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Related Concept Videos

Current Trends in Nursing II01:30

Current Trends in Nursing II

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Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
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Current Trends in Nursing I01:28

Current Trends in Nursing I

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Current trends in nursing include:
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Fundamentals of Nursing Process II01:25

Fundamentals of Nursing Process II

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There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
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Obedience01:08

Obedience

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Related Experiment Video

Updated: Apr 17, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Unpredictability in Inpatient Nursing Work: An Evolutionary Concept Analysis.

Ellen Benjamin1,2, Joohyun Chung3, Esther Latif Banda4

  • 1Donna M. and Robert J. Manning College of Nursing & Health Sciences, University of Massachusetts Boston, Boston, MA, USA ellen.benjamin@umb.edu.

Research and Theory for Nursing Practice
|April 15, 2026
PubMed
Summary

Unpredictability in nursing work stems from patient needs, system complexity, and resource issues. Addressing these factors is crucial for improving nurse well-being and patient care outcomes.

Keywords:
acuteconcept analysisnursing systems/administrationsafetystress/copingwork environment

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Area of Science:

  • Nursing
  • Healthcare Systems
  • Workplace Stressors

Background:

  • Healthcare systems are inherently unpredictable.
  • Unpredictability is a significant stressor for inpatient nurses, creating resource-demand mismatches.
  • The concept of unpredictability in nursing work lacks formal conceptual analysis.

Purpose of the Study:

  • To examine and clarify the concept of unpredictability within nursing work.
  • To identify the defining attributes, antecedents, and consequences of unpredictability in nursing.
  • To provide a conceptual analysis of unpredictability for practicing nurses.

Main Methods:

  • Rodgers' evolutionary approach was utilized for conceptual analysis.
  • Inductive thematic analysis was applied to 69 systematically searched articles.
  • Literature search included CINAHL, Academic Source Complete, and MEDLINE databases, focusing on inpatient nursing work.

Main Results:

  • Unpredictability in nursing work originates from patient heterogeneity, disease uncertainty, shared resource dependence, and system complexity.
  • Nurses experience unpredictability related to patient acuity, safety, resource availability, team dynamics, and workflow.
  • Consequences include process inefficiencies, compromised nurse well-being, and adverse patient care impacts.

Conclusions:

  • Concept analysis offers crucial insights into poorly defined nursing phenomena.
  • This study clarifies the causes, attributes, and consequences of unpredictability for nurses.
  • Nurses should advocate for strategies to mitigate unpredictability and enhance support for nursing work.