Decision-making models used by `graduate nurses` managing patients` medications

Manias, Elizabeth, Aitken, Robyn and Dunning, Trisha 2004, Decision-making models used by `graduate nurses` managing patients` medications, Journal of advanced nursing, vol. 47, no. 3, pp. 270-278, doi: 10.1111/j.1365-2648.2004.03091.x.

Attached Files
Name Description MIMEType Size Downloads

Title Decision-making models used by `graduate nurses` managing patients` medications
Author(s) Manias, ElizabethORCID iD for Manias, Elizabeth
Aitken, Robyn
Dunning, TrishaORCID iD for Dunning, Trisha
Journal name Journal of advanced nursing
Volume number 47
Issue number 3
Start page 270
End page 278
Publisher Blackwell Publishing Ltd.
Place of publication Oxford, England
Publication date 2004-07
ISSN 0309-2402
Keyword(s) decision-making process
graduate nurse
first-year registered nurse
medication management
Summary Background. Nurses in a graduate programme in Australia are those who are in the first year of clinical practice following completion of a 3-year undergraduate nursing degree. When working in an acute care setting, they need to make complex and ever-changing decisions about patients' medications in a clinical environment affected by multifaceted, contextual issues. It is important that comprehensive information about graduate nurses' decision-making processes and the contextual influences affecting these processes are obtained in order to prepare them to meet patients' needs.
Aim. The purpose of this paper is to report a study that sought to answer the following questions: What are the barriers that impede graduate nurses' clinical judgement in their medication management activities? How do contextual issues impact on graduate nurses' medication management activities? The decision-making models considered were: hypothetico-deductive reasoning, pattern recognition and intuition.
Methods. Twelve graduate nurses who were involved in direct patient care in medical and surgical wards of a metropolitan teaching hospital located in Melbourne, Australia participated in the study. Participant observations were conducted with the graduate nurses during a 2-hour period during the times when medications were being administered to patients. Graduate nurses were also interviewed to elicit further information about how they made decisions about patients' medications.
Results. The most common model used was hypothetico-deductive reasoning, followed by pattern recognition and then intuition. The study showed that graduate nurses had a good understanding of how physical assessment affected whether medications should be administered or not. When negotiating treatment options, graduate nurses readily consulted with more experienced nursing colleagues and doctors.
Study limitations. It is possible that graduate nurses demonstrated a raised awareness of managing patients' medications as a consequence of being observed.
Conclusions. The complexity of the clinical practice setting means that graduate nurses need to adapt rapidly to make sound and appropriate decisions about patient care.
Language eng
DOI 10.1111/j.1365-2648.2004.03091.x
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2004, Blackwell Publishing Ltd
Persistent URL

Connect to link resolver
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 34 times in TR Web of Science
Scopus Citation Count Cited 37 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 1275 Abstract Views, 0 File Downloads  -  Detailed Statistics
Created: Mon, 13 Oct 2008, 15:56:38 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact