Situation awareness and the decision‐making processes of final‐year nursing students

Background: Nursing students on clinical placements as part of their professional training are routinely faced with situations involving ethical conflicts. The initial act of perceiving a situation as causing an ethical dilemma is the result of both the students’ personal values, drawn from their culture and families, and of the professional knowledge and values that they have acquired through training and experience. Objectives: Nursing students’ experiences on clinical placements in primary care settings were investigated in order to identify situations that they perceived as involving ethical conflict and describe the elements they took into consideration during their decision-making processes in these situations. Methods: The research design was qualitative descriptive case study. Around 50 students from three different intakes to a nursing degree answered a questionnaire and discussed it in focus groups. Ethical considerations: The study was designed in accordance with the principles guiding research with human beings and was approved by the Human Research Ethics Committee. Results: Synthesised into two principal axes: (a) ethical conflicts in primary care, linked with the domains of working processes, professional nursing ethics and human and social rights and (b) students’ decision-making processes – realisation, reflection and intervention. Conclusion: The student nurses saw themselves both as actors and spectators in situations involving ethical problems and demanding moral deliberation, demonstrating the ability to base their arguments soundly. They tended to emphasise the possibilities offered by dialogue and that different ethical values must be respected to find fair solutions to ethical problems.

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Smart Simulation for Decision Support at Headquarters

International conference KNOWLEDGE-BASED ORGANIZATION ◽

10.2478/kbo-2019-0122 ◽

2019 ◽

Vol 25 (3) ◽

pp. 81-90

Author(s):

Ariane Bitoun ◽

Hans ten Bergen ◽

Yann Prudent

Keyword(s):

Decision Making ◽

Decision Support ◽

Situation Awareness ◽

Military Operations ◽

Operations Planning ◽

Support Tools ◽

First Results ◽

Decision Making Processes ◽

And Control ◽

Command And Control System

Abstract While serious games are being widely adopted by NATO and partner nations, their use is currently limited to training and operations planning. In this paper, we explore new methods that use simulations for decision support during the execution of military operations. During this phase, the commander makes decisions based on knowledge of the situation and the primary objectives. We propose here to take a simulation containing smart and autonomous units, and use it to create new kinds of decision support tools capable of improving situation awareness, and consequently the quality of decisions. The breakthrough behind this initiative is the realization that we can provide HQ decision makers with access to a version of the information that smart simulated units use to make decisions. To ensure the approach was sound we first studied decision-making processes, and analyzed how situation awareness improves decision-making. After analysis of the decision-making processes at various headquarters, and the types of decision criteria employed, we are able to produce innovative information, computed by the simulation, and fed by the command and control system. We then propose a prerequisite architecture and describe the first results of our proof of concept work based on the SWORD (Simulation War gaming for Operational Research and Doctrine) simulation.

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Dispatch Decision Making in an Air Medical Transport System

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1541931213601059 ◽

2016 ◽

Vol 60 (1) ◽

pp. 259-263

Author(s):

Wayne C.W. Giang ◽

Lavinia Hui ◽

Birsen Donmez ◽

Mahvareh Ahghari ◽

Russell D. MacDonald

Keyword(s):

Decision Making ◽

Situation Awareness ◽

Time Pressure ◽

Time Estimation ◽

Sources Of Information ◽

Patient Transfers ◽

Land Vehicles ◽

Decision Points ◽

Decision Making Processes ◽

Medical Transport

Air medical transport relies on effective dispatching of air and land vehicles to provide the fastest and best care possible for patient transfers. These difficult dispatch decisions are characterized by high time pressure, uncertainty, and the dynamic and complex environment of medical transportation. This paper describes a preliminary study of the decision making processes that occur during dispatch decisions at Ornge, the air medical transportation system in Ontario, Canada. We drew upon the Critical Decision Method and the structured data analysis approach to understand the major decision points faced by Ornge’s dispatchers, and the cues and sources of information attended to in those situations. We found that the decision points deal with three main goals: maintain situation awareness, match resource to transfer, and plan logistics of transfer. Furthermore, we found that time estimation might play an important role in helping dispatchers coordinate within the dispatch team and with their external partners. These findings may help improve the design of computer aided dispatch software to better support the goals of the dispatchers.

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Smart Simulation for Decision Support at Headquarters

International Journal of Applied Science ◽

10.30560/ijas.v2n3p1 ◽

2019 ◽

Vol 2 (3) ◽

pp. p1

Author(s):

Ariane Bitoun ◽

Hans Ten Bergen ◽

Yann Prudent

Keyword(s):

Decision Making ◽

Decision Support ◽

Situation Awareness ◽

Military Operations ◽

Current Task ◽

First Results ◽

Decision Making Processes ◽

Logistic Support ◽

Time Required ◽

And Control

While serious games are being widely adopted by NATO and partner nations, their use is currently limited to training and operations planning. In this paper, we explore new methods that use simulations for decision support during the execution of military operations. During this phase, the commander makes decisions based on knowledge of the situation and the primary objectives. We propose here to take a simulation containing smart and autonomous units, and use it to create new kinds of decision support tools capable of improving situation awareness, and consequently the quality of decisions. The breakthrough behind this initiative is the realization that we can provide HQ decision makers with access to a version of the information that smart simulated units use to make decisions. To ensure the approach was sound we first studied decision-making processes, and analyzed how situation awareness improves decision making. After analysis of the decision-making processes at various headquarters, and the types of decision criteria employed, we are able to produce innovative information, computed by the simulation, and fed by the command and control system. We then propose a prerequisite architecture, and describe the first results of our proof of concept work based on the SWORD (Simulation Wargaming for Operational Research and Doctrine) simulation. Based on the current situation (intelligence, operational state, logistics, etc.) and the current maneuver (current task), examples of what we are now capable of are as follows: provide an immediate local force ratio map, produce a capacities map (detection, combat), compute contextual fire or logistic support time required, automatically generate lines of battle such as the Forward Line of Own Troops (FLOT), Limit Of Advance (LOA), Line of Contact (LC), Forward Edge of Battle Area (FEBA), or propose an effect based maneuver map in order to understand the current effect of the forces on the ground. We then propose a prerequisite architecture for use as a decision-support system at HQ, and describe the next smart layers that we believe should be developed for optimal results.

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Cognitive Processing of Miscommunication in Interactive Listening: An Evaluation of Listener Indecision and Cognitive Effort

Journal of Speech Language and Hearing Research ◽

10.1044/2020_jslhr-20-00128 ◽

2021 ◽

pp. 1-17

Author(s):

Jennifer M. Roche ◽

Arkady Zgonnikov ◽

Laura M. Morett

Keyword(s):

Decision Making ◽

Cognitive Processing ◽

Language Processing ◽

Cognitive Effort ◽

Mouse Tracking ◽

Computer Mouse ◽

Decision Making Processes ◽

Computer Mouse Tracking ◽

Listening Task ◽

Processing Effort

Purpose The purpose of the current study was to evaluate the social and cognitive underpinnings of miscommunication during an interactive listening task. Method An eye and computer mouse–tracking visual-world paradigm was used to investigate how a listener's cognitive effort (local and global) and decision-making processes were affected by a speaker's use of ambiguity that led to a miscommunication. Results Experiments 1 and 2 found that an environmental cue that made a miscommunication more or less salient impacted listener language processing effort (eye-tracking). Experiment 2 also indicated that listeners may develop different processing heuristics dependent upon the speaker's use of ambiguity that led to a miscommunication, exerting a significant impact on cognition and decision making. We also found that perspective-taking effort and decision-making complexity metrics (computer mouse tracking) predict language processing effort, indicating that instances of miscommunication produced cognitive consequences of indecision, thinking, and cognitive pull. Conclusion Together, these results indicate that listeners behave both reciprocally and adaptively when miscommunications occur, but the way they respond is largely dependent upon the type of ambiguity and how often it is produced by the speaker.

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“It's Not Humanly Possible to Do Everything”: Perspectives on Intervention Decision-Making Processes of Parents of Children with Autism Spectrum Disorders

Perspectives on Language Learning and Education ◽

10.1044/lle22.1.13 ◽

2015 ◽

Vol 22 (1) ◽

pp. 13-21 ◽

Cited By ~ 5

Author(s):

Erinn Finke ◽

Kathryn Drager ◽

Elizabeth C. Serpentine

Keyword(s):

Decision Making ◽

Individualized Education Program ◽

Children With Autism ◽

Autism Spectrum ◽

Sources Of Information ◽

Individual Decision ◽

Decision Making Processes ◽

Spectrum Disorders ◽

Interview Methodology ◽

Communication Interventions

Purpose The purpose of this investigation was to understand the decision-making processes used by parents of children with autism spectrum disorder (ASD) related to communication-based interventions. Method Qualitative interview methodology was used. Data were gathered through interviews. Each parent had a child with ASD who was at least four-years-old; lived with their child with ASD; had a child with ASD without functional speech for communication; and used at least two different communication interventions. Results Parents considered several sources of information for learning about interventions and provided various reasons to initiate and discontinue a communication intervention. Parents also discussed challenges introduced once opinions of the school individualized education program (IEP) team had to be considered. Conclusions Parents of children with ASD primarily use individual decision-making processes to select interventions. This discrepancy speaks to the need for parents and professionals to share a common “language” about interventions and the decision-making process.

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