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Related Experiment Videos

Knowing the patient: a process model for individualized interventions

L E Radwin1

  • 1Department of Nursing, College of Health Professions, University of Massachusetts at Lowell, USA.

Nursing Research
|November 1, 1995
PubMed
Summary

Nurses make individualized patient care decisions by "knowing the patient," which involves understanding their experiences and feelings. This core process is influenced by time, nurse experience, and collaboration, utilizing strategies like empathy and pattern matching.

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Area of Science:

  • Nursing
  • Clinical Decision Making
  • Grounded Theory

Background:

  • Clinical decision-making is a complex process for nurses.
  • Understanding the nuances of nurse decision-making is crucial for improving patient care.

Purpose of the Study:

  • To explore and describe the process of nurses' clinical decision-making using a grounded theory approach.

Main Methods:

  • Grounded theory methodology.
  • Data collection through field notes, in-depth interviews, and document analysis.
  • Analysis of data to develop a substantive theory.

Main Results:

  • Identified "knowing the patient" as the core process in clinical decision-making.
  • Properties of the core process include familiarity and intimacy.

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  • Context involves patient-nurse interaction.
  • Conditions influencing the process: time, nurse experience, and input from other nurses.
  • Facilitating strategies: empathizing, pattern matching, developing a bigger picture, and balancing preferences with difficulties.

    • Conclusions:

    • "Knowing the patient" is a dynamic, purposeful action central to individualized nursing interventions.
    • The decision-making process is context-dependent and influenced by various factors.
    • Understanding these factors can enhance nursing practice and patient outcomes.