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How do children's nurses make clinical decisions? Two preliminary studies.
1Children's Nursing, Faculty of Health Care and Social Sciences, Kingston University--St George's University of London, London, UK. atwycros@hscs.sgul.ac.uk
Journal of Clinical Nursing
|September 14, 2006
Summary
Children
Area of Science:
- Pediatric Nursing
- Clinical Decision-Making
- Nursing Education
Background:
- Existing research on nurses' clinical decision-making presents contradictory findings.
- Little is known about the specific decision-making strategies employed by children's nurses.
Purpose of the Study:
- To understand the clinical decision-making processes of children's nurses.
- To explore potential differences in decision-making based on experience and educational background.
Main Methods:
- Employed the think aloud technique with pediatric nurses in surgical and medical wards.
- Analyzed verbal protocols from nurses presented with clinical scenarios.
- Investigated decision-making variations between experienced/less experienced and graduate/non-graduate nurses.
Main Results:
- All nurses utilized a hypothetico-deductive (analytical) decision-making model.
- Participants consistently used backward reasoning, indicative of non-expert decision-making.
- No significant differences in information gathering or decision-making were observed between nurses of varying experience or educational levels.
Conclusions:
- Further research is essential to fully understand children's nurses' decision-making strategies and influencing factors.
- Proposed strategies to support nurses' clinical decision-making require empirical testing for effectiveness.
- Optimizing clinical decision-making is crucial for ensuring high-quality pediatric nursing care.
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