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The process of decision-making by emergency nurses.
1School of Nursing and Health Science, Charles Sturt University, Bathurst, Australia.
Summary
Emergency nurses utilize a hypothetico-deductive reasoning model for clinical decision-making, integrating various information sources. This study confirms this decision-making process in emergency nursing practice.
Area of Science:
- Nursing
- Clinical Reasoning
- Emergency Medicine
Background:
- Decision-making in emergency nursing is crucial yet under-researched.
- Existing literature suggests a hypothetico-deductive model for nurses in other areas.
- The applicability of this model to emergency nursing required validation.
Purpose of the Study:
- To determine the decision-making method employed by emergency nurses.
- To validate the hypothetico-deductive decision-making model in the emergency setting.
Main Methods:
- A modified grounded theory framework was adopted.
- Three clinical nurse specialists participated in the study.
- Participants responded to five clinical scenarios and discussed their diagnostic reasoning.
Main Results:
- Emergency nurses, specifically clinical nurse specialists, employ the hypothetico-deductive model.
- This model involves the utilization of verbal, non-verbal, and other information sources.
- The study validated the hypothetico-deductive approach in emergency nursing.
Conclusions:
- The hypothetico-deductive model is a key component of emergency nursing decision-making.
- Emergency nurses effectively integrate diverse information for diagnostic conclusions.
- Further research into emergency nursing decision-making processes is warranted.