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Decision making in professional practice

P A Moore

    British Journal of Nursing (Mark Allen Publishing)
    |May 12, 1996
    PubMed
    Summary
    This summary is machine-generated.

    This study explores nursing decision-making, contrasting rationalist and phenomenological views. It highlights challenges in teaching intuitive judgment and emphasizes the integration of decision-making and nursing processes in practice.

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    Area of Science:

    • Nursing
    • Decision Science
    • Qualitative Research

    Background:

    • Extensive research exists on the nursing process, but limited focus on clinical decision-making.
    • Two primary theoretical perspectives on decision-making are the rationalist (quantitative) and phenomenological (holistic).
    • Intuitive judgment, while valuable, is difficult to teach and primarily observed in expert nurses.

    Purpose of the Study:

    • To review the existing literature on nursing decision-making.
    • To compare and contrast the rationalist and phenomenological approaches to decision-making.
    • To explore the relationship between the nursing process and the decision-making process in professional practice.

    Main Methods:

    • Literature review of nursing and decision-making studies.

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  • Comparative analysis of rationalist and phenomenological perspectives.
  • Discussion of the role of intuitive judgment in expert nursing.

    • Main Results:

    • The rationalist perspective aligns with quantitative methods, while the phenomenological perspective offers a holistic view.
    • Intuitive judgment is a complex cognitive process, challenging to codify and teach to novice practitioners.
    • Effective nursing practice integrates systematic decision-making with the established nursing process.

    Conclusions:

    • Understanding different decision-making frameworks is crucial for nursing education and practice.
    • Bridging the gap between theoretical decision-making models and practical application is essential.
    • The synergy between the decision-making process and the nursing process underpins effective patient care.