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Postnatal psychosocial assessment and clinical decision-making, a descriptive study
Deborah Jane Sims1, Cathrine Fowler2
1Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Journal of Clinical Nursing
|May 19, 2018
Summary
Experienced nurses utilize diverse information domains and thinking strategies for effective postnatal psychosocial assessments, ensuring optimal maternal and infant care. This clinical decision-making process is crucial for early intervention and positive parenting outcomes.
Area of Science:
- Child and Family Health Nursing
- Clinical Decision-Making
- Psychosocial Assessment
Background:
- Postnatal maternal emotional well-being is vital for optimal parenting and infant development.
- Psychosocial assessment facilitates early intervention, reducing risks of postnatal mental health disorders.
- The accuracy of assessments and interventions hinges on the quality of nursing clinical decision-making.
Purpose of the Study:
- To describe the clinical decision-making processes of experienced child and family health nurses during postnatal psychosocial assessments.
- To identify the information domains and thinking strategies employed by nurses in these assessments.
Main Methods:
- Qualitative methodology utilizing critical incident technique interviews with 12 experienced nurses.
- Template analysis to identify accessed information domains.
- Content analysis to determine thinking strategies used in clinical decision-making.
Main Results:
- Nurses described 24 distinct information domains and employed 17 thinking strategies.
- Key information domains included parenting, assessment tools, women-determined issues, and sleep.
- Common thinking strategies involved information searching, pattern recognition, conclusion drawing, and priority setting.
Conclusions:
- The complexity of decision-making confirms nurses' appropriate use of information within their scope of practice.
- Effective clinical decision-making is essential for accurate assessment outcomes and optimal patient care access.
- Understanding these decision-making processes can inform nursing education and mentorship for improved practice.
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