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Clinical decision-making processes in perioperative nursing.

C B Parker1, P Minick, C C Kee

  • 1Emory HealthCare/Crawford Long Hospital, Atlanta, USA.

AORN Journal
|August 3, 1999
PubMed
Summary

Expert perioperative nurses utilize a holistic approach called "Seeing the big picture: Engendered through caring" to significantly improve patient outcomes. This nursing insight highlights critical decision-making processes in operating room care.

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Area of Science:

  • Nursing
  • Clinical Decision Making
  • Patient Care Quality

Background:

  • Expertise in perioperative nursing is crucial for optimal patient outcomes.
  • Understanding the decision-making processes of expert nurses can enhance healthcare quality.

Purpose of the Study:

  • To reveal the clinical decision-making processes employed by expert perioperative nurses.
  • To identify the core elements contributing to expert nursing interventions in the operating room.

Main Methods:

  • Phenomenological study design.
  • In-depth interviews with six expert perioperative nurses (minimum 5 years experience).
  • Analysis of described perioperative situations impacting patient outcomes.

Main Results:

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  • A distinct pattern of concern, labeled "Seeing the big picture: Engendered through caring," was identified.
  • This pattern was consistently associated with advanced nursing assessments.
  • Expert nurses' interventions demonstrably influenced positive patient outcomes.

Conclusions:

  • Expert perioperative nurses utilize a complex, caring-driven approach to clinical decision-making.
  • "Seeing the big picture" reflects a critical cognitive process in ensuring high-quality patient care.
  • Registered nurses (RNs) make vital contributions to perioperative patient care quality.