Decision Fatigue among Emergency Physicians: Reality or Myth

Nasa, Prashant; Majeed, Nimisha Abdul

doi:10.5005/jp-journals-10071-24526

Cited by 3 publications

(13 citation statements)

References 13 publications

(22 reference statements)

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“…Long shifts: Many emergency physicians work long and irregular shifts, which can lead to physical and mental fatigue, potentially compounding decision fatigue [3,9].…”

Section: High-stress Environmentmentioning

confidence: 99%

“…Inferior decision-making: Decision fatigue may lead to suboptimal clinical decisions. These decisions may not align with evidence-based guidelines or best practices, and they may fail to address the unique needs of individual patients [3,9].…”

Section: Clinical Decision Qualitymentioning

confidence: 99%

“…Physicians, including emergency physicians, exemplify this concept, as they are routinely faced with complex, critical decisions that can have life-altering consequences for patients. The cognitive demands of diagnosing, treating, and providing care for individuals in emergent situations place these healthcare professionals at risk for decision fatigue [ 3 ].…”

Section: Reviewmentioning

confidence: 99%

“…In healthcare, the historical context of decision fatigue can be tied to the evolving demands of medical practice, especially in high-stress settings like emergency medicine. The proliferation of diagnostic and treatment options, coupled with the need for rapid decisions, has heightened the significance of understanding and addressing decision fatigue among healthcare professionals [ 3 ].…”

Section: Reviewmentioning

confidence: 99%

“…The very nature of their work necessitates a continuous series of decisions, from diagnostic choices to treatment plans, often under conditions of extreme stress [ 2 ]. The potential presence of decision fatigue among emergency physicians has significant implications for both physician well-being and patient care [ 3 ]. This article aims to explore the validity of decision fatigue in the practice of emergency medicine.…”

Section: Introductionmentioning

confidence: 99%

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Decision Fatigue in Emergency Medicine: An Exploration of Its Validity

Yadav,

Rawal,

Jeyaraman

2023

Cureus

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Emergency physicians face a relentless stream of complex, high-stakes decisions in a fast-paced and dynamic environment. The concept of decision fatigue, a phenomenon characterized by a decline in the quality of decision-making after a long sequence of choices, has garnered increasing attention within healthcare. Several investigations show that the number and complexity of decisions made during prolonged shifts correlate with increased self-reported fatigue; however, the effect on clinical decision quality is uncertain. Conversely, a subset of studies found no clear relationship between decision fatigue and errors in clinical judgment. Importantly, some researchers argue that decision fatigue may be mitigated by factors such as experience, training, and support systems. This narrative review highlights the existing literature on decision fatigue among emergency physicians and explores whether this concept holds as a valid concern or remains a myth in the context of their practice.

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“…Long shifts: Many emergency physicians work long and irregular shifts, which can lead to physical and mental fatigue, potentially compounding decision fatigue [3,9].…”

Section: High-stress Environmentmentioning

confidence: 99%

Section: Clinical Decision Qualitymentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Decision Fatigue in Emergency Medicine: An Exploration of Its Validity

Yadav,

Rawal,

Jeyaraman

2023

Cureus

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Generation of Synthetic Data for Medical Decision Support Applications

Hydock,

Elliott,

Busch

et al. 2023

2023 IEEE Applied Imagery Pattern Recognition Workshop (AIPR)

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Decision fatigue experience of front-line nurses in the context of public health emergency: an interpretative phenomenological analysis

Dong,

Wang,

Zhang

et al. 2024

BMC Nurs

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Background Decision fatigue is a new concept in the field of psychology and refers to a state of fatigue alongside impaired cognitive processing and emotional regulation ability. Previous studies have confirmed that nurses are prone to decision fatigue, and nurses who experience decision fatigue may implement nursing measures that are inconsistent with clinical evidence, thus affecting patients’ benefits. COVID-19, as a large-scale global public health emergency, increased the workload and burden of nurses and aggravated decision fatigue. However, the factors leading to decision fatigue among nurses have not yet been identified. Methods This study is guided by interpretative phenomenology. During the epidemic period of COVID-19: From November 2022 to February 2023, a one-to-one, semi-structured in-depth interview was conducted among nurses with decision fatigue experience who were participating in front-line work in Jilin Province using homogenous sampling. The interview recordings and related data were transcribed into text within 24 h, and data analysis was assisted by NVivo 12.0 software. Results After a total of 14 front-line nurses were analyzed in this study, The thematic level reaches saturation, the findings present a persuasive and coherent narrative, and the study is terminated, and finally extracted and formed three core themes: “Cognition, influence and attitude of decision fatigue”, “Approaching factors of decision fatigue” and “Avoidant factors of decision fatigue”. Conclusion This study confirmed that decision fatigue was widespread in the work of front-line nurses, affecting the physical and psychological health of nurses, the quality of nursing work, the degree of benefit of patients and the clinical outcome. However, nursing staff do not know enough about decision fatigue, so the popularization and research of decision fatigue should be strengthened. Improve the attention of medical institutions, nursing managers and nursing staff.Some suggestions are put forward for the intervention of decision fatigue through personnel, task, tool and technology, organization and environment.

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Decision Fatigue among Emergency Physicians: Reality or Myth

Abstract: How to cite this article : Nasa P, Majeed NA. Decision Fatigue among Emergency Physicians: Reality or Myth. Indian J Crit Care Med 2023;27(9):609–610.

Cited by 3 publications

References 13 publications

Decision Fatigue in Emergency Medicine: An Exploration of Its Validity

Decision Fatigue in Emergency Medicine: An Exploration of Its Validity

Generation of Synthetic Data for Medical Decision Support Applications

Decision fatigue experience of front-line nurses in the context of public health emergency: an interpretative phenomenological analysis

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