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Related Experiment Videos

Task complexity and nursing expertise as factors in decision making.

S A Corcoran

    Nursing Research
    |March 1, 1986
    PubMed
    Summary

    Expert nurses adapt planning strategies based on patient case complexity, while novices do not. This study highlights how task demands influence nursing decision-making and planning approaches.

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    Area of Science:

    • Nursing
    • Cognitive Psychology
    • Information Processing

    Background:

    • Effective nursing care relies on robust patient planning.
    • Understanding the cognitive processes underlying nursing planning is crucial for improving practice and education.

    Purpose of the Study:

    • To investigate and compare the initial and overall planning approaches of expert and novice nurses.
    • To examine how case complexity influences these planning strategies.
    • To explore the relationship between planning approaches and the quality of developed plans.

    Main Methods:

    • Employed an information-processing approach and verbal protocol analysis.
    • Studied six expert and five novice nurses planning for three patient cases of varying complexity.

    Main Results:

    • Nurses' initial planning approaches remained consistent across cases.
    • Expert nurses adjusted overall planning strategies based on case complexity, using systematic approaches for simpler cases and opportunistic ones for complex cases.
    • Novice nurses predominantly used opportunistic overall approaches regardless of case complexity.
    • No significant correlation was found between the overall planning approaches used and the quality of the plans.

    Conclusions:

    • Findings support the Hayes-Roth and Hayes-Roth cognitive model of planning.
    • Task complexity is a significant determinant of decision-making and planning behavior in nursing.
    • Differences in planning strategies between experts and novices may contribute to variations in care quality.

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