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Updated: Dec 7, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Nurses' protocol-based care decision-making: a multiple case study.

Mónica Vázquez-Calatayud^1,2,3, Cristina Oroviogoicoechea^3,4, Laura Pittiglio⁵

¹Area of Nursing Professional Development, Clínica Universidad de Navarra, Pamplona, Spain.

Journal of Clinical Nursing

|October 2, 2020

Summary

This summary is machine-generated.

Nurses

Keywords:

case study research decision-making nursing protocol

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Last Updated: Dec 7, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Area of Science:

Nursing Practice
Clinical Decision-Making
Healthcare Management

Background:

Protocol-based care aims to standardize clinical practice.
Understanding nurses' decision-making in protocol use is essential for effective implementation.
Limited research exists on the process of protocol-based care decision-making.

Purpose of the Study:

To describe and explain the process of nurses' decision-making when using protocols.
To identify key factors influencing protocol-based care decisions.

Main Methods:

A multiple embedded case study design was employed.
Data were collected from three inpatient wards using documentary analysis, observations, and interviews.
Quantitative data were analyzed using descriptive statistics, and qualitative data via content analysis.

Main Results:

Protocol-based care decision-making was characterized as a linear yet variable process.
The decision-making process is context-dependent and influenced by multiple interrelated elements.
Risk perception emerged as a primary factor in nurses' protocol-based care decisions.

Conclusions:

This study advances the characterization of protocol-based care decision-making.
Findings support the development of educational and management strategies for protocol implementation.
Promoting protocol use requires addressing practice contexts and professionals' risk assessment abilities.