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Environmental elements affecting the decision-making process in nursing practice.

Berith Hedberg1, Ullabeth Sätterlund Larsson

  • 1Institute of Health Care Pedagogics, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden. berith.hedberg@hhj.hj.se

Journal of Clinical Nursing
|March 11, 2004
PubMed
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Environmental factors significantly impact nursing decision-making. Interruptions and work procedures can hinder or help nurses

Area of Science:

  • Nursing Practice
  • Decision-Making Science

Background:

  • Nurses operate in dynamic environments, facing complex decisions.
  • The practice setting critically influences decision-making quality.

Purpose of the Study:

  • To investigate environmental factors influencing nursing decision-making.
  • To understand how the practice setting affects nurse decision-making.

Main Methods:

  • Qualitative study involving expert nurses in Swedish healthcare settings.
  • Employed participant observation and content analysis of field notes.

Main Results:

  • Identified environmental elements, including interruptions and work procedures, as key themes.
  • Interruptions (interpersonal and technological) can jeopardize decision outcomes.

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Conclusions:

  • Environmental elements can either facilitate or impede the development of nursing competence.
  • Effective consideration of environmental factors is crucial for understanding nursing decision-making.
  • Nurses need to develop decision-making strategies to ensure patient care quality and safety.