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Related Experiment Video

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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Making decisions: nursing practices in critical care.

J Currey1, L Worrall-Carter

  • 1Deakin University, Victoria.

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
|March 20, 2002
PubMed
Summary

Critical care nurses make complex clinical decisions daily, including assessment, intervention, organization, communication, and education. Knowing the patient reduces decision complexity, impacting patient outcomes.

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Area of Science:

  • Nursing Science
  • Clinical Decision-Making
  • Healthcare Management

Background:

  • Critical care nursing involves complex decision-making processes.
  • Understanding these decisions is crucial for improving patient care and outcomes.
  • Factors influencing decision complexity require further investigation.

Purpose of the Study:

  • To identify the types and complexity of decisions made by critical care nurses.
  • To explore factors influencing the complexity of these clinical decisions.

Main Methods:

  • A two-phase study combining clinical decision recording and semi-structured focus groups.
  • 12 critical care nurses documented decisions over two hours.
  • Thematic analysis of transcribed interviews identified influencing factors.

Main Results:

  • Five decision types identified: assessment, intervention, organization, communication, and education.
  • Three key factors influencing complexity: communication, patient-related factors, and decision properties.
  • Communication decisions were reported as most difficult, while nurse familiarity with the patient reduced complexity.

Conclusions:

  • Clinical decision-making in critical care is multifaceted.
  • Familiarity with patients significantly impacts decision complexity.
  • Findings have implications for critical care nursing practice and patient outcomes.