Nurses’ Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study

Laugesen, Britt; Albrechtsen, Maja Thomsen; Grønkjær, Mette; Kusk, Kathrine Hoffmann; Nielsen, Marie Germund; Jørgensen, Lone; Pedersen, Birgith; Lerbæk, Birgitte; Haslund-Thomsen, Helle Lønstrup; Thorup, Charlotte Brun; Jacobsen, Sara; Bundgaard, Karin; Voldbjerg, Siri Lygum

doi:10.1177/23333936221109876

Cited by 7 publications

(9 citation statements)

References 35 publications

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“…A study found that healthcare professionals feel their hospitals must prepare for pandemics and are not involved in decision-making. Involving employees in decision-making and preparation processes is crucial for maintaining morale and quality of care during such events [42]. It is essential to create supportive and inclusive work environments that recognize the critical role of healthcare professionals in managing the healthcare system during a pandemic.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Preparedness of Nurses Against the Possible Outbreak of Pandemic Diseases: An Exploratory Study

Minehmorad,

Nemati-Vakilabad,

Badpeyma

et al. 2024

Preprint

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Background and purpose: Nurses play a critical role in managing pandemics. They require adequate training, proper equipment, and organizational support to be well-prepared. This research study aims to explore the level of preparedness of Iranian nurses in dealing with pandemics. Additionally, the study will identify ways to improve and strengthen their preparedness. Method: From July to September 2023, a study was conducted in Ardabil, Iran. The study involved 233 nurses from five different hospitals. A paper-based form was used to collect data, which included demographic characteristics and the level of pandemic preparedness in health services. Descriptive statistics were used to examine the demographic characteristics and pandemic preparedness levels. Pearson's test was conducted to determine the relationship between the dimensions of pandemic preparedness. Results: Most participants relied on clinical measures and supported using HR and environmental methods to curb the transmission of a pandemic. They felt assured in their ability to explain the preventive measures against the pandemic. However, fewer respondents had access to healthcare improvement programs, and only a few worked remotely from home. Conclusion: To improve nurses' readiness for pandemics, training should focus on raising awareness of the learning environment, developing a professional attitude, effective evaluations, constructive feedback, autonomous learning, appropriate educational methods, and satisfactory clinical professors. These measures enhance preparedness and improve patient care.

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Section: Discussionmentioning

confidence: 99%

Assessing the Preparedness of Nurses Against the Possible Outbreak of Pandemic Diseases: An Exploratory Study

Minehmorad,

Nemati-Vakilabad,

Badpeyma

et al. 2024

Preprint

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“…15 Interview methods were used to collect data in most of the qualitative studies. [7][8][9]11,12,24,46,56,[63][64][65][66][67] Written data 64 and observations were also used. 7,65 Surveys were used to carry out the quantitative studies.…”

Section: Description Of the Studiesmentioning

confidence: 99%

“…For example, it has been used to describe nurses' inter-professional collaborations with physicians 25,53,54 and nursing educators 55 and those working in the social care sector. 48 The aim of inter-professional collegiality has been to promote communication, facilitate decision-making, 52,55,56 achieve mutual learning, share knowledge sharing 48,56 and enable collegial mentoring. 25,48,56 It has been seen as a strategy to support a united and safe working culture 48 and ethics among professionals.…”

Section: Introductionmentioning

confidence: 99%

“…48 The aim of inter-professional collegiality has been to promote communication, facilitate decision-making, 52,55,56 achieve mutual learning, share knowledge sharing 48,56 and enable collegial mentoring. 25,48,56 It has been seen as a strategy to support a united and safe working culture 48 and ethics among professionals. 57 Collegiality has also been connected to work environment cultures, where the combined power of all the staff members improved patient care.…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ collegiality: An evolutionary concept analysis

Kangasniemi,

Rannikko,

Leino-Kilpi

2023

Nurs Ethics

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Collegiality is one of the fundamental values of the nursing profession. During the nursing history, collegiality has been described as part of a nurse’s relationship with their peers and it influences the quality of care they provide and job satisfaction and commitment to their work. Despite earlier definitions, the concept of collegiality in nursing has remained unclear. The aim of this study was to clarify the concept of collegiality in the nursing profession, using Rodger’s evolutionary concept analysis. We carried out electronic searches using the CINAHL, PubMed, Scopus, Web of Science, SocINDEX, PsycINFO and Eric databases and manual searches of the reference lists of the selected papers. The searches were limited to peer-reviewed papers published in English language from the inception of database to November 2022. This identified 25 papers. Based on our analysis, the attributes of the concept of collegiality were achieving mutual goals together with equality, reciprocity, trusted advocacy, powerful self-regulation and engaged belongingness. Antecedents of the concept included existing professional group, connection between professionals and professional self-esteem. The consequences were strengthening nurses’ professional status, job satisfaction and their ability to provide the best possible patient care. We found that nurses’ collegiality was a value-based concept, with a unique character based on professional connections. The concept brought together ethical and pragmatic strategies to achieve the best possible results for the nursing profession. Provided knowledge can be applied for further development of the concept and applying it in clinical research and practice. The concept of nurses’ collegiality should also be studied in the future because both the profession and their working environment are constantly changing.

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“…The PPDM was presented in the context of research on decision-making in acute care nursing and responds to the peculiarities of this setting—such as the need to consider numerous potentially conflicting factors 16 and make numerous decisions under temporal pressure. Situations like the COVID-19 pandemic add elements to the equation, such as the relocation of nurses to wards that are outside their field of expertise 17 , perception of physicians’ lack of knowledge, precariousness of the facilities, or lack of information about the patients as they were admitted without accompanying relatives 18 .…”

Section: Introductionmentioning

confidence: 99%

Maximization delays decision-making in acute care nursing

Tejeiro,

Romero-Moreno,

Paramio

et al. 2024

Sci Rep

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The maximization personality trait refers to the tendency to face decision-making situations along a continuum from exhaustively analysing all the options (maximize) to choosing the one that exceeds a subjective threshold of acceptability (satisfy). Research has revealed the influence of maximizing on decision making, although little is known about its possible role in high risk and high uncertainty situations. A sample of 153 active Spanish nurses, with an average experience of 11 years, completed a maximization questionnaire and responded to written vignettes depicting time-demanding decision making in which three options were offered, representing delayed action, non-action, and immediate action. Two vignettes presented critical situations related to acute care during the COVID-19 pandemic, whilst two vignettes presented non-nursing scenarios. People high in maximization took longer to choose and were more likely to choose non-action. No relationship was found between maximization score and the subjective experience of the person making the choice. Maximization had no significant correlation with years of experience nor perceived expertise. Greater perceived expertise was associated with lower indecision and greater confidence. When participants answered nursing vignettes, they took longer to respond, but chose less delayed action and more immediate action. Our results suggest that maximization plays only a relative role in acute care decision-making in nursing, as compared to contextual variables and expertise. They also support a domain general approach to this personality trait. Findings are consistent with Nibbelink and Reed's Practice-Primed Decision Model for nursing.

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Nurses’ Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study

Cited by 7 publications

References 35 publications

Assessing the Preparedness of Nurses Against the Possible Outbreak of Pandemic Diseases: An Exploratory Study

Assessing the Preparedness of Nurses Against the Possible Outbreak of Pandemic Diseases: An Exploratory Study

Nurses’ collegiality: An evolutionary concept analysis

Maximization delays decision-making in acute care nursing

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