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Responding to uncertainty in nursing practice.

C Thompson¹, D Dowding

¹Department of Health Studies, Centre for Evidence Based Nursing, Genesis 6, University of York, York, YO10 5DQ, UK.

International Journal of Nursing Studies

|August 29, 2001

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Clinical uncertainty is unavoidable. This paper reviews approaches to managing uncertainty, advocating for nursing research and development (R&D) to prioritize studies comparing intuitive versus rational decision-making in clinical practice.

Area of Science:

Clinical decision-making
Healthcare management
Nursing research

Background:

Practicing clinicians face unavoidable uncertainty in daily practice.
Existing models of uncertainty require examination of strategic approaches.
The paper reviews rationality, bounded rationality, and intuition as strategies for managing uncertainty.

Purpose of the Study:

To outline Katz's model of uncertainty.
To examine the power of rationality, bounded rationality, and intuition in managing clinical uncertainty.
To propose future directions for nursing research and development (R&D).

Main Methods:

Literature review of uncertainty models.
Analysis of theoretical and strategic approaches to uncertainty.

Related Experiment Videos

Conceptual examination of rationality, bounded rationality, and intuition.

Main Results:

Uncertainty is an inherent aspect of clinical practice.
Rationality, bounded rationality, and intuition offer different frameworks for addressing uncertainty.
Current nursing R&D may not adequately address clinical uncertainty.

Conclusions:

Nursing R&D must integrate uncertainty more comprehensively into its agenda.
Future R&D should feature high-quality studies comparing intuitive and rational-analytical approaches.
Evidence-based evaluation of decision-making strategies is crucial for clinical practice.