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The recognition and non-recognition of problem-solving stages in nursing practice
1Nuffield Institute for Health Service Studies, University of Leeds, England.
Journal of Advanced Nursing
|December 1, 1991
Summary
Nurses often struggle with the planning and evaluation stages of patient problem-solving. This study highlights key areas for improving nursing care and clinical decision-making skills.
Area of Science:
- Nursing
- Healthcare Management
- Clinical Psychology
Background:
- High-quality nursing care necessitates effective patient problem-solving.
- The nursing process provides a framework for addressing patient health issues.
Purpose of the Study:
- To investigate nurses' perceptions and understanding of clinical problem-solving.
- To identify variations in nurses' problem-solving behaviors.
Main Methods:
- Qualitative study involving interviews with 116 nurses.
- Utilized clinical vignettes to assess problem-solving scenarios.
- Data analyzed to identify common themes in problem-solving approaches.
Main Results:
- Nurses frequently discussed problem assessment and implementation stages.
- Many nurses omitted or gave limited attention to planning and evaluation stages.
- Identified gaps in the comprehensive application of the nursing process.
Conclusions:
- Variations in problem-solving stages can impact the quality of individualized nursing care.
- Addressing deficiencies in planning and evaluation is crucial for enhancing nursing practice.
- Findings have implications for nursing education and professional development.