stages contributed towards compression force problemsolving: assessing the request; first impressions; explanations and consent; handling the breast and positioning; applying compression force; final adjustments; feedback.The model captures information gathering, problem framing, problem solving and decision making which inform an 'ideal' compression scenario. Behavioural problem solving, heuristics and intuitive decision making are reflected within this model. Conclusion:The application of compression should no longer be considered as one single task within mammography, but is now recognised as a seven stage problem solving continuum. This continuum model is the first to be applied to mammography, and is adaptable and transferable to other radiography practice settings. In searching for the 'ideal' compression scenario, practitioners choose between often imperfect options to gain an appropriate balance between compassion and technical perfection. This decision is influenced by a range of factors and prior experiences.

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Decision making by emergency nurses in triage assessments

Cited by 89 publications

References 22 publications

Intensive Care Unit Nurses' Uncertainty and Patient Safety Culture

Intensive Care Unit Nurses' Uncertainty and Patient Safety Culture

Vol 6, No 1 (2016)

Breast compression – An exploration of problem solving and decision-making in mammography

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