scholarly journals Understanding the decision‐making of critical care nurses when restraining a patient with psychomotor agitation secondary to hyperactive delirium: A ‘Think Aloud’ study.

Author(s):  
Angela Teece ◽  
John Baker ◽  
Helen Smith
2017 ◽  
Vol 30 (4) ◽  
pp. 432-442 ◽  
Author(s):  
Mahmoud Maharmeh

Purpose The aim of this study was to describe Jordanian critical care nurses’ experiences of autonomy in their clinical practice. Design/methodology/approach A descriptive correlational design was applied using a self-reported cross-sectional survey. A total of 110 registered nurses who met the eligibility criteria participated in this study. The data were collected by a structured questionnaire. Findings A majority of critical care nurses were autonomous in their decision-making and participation in decisions to take action in their clinical settings. Also, they were independent to develop their own knowledge. The study identified that their autonomy in action and acquired knowledge were influenced by a number of factors such as gender and area of practice. Practical implications Nurse’s autonomy could be increased if nurses are made aware of the current level of autonomy and explore new ways to increase empowerment. This could be offered through classroom lectures that concentrate on the concept of autonomy and its implication in practice. Nurses should demonstrate autonomous nursing care at the same time in the clinical practice. This could be done through collaboration between educators and clinical practice to help merge theory to practice. Originality/value Critical care nurses were more autonomous in action and knowledge base. This may negatively affect the quality of patient care and nurses’ job satisfaction. Therefore, improving nurses’ clinical decision-making autonomy could be done by the support of both hospital administrators and nurses themselves.


2005 ◽  
Vol 13 (2) ◽  
pp. 154-164 ◽  
Author(s):  
ELIZABETH D.E. PAPATHANASSOGLOU ◽  
MARIA TSERONI ◽  
ATHENA KARYDAKI ◽  
GEORGIA VAZAIOU ◽  
JOANNA KASSIKOU ◽  
...  

2009 ◽  
Vol 41 (4) ◽  
pp. 351-358 ◽  
Author(s):  
Farhad Ramezani-Badr ◽  
Alireza Nikbakht Nasrabadi ◽  
Zohre Parsa Yekta ◽  
Fariba Taleghani

2013 ◽  
Vol 19 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Gayle Langley ◽  
Shelley Schmollgruber ◽  
Paul Fulbrook ◽  
John W Albarran ◽  
Jos M Latour

2003 ◽  
Vol 12 (3) ◽  
pp. 206-211 ◽  
Author(s):  
Judy Currey ◽  
Mari Botti

The quality of critical care nurses’ decision making about patients’ hemodynamic status in the immediate period after cardiac surgery is important for the patients’ well-being and, at times, survival. The way nurses respond to hemodynamic cues varies according to the nurses’ skills, experiences, and knowledge. Variability in decisions is also associated with the inherent complexity of hemodynamic monitoring. Previous methodological approaches to the study of hemodynamic assessment and treatment decisions have ignored the important interplay between nurses, the task, and the environment in which these decisions are made. The advantages of naturalistic decision making as a framework for studying the manner in which nurses make decisions are presented.


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