Home care nurses' inferences and decisions

O’Neill, Eileen

doi:10.1016/s0897-1897(97)80067-5

Cited by 9 publications

(11 citation statements)

References 8 publications

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“…The present results show, consistent with research on the clinical decision‐making of home care nurses (11), that the nursing assistants use rationality as the basis for their clinical inferences, e.g. when evaluating whether the resident seems to be ill or not.…”

Section: Discussionsupporting

confidence: 89%

“…when evaluating whether the resident seems to be ill or not. Furthermore, in accordance with O’Neill (11), the nursing assistants’ decisions were either autonomous, i.e. self‐directed, consultative or collaborative.…”

Section: Discussionmentioning

confidence: 80%

“…In a study of home care nurses’ inferences and decisions, the foundation for their clinical decisions was explored as being based either on rationality and selection of the best alternative or as being intuitive. The process was described as being divided into two parts: the first part being clinical inference, defined firstly as an evaluation of the patient’s health status and the second part as a determination of therapeutic actions (11). Bryans and McIntosh (12) outline seven stages for decision‐making: recognition, formulation, alternative generation, information search, judgment or choice, action and feedback.…”

Section: Introductionmentioning

confidence: 99%

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Clinical decision‐making process for early nonspecific signs of infection in institutionalised elderly persons: experience of nursing assistants

Sund‐Levander¹,

Tingström

2012

Scandinavian Caring Sciences

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

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Clinical decision‐making process for early nonspecific signs of infection in institutionalised elderly persons: experience of nursing assistants

Sund‐Levander¹,

Tingström

2012

Scandinavian Caring Sciences

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“…One issue relevant to this model is the role of learning from experienced nurses. Inexperienced nurses value the contribution that can be gained from learning from experienced colleagues (O'Neill 1997, Cioffi 2000). As Nurius et al.…”

Section: The Intuitive‐humanist Modelmentioning

confidence: 99%

“…(2005) clinical decision‐making model is a multidimensional model that was developed from the synthesis of findings from research studies in graduate students (O'Neill 1999, O'Neill et al. 2004), qualified nurses (O'Neill 1997) and from the novice to expert clinical reasoning model (O'Neill & Dluhy 1997). The model is based on a computerized decision support system that uses both hypothetico‐deduction and pattern recognition as a basis of decision making.…”

Section: O'neill's Clinical Decision‐making Modelmentioning

confidence: 99%

A review of clinical decision making: models and current research

Banning

2007

Journal of Clinical Nursing

247

225

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This version is available at:Access to and use of the material held within the Brunel University Research Archives, is based on your acceptance of the BURA End User Licence Agreement (EULA) Relevance to clinical practice: It is proposed that clinical decision-making improves as the nurse gains experience of nursing patients within a specific speciality and with experience, nurses gain a sense of saliency in relation to decision making.BanningExperienced nurses may use all three forms of clinical decision making both independently and concurrently to solve nursing-related problems. It is suggested that O.Neill's clinical decision making model could be tested by educators and experienced nurses to assess the efficacy of this hybrid approach to decision-making.

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Nurses' actions in response to nursing assistants' observations of signs and symptoms of infections among nursing home residents

Allemann

Sund‐Levander

2015

Nursing Open

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AimsTo describe what nurses do during episodes of suspected infection in elderly nursing home residents and if these actions are linked to who is initiating an episode and whether the episode is considered an infection or not.DesignProspective descriptive study. Data were collected in 2008–2010.MethodsSummarized and categorized documentation by nursing assistants and nurses was used for summative content analysis.ResultsNurses' actions seem to be related to who initiated the episode and if the episodes are categorized as ‘non‐infection’, ‘possible infection’ or ‘infection’. Actions could be ‘observation’, ‘screenings’, ‘engaged in waiting’, ‘follow‐ups’, ‘nurse‐prescribed actions’, ‘diagnosing’, ‘contacting the physician’, ‘carrying out an action prescribed by the physician’, ‘contacting an ambulance or arranging an emergency visit to the hospital’ and ‘prescribing screening’. As NAs often initiate episodes of suspected infection by observing changed conditions, it seems important to include the NA in the decision‐making process as these observations could detect possible early signs and symptoms of infections.

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Home care nurses' inferences and decisions

Cited by 9 publications

References 8 publications

Clinical decision‐making process for early nonspecific signs of infection in institutionalised elderly persons: experience of nursing assistants

Clinical decision‐making process for early nonspecific signs of infection in institutionalised elderly persons: experience of nursing assistants

A review of clinical decision making: models and current research

Nurses' actions in response to nursing assistants' observations of signs and symptoms of infections among nursing home residents

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