Determining AACN's research priorities for the 90s

Lindquist, Ruth; Banasik, JL; Barnsteiner, Jane; Pc, Beecroft; Prevost, Suzanne S.; Riegel, Bárbara; Sechrist, Karen K.; Strzelecki, Charlotte; Mg, Titler

doi:10.4037/ajcc1993.2.2.110

Cited by 36 publications

(11 citation statements)

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“…Therefore, the authors conducted a preliminary study to identify and categorize the scope and nature of clinical decisions made by nurses in the coronary care unit (CCU) and coronary step-down (CSU) units as the basis for developing six representative hypothetical cases for this study. These cases were consistent with Benner's domains of nursing practice and AACN's research priorities (Benner, 1984;Lindquist et al, 1993).…”

Section: Introductionsupporting

confidence: 75%

“…Four reviews of critical care and coronary care nursing research indicated a need to investigate the practice complexities in these areas, but did not focus on clinical judgment nor explicate particular decisionmaking tasks (Foster et al, 1984;Kinney, 1984;Packa & Norris, 1987;Cowan, 1990). Similarly, a study sponsored by the American Association of Critical Care Nurses (AACN) revealed several clinical practice and contextual research priorities for the 1990s (Lindquist et al, 1993). Although relevant to understanding current critical care practices, these priorities did not reveal specific decision-making topics confronted by coronary care nurses.…”

Section: Introductionmentioning

confidence: 99%

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Coronary care nurses’ clinical decision making

Corcoran-Perry

Narayan

Cochrane

1999

Nursing & Health Sciences

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Increasing acuity of hospitalized persons with cardiac disease places great demands on nurses' decision-making abilities. Yet nursing lags in knowledge-based system development because of limited understanding about how nurses use knowledge to make decisions. The two research questions for this study were: how do the lines of reasoning used by experienced coronary care nurses compare with those used by new coronary care nurses in a representative sample of hypothetical patient cases, and are the predominant lines of reasoning used by coronary care nurses in hypothetical situations similar to those used for comparable situations in clinical practice? Line of reasoning was defined as a set of arguments in which knowledge is embedded within decision-making processes that lead to a conclusion. Sixteen subjects (eight experienced and eight new nurses) from coronary care and coronary step-down units in a large, private, teaching hospital in Minnesota, USA, were asked to think aloud while making clinical decisions about six hypothetical cases and comparable actual case. One finding was that most subjects in both groups used multiple lines of reasoning per case; but they used only one predominantly. This finding highlighted the non-linear nature of clinical decision making. Subjects used 25 predominant lines of reasoning, with intergroup differences on six of them. Where there were differences, experienced nurses used lines of reasoning of lower quality than did new subjects. The type variability in lines of reasoning suggested that multiple pathways should be incorporated into knowledge-system design. One implication of the variability in subjects' line of reasoning quality is that nurses at all levels of expertise are fallible and could benefit from decision support. The finding that subjects tended to use similar lines of reasoning for comparable hypothetical and actual cases was modest validation of subjects' performance on hypothetical cases as representing their decision making in practice. Consequently, there was support for using simulations and case studies in teaching and studying clinical decision making.

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Section: Introductionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Coronary care nurses’ clinical decision making

Corcoran-Perry

Narayan

Cochrane

1999

Nursing & Health Sciences

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“…All studies used some form of expert consensus method to generate the priorities and, as one would expect, the list of top priorities differs according to country and time when this was generated. Early studies among intensive care nurses in the United States (Lewandowski & Kositsky 1983, Funk 1989, Lindquist et al. 1993) and Australia (Daly et al.…”

Section: Introductionmentioning

confidence: 99%

Research priorities of adult intensive care nurses in 20 European countries: a Delphi study

Blackwood¹,

Albarran

Latour

2010

Journal of Advanced Nursing

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“…Very few of the research priorities identified by Hong Kong critical care nurses were similar to those identified by American (Lindquist et al 1993), Australian (Daly et al 1996), andFinnish (Leino-Kilpi &Suominen 1997) studies. These studies highlighted prevention of pressure ulcers and nosocomial infections, prevention of burnout among nurses, staffing issues, and nursing standards, topics that were rated as being of low importance by Hong Kong critical care nurses.…”

Section: Discussionmentioning

confidence: 84%