scholarly journals Nurses' barriers when using research information in clinical decision making

2018 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Safaa Mohamed ◽  
Mona Thabet
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Research Utilization ◽  
Clinical Decision ◽  
Complex Nature ◽  
University Hospitals ◽  
Research Information ◽  
Starting Point ◽  
Apply Research ◽  
Cooperative Process

Recently, there has been more emphasis on clinical decision making to be a cooperative process, which encompasses shared and parallel decision making with patients and health care teams. For this, nurses’ clinical decision-making is a complicated process with a possibility to affect the provided quality of care and. Therefore, affect patient condition progress. Thus, it is the critical point to study the nurses' barriers to research to identify the starting point of how do nurses currently view, and apply research based information in their decision. The aim of the study is to evaluate the nurses' barriers when using research information in clinical decision making. A descriptive correlation research design was utilized. The sample was consisted of of 140 nurse participants at Minia University hospitals. One tool was used as Barriers to using research information in clinical decision making. This study revealed that the nurse participants agree on the research barriers such as lack of time, lack of organization support to use and implement insufficient nurse skills to use research, and complex nature of research. Thus it was concluded that nurses appraise the value of research utilization, but there were many factors hinder and become the barrier to them to implement research.

scholarly journals Acute care nurses' perceptions of barriers to using research information in clinical decision-making

2002 ◽  
Vol 39 (1) ◽  
pp. 46-60 ◽  
Author(s):  
Dorothy McCaughan ◽  
Carl Thompson ◽  
Nicky Cullum ◽  
Trevor A. Sheldon ◽  
David R. Thompson
Keyword(s):  
Decision Making ◽  
Acute Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Research Information ◽  
Acute Care Nurses ◽  
Nurses Perceptions

scholarly journals Research information in nurses' clinical decision-making: what is useful?

2001 ◽  
Vol 36 (3) ◽  
pp. 376-388 ◽  
Author(s):  
Carl Thompson ◽  
Dorothy McCaughan ◽  
Nicky Cullum ◽  
Trevor A. Sheldon ◽  
Anne Mulhall ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Research Information

How psychiatrists think

2009 ◽  
Vol 15 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Niall Crumlish ◽  
Brendan D. Kelly
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Cognitive Effort ◽  
Future Research ◽  
Cognitive Error ◽  
Apply Research ◽  
Research Findings ◽  
Clinical Interest ◽  
Clinical Thinking

SummaryOver the past decade, the study of error in medicine has expanded to incorporate new insights from cognitive psychology, generating increased research and clinical interest in cognitive errors and clinical decision-making. The study of cognitive error focuses on predictable errors in thinking that result from the use of cognitive shortcuts or ‘heuristics’. Heuristics reduce the time, resources and cognitive effort required for clinical decision-making and are a feature of mature clinical thinking. Heuristics can also lead to bias and must be used with an awareness of their weaknesses. In this article, we describe heuristics commonly used in clinical decision-making and discuss how failure of heuristics results in cognitive error. We apply research findings on decision-making in medicine to decision-making in psychiatry and suggest directions for training and future research into cognitive error in psychiatry.

Oxygen treatment of ventilated critically ill children: Nursing assessment and cognitive processes in clinical decision-making

2019 ◽  
Vol 40 (2) ◽  
pp. 81-88
Author(s):  
Ulla Marie Soini ◽  
Randi Andenæs ◽  
Marianne Trygg Solberg
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Survey Design ◽  
Clinical Decision ◽  
Critically Ill Children ◽  
University Hospitals ◽  
Nursing Assessment ◽  
Oxygen Treatment ◽  
Oxygen Dissociation ◽  
Oxygen Requirements

The aim of this study was to describe nurses’ opinions regarding assessments of oxygen requirements and which modes of cognition they used about oxygen treatment in ventilated children aged 0–3 years. The method was survey design with descriptive statistics. The sample included 90 nurses from intensive care units within all university hospitals in Norway. The questionnaire covered use of physiological, clinical, and technical observations in assessments, and the Nursing Decision-Making Instrument was used to map the mode of cognition. Respondents perceived they used many of the physiological criteria except for the haemoglobin–oxygen dissociation curve, pulse and blood pressure. Most respondents used clinical and technical criteria to assess oxygen needs, but more than half would exceed 10% oxygen at each regulation. They considered written guidelines to be necessary. A majority demonstrated a flexible use of analytical and intuitive modes of cognition in the decision-making processes. The results indicate that assessment of children’s need for oxygen may be based on insufficient information, and written guidelines should be developed.

scholarly journals Margaret Archer, Modes of Reflexivity: The structured agency of nursing action.

2017 ◽  
Author(s):  
Benny Goodman
Keyword(s):  
Social Sciences ◽  
Decision Making ◽  
Social Structure ◽  
Clinical Decision Making ◽  
Theoretical Work ◽  
Clinical Decision ◽  
Structure And Agency ◽  
Course Of Action ◽  
Starting Point ◽  
The Social

Margaret Archer was a professor of sociology at Warwick University for 30 years. Her theoretical work is devoted to an important problem in the social sciences: the problem of structure and agency. To what degree are we free agents in deciding a course of action? To what degree does the social structure constrain or enable action? This is a key question to consider when we try to understand why nurses do or do not act to uphold standards in certain contexts. If we wish to understand the limits of agency or the effects of structure upon clinical decision making, Archer’s ‘modes of reflexivity’ could be a very useful starting point. Stenhouse et al (2016) in a recent paper on the ‘compassion deficit’, illustrate the relevance of the discussion.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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