Nurse Decision Making in Acute Care

Abstract

, RN, CHPN, committee member. Your knowledge of informatics was essential to my progress as a nursing scientist. I also greatly appreciate your consistently open attitude to all questions over the years. Thank you also to the scholarship finding from the June and Walter Reis Endowed Scholarship and the Lange Award for the support of this research. To my husband, Kevin Nibbelink, thank you is not enough for the constant support and encouragement you have provided as I have worked toward my goal of completing this degree. To my children Luke, Megan, Ethan, you also have been wonderful throughout this process. I am so proud of each of you. 5

A Concept Analysis of Nurses’ Clinical Decision Making: Implications for Korea

“…First, for the antecedents of nurses’ clinical decision making, clinical judgment experience regarding the patient’s health status, which is constantly changing and has high uncertainty and complexity, is important [ 15 , 20 , 28 ]. Priority is given to the patient’s health problem, and the problem is predicted and treated through the nurse’s interaction with his or her fellow medical staff [ 29 , 30 ].…”

“…Thus, nurses’ clinical decision-making ability acts as a positive predictor [ 32 ] and makes patients think that they are receiving high-quality nursing services [ 8 , 17 ]. As a result, nurses develop a sense of accomplishment and gain high satisfaction with their clinical decision making [ 15 , 20 , 33 ].…”

“…Most previous studies on the clinical decision making of nurses defined correlations based on factors that influence decision making, or classified correlations by including situational diagnostic content [ 1 , 3 , 5 ]. These previous studies adjudged the clinical decision making of nurses as based on intuition, i.e., on inference or foresight, as well as on recognition of various patient problems in the clinical practice field, and particularly, as covering only causes and causal relationships in clinical situations [ 4 , 14 , 15 ].…”

Pain catastrophizing

“…Pain is among the most frequent and emergent clinical events encountered by nurses 1,2. Patients' perceptions of pain affect their experience and treatment, particularly if they are exhibiting anxiety, signs of catastrophization, and depression.…”

A Clinical Decision Support System Design Framework for Nursing Practice

“…[1][2][3] As nurses increasingly engage in decision-making for patients, utilization of CDSSs to support nursing becomes more prevalent internationally. [4][5][6] There is a unique opportunity in nursing to translate research into practice using CDSSs because nursing interventions are often (a) inexpensive and (b) can be implemented with less administrative burden as nursing interventions are not linked to a prescription, international classification of diseases codes (ICD), or current procedural terminology code. 7,8…”