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Making decisions: nursing practices in critical care

Currey, Judy and Worrall-Carter, Linda 2001, Making decisions: nursing practices in critical care, Australian critical care, vol. 14, no. 3, pp. 127-131, doi: 10.1016/S1036-7314(01)80030-8.

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Title Making decisions: nursing practices in critical care
Author(s) Currey, JudyORCID iD for Currey, Judy orcid.org/0000-0002-0574-0054
Worrall-Carter, Linda
Journal name Australian critical care
Volume number 14
Issue number 3
Start page 127
End page 131
Publisher Australian College of Critical Care Nurses
Place of publication Carlton, Vic.
Publication date 2001
ISSN 1036-7314
1878-1721
Summary This article reports the types and complexity level of decisions made in everyday clinical practice by critical care nurses. It also reports factors that influence the complexity of those decisions. A combination of methods were chosen for the two phase study. In the first phase, 12 qualified critical care nurses documented decisions (over a 2 hour period) on a clinical decision recording form designed by the researcher. In the second phase, participants attended a semi-structured focus group.

From the analysis, five types of decisions were identified; assessment, intervention, organisation, communication and education. In addition to these documented decisions, three factors that influenced decision complexity were identified from a thematic analysis of the transcribed interviews; communication, patient related and properties of the decision. Nurses reported that communication decisions were the most difficult to make. However, the concept of nurses knowing the patient reduced the level of decision complexity. It is suggested that this has important implications for decision making practices of nurses working in the area of critical care and potentially for patient outcomes.
Language eng
DOI 10.1016/S1036-7314(01)80030-8
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1.1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30004222

Document type: Journal Article
Collections: School of Nursing and Midwifery
Higher Education Research Group
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