Journal articles: 'Emergency nursing Decision making'

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Lugg, Jason. "Clinical Judgement and Decision Making in Nursing." Emergency Nurse 25, no. 09 (February 9, 2018): 16. http://dx.doi.org/10.7748/en.25.09.16.s18.

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Abu Arra, Ahmed Yahya, Ahmad Ayed, Dalia Toqan, Mohammed Albashtawy, Basma Salameh, Adnan Lutfi Sarhan, and Ahmad Batran. "The Factors Influencing Nurses’ Clinical Decision-Making in Emergency Department." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 60 (January 2023): 004695802311520. http://dx.doi.org/10.1177/00469580231152080.

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In an emergency, making the correct decision is vital. It is a necessary element of professional nursing care, and the ability of nurses to make successful clinical decisions is the most critical element influencing care quality. The purpose of this study was to assess the factors influencing nurses’ clinical decision-making in the emergency department of Palestinan hospitals. A cross-sectional study was targeted at all nurses working in emergency departments at the Palestinian hospitals. The study was completed with 227 nurses, and collecting data was performed with the Clinical Decision Making in Nursing Scale. Results of the study revealed that the average score for the total clinical decision-making score was 3.3 (SD = 0.23). The subscales of clinical decision making were “search for alternatives or options,” “canvassing of objectives and values,” “evaluation and reevaluation of consequences,” and “search for information and unbiased assimilation of new information.” Furthermore, multiple linear regression analysis revealed that degree and work hours accounted for 11.7% of the variance in clinical decision-making. The study confirmed the average score for clinical decision-making was slightly higher than the average score. Also, it approved that nursing degree and work hours were predictors of clinical decision-making among nurses in emergency departments.

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Rubio-Navarro, Alfonso, Diego José García-Capilla, Maria José Torralba-Madrid, and Jane Rutty. "Decision-making in an emergency department: A nursing accountability model." Nursing Ethics 27, no. 2 (July 18, 2019): 567–86. http://dx.doi.org/10.1177/0969733019851542.

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Introduction: Nurses who work in an emergency department regularly care for acute patients in a fast-paced environment, being at risk of suffering high levels of burnout. This situation makes them especially vulnerable to be accountable for decisions they did not have time to consider or have been pressured into. Research objective: The objective of this study was to find which factors influence ethical, legal and professional accountability in nursing practice in an emergency department. Research design: Data were analysed, codified and triangulated using qualitative ethnographic content analysis. Participants and research context: This research is set in a large emergency department in the Midlands area of England. Data were collected from 186 nurses using participant observation, 34 semi-structured interviews with nurses and ethical analysis of 54 applicable clinical policies. Ethical considerations: Ethical approval was granted by two research ethics committees and the National Health Service Health Research Authority. Results: The main result was the clinical nursing accountability cycle model, which showed accountability as a subjective concept that flows between the nurse and the healthcare institution. Moreover, the relations among the clinical nursing accountability factors are also analysed to understand which factors affect decision-making. Discussion: The retrospective understanding of the factors that regulate nursing accountability is essential to promote that both the nurse and the healthcare institution take responsibility not only for the direct consequences of their actions but also for the indirect consequences derived from previous decisions. Conclusion: The decision-making process and the accountability linked to it are affected by several factors that represent the holistic nature of both entities, which are organised and interconnected in a complex grid. This pragmatic interpretation of nursing accountability allows the nurse to comprehend how their decisions are affected, while the healthcare institution could act proactively to avoid any problems before they happen.

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Alba, Barbara. "Factors that impact on emergency nurses’ ethical decision-making ability." Nursing Ethics 25, no. 7 (November 10, 2016): 855–66. http://dx.doi.org/10.1177/0969733016674769.

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Background: Reliance on moral principles and professional codes has given nurses direction for ethical decision-making. However, rational models do not capture the emotion and reality of human choice. Intuitive response must be considered. Research purpose: Supporting intuition as an important ethical decision-making tool for nurses, the aim of this study was to determine relationships between intuition, years of worked nursing experience, and perceived ethical decision-making ability. A secondary aim explored the relationships between rational thought to years of worked nursing experience and perceived ethical decision-making ability. Research design and context: A non-experimental, correlational research design was used. The Rational Experiential Inventory measured intuition and rational thought. The Clinical Decision Making in Nursing Scale measured perceived ethical decision-making ability. Pearson’s r was the statistical method used to analyze three primary and two secondary research questions. Participants: A sample of 182 emergency nurses was recruited electronically through the Emergency Nurses Association. Participants were self-selected. Ethical considerations: Approval to conduct this study was obtained by the Adelphi University Institutional Review Board. Findings: A relationship between intuition and perceived ethical decision-making ability ( r = .252, p = .001) was a significant finding in this study. Discussion: This study is one of the first of this nature to make a connection between intuition and nurses’ ethical decision-making ability. Conclusion: This investigation contributes to a broader understanding of the different thought processes used by emergency nurses to make ethical decisions.

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Grieve, DL. "Decision making in emergency nursing M Mancini Decision making in emergency nursing B C Decker 224pp £19.95 1-55664-003-X." Nursing Standard 2, no. 30 (April 30, 1988): 52. http://dx.doi.org/10.7748/ns.2.30.52.s85.

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Mirhaghi, A., G. R. Mohammadi, and M. Asghari. "(A260) Triage Decision-Making in Intoxication." Prehospital and Disaster Medicine 26, S1 (May 2011): s71—s72. http://dx.doi.org/10.1017/s1049023x11002445.

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Background and AimsDecision-making is the major component in triaging EDs patients. EDs Triage systems have applied different approaches to triaging intoxicated patients. Pros & Cons for these approaches need to be identified. Aim is to analysis management of intoxicated patients during various triage process.MethodsCritical review includes five triage systems, Emergency Severity Index, Australasian Triage Scale, Canadian triage and Acuity Scale, Manchester Triage System and 5-tier Triage protocol. These systems have been analyzed via meta-synthesis in terms of evidence-based criteria, inclusiveness, specific application and practicability.ResultsGeneral physiologic signs & symptoms were the gold standard for determining acuity in patients that have been applied by all triage systems. Conscious level, air way, respiratory status and circulation assessment were identified as major criteria in decision-making. 5-tier Triage protocol showed the most comprehensiveness characteristics to prioritizing intoxicated patients.DiscussionResources necessary for evidence-based performance to support nursing decisions in triaging intoxicated patients needs fundamentally to be developed. It`s necessary to develop National Triage Scale to approach intoxicated patients effectively.

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Beaulieu, Richard, Susan M. Kools, Holly Powell Kennedy, and Janice Humphreys. "Young Adult Couples’ Decision Making Regarding Emergency Contraceptive Pills." Journal of Nursing Scholarship 43, no. 1 (January 14, 2011): 41–48. http://dx.doi.org/10.1111/j.1547-5069.2010.01381.x.

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Wang, Li-Hsiang, Suzanne Goopy, Chun-Chih Lin, Alan Barnard, Chin-Yen Han, and Hsueh-Erh Liu. "The emergency patient's participation in medical decision-making." Journal of Clinical Nursing 25, no. 17-18 (May 1, 2016): 2550–58. http://dx.doi.org/10.1111/jocn.13296.

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Peate, Ian. "Nursing Knowledge and Practice: Foundations for decision making Maggie Mallik Nursing Knowledge and Practice: Foundations for decision making Carol Hall David Howard (Eds)Elsevier£29.99504pp97807020294000702029408." Emergency Nurse 17, no. 6 (October 6, 2009): 9. http://dx.doi.org/10.7748/en.17.6.9.s15.

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Willinsky, J. L., and I. Hyun. "P140: Emergency department decision-making for incapacitated and unrepresented patients: a comprehensive review of the literature." CJEM 18, S1 (May 2016): S124—S125. http://dx.doi.org/10.1017/cem.2016.314.

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Introduction: Incapacitated patients who lack substitute decision-makers (SDM) are commonly encountered in the emergency department (ED). The number of these patients will rise dramatically as the Baby Boomers age. We can expect an influx of elderly patients who lack decisional capacity due to dementia and other illnesses, and who present without family. It is estimated that 3 to 4 percent of U.S. nursing home residents have no SDM or advance directives. Medical decision-making for this cohort poses an ethical challenge, particularly in the ED setting. Methods: A comprehensive review of the literature was conducted surrounding decision-making for incapacitated and unrepresented patients in the hospital setting. Articles were identified using MEDLINE (1946-October 2015) and Embase (1974-October 2015). The reference lists of relevant articles were hand searched. Articles describing decision-making processes that have been proposed, tested or applied in practice were chosen for full review. The aim of this review was to outline recognized medical decision-making processes for incapacitated and unrepresented patients, and to identify areas for future research. Results: The search yielded 20 articles addressing decision-making for incapacitated and unrepresented patients in the hospital setting. All of these articles focus on the intensive care unit and other hospital wards; no literature on the ED setting was found. Five types of formal consulting bodies exist to assist physicians in applying the best interest standard for this patient cohort: internal hospital ethics committees, external ethics committees, public guardians, court-appointed guardians, or judges. The majority of decisions for these patients, however, are made informally by a single physician or by a healthcare team, although it is well recognized that this approach lacks appropriate safeguards. There is no consensus surrounding the optimal approach to decision-making in these cases, and as such there is significant inconsistency in how medical decisions are made for these patients. Conclusion: There are several articles describing decision-making processes for incapacitated and unrepresented patients, none of which focus on the ED. These processes are not practical for use in the ED. Further inquiry is needed into the most ethical and respectful method of decision-making for this patient cohort in the ED.

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Schmitz, Brenda D., Susan L. MacLean, and Helen M. Shidler. "An Emergency Pursuit Game: A Method for Teaching Emergency Decision-Making Skills." Journal of Continuing Education in Nursing 22, no. 4 (July 1991): 152–58. http://dx.doi.org/10.3928/0022-0124-19910701-07.

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Cioffi, J. "Decision making by emergency nurses in triage assessments." Accident and Emergency Nursing 6, no. 4 (October 1998): 184–91. http://dx.doi.org/10.1016/s0965-2302(98)90077-7.

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Ranieri, Piera, Angelo Bianchetti, Ilaria Badini, and Marco Trabucchi. "Family and Emergency Decision Making in Noncompetent Very Old Patients." Journal of the American Medical Directors Association 10, no. 5 (June 2009): 363. http://dx.doi.org/10.1016/j.jamda.2009.03.008.

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Hosseini, Seyyed Mohammad Reza, Mohammadreza Maleki, Hasan Abolghasem Gorji, Davoud Khorasani-Zavareh, and Masoud Roudbari. "Factors affecting emergency medical dispatchers’ decision-making: a qualitative study." Journal of Multidisciplinary Healthcare Volume 11 (August 2018): 391–98. http://dx.doi.org/10.2147/jmdh.s159593.

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Ahsan, Ahsan, Ni Luh Diah Ayu Sita Dewi, Ali Haedar, and Ike Nesdia Rahmawati. "Factors Associated to Basic Emergency Obstetric Neonatal Care (BEONC) Nurses' Decision Making Skill." Jurnal Keperawatan Soedirman 13, no. 2 (November 18, 2018): 64. http://dx.doi.org/10.20884/1.jks.2018.13.2.732.

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<em><span lang="EN-US">Neonatal mortality rate (NMR) is an indicator to measure health degree of an area, health problem which involves some institutions to take a decision. The postponement of emergency condition recognition, attaining health facilities, and treatment are three theories of neonatal emergency postponement. The prominent problem of postponement of emergency condition recognition is nurse's ability to think critically to take a decision to determine emergency condition in neonatal. Critical thinking skill is an obligation competence for neonatal emergency nurses. Some theories reveal that characteristic of age, gender, educational background, training and tertiary education, working experience, and employment status influence nurses's decision making skill in treating neonatal emergency case. Different curriculum for introduction to critical thinking in treating neonatal emergency is a basis problem to be a neonatal emergency competent nurse. This research aims to analyze age, gender, education, advance training, experience, and employment status towards decision making skill neonatal emergency implementation at community health care center PONED. This research used cross sectional with purposive sampling. One hundred fifty three (153) nurses were invoked to be the subjects of this research. Besides, this research used Closed Ended Instrument. Based on the results of cross table, p value p>0.05 age, training, working experience and employment status were not related to decision making skill in emergency. Furthermore, male and bachelor of nursing science (p<0.05) is decision making skill of nurses in neonatal emergency. It is concluded that gender and nurse's educational background related to situation awareness. The results of this research are expected to encourage on service quality enhancement of neonatal emergency treatment.</span></em>

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Rasku, Tuija, Mika Helminen, Marja Kaunonen, Elizabeth Thyer, Eija Paavilainen, and Katja Joronen. "A Retrospective Review of Patient Records and Factors Associated with Decisions Made by Community Nurse-Paramedics’ in Finland." Nursing Reports 11, no. 3 (August 31, 2021): 690–701. http://dx.doi.org/10.3390/nursrep11030065.

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Community paramedicine (CP) has extended the role of paramedics and the main goal is to provide non-emergency care, which reduces the visits to emergency departments. The aim of this study was to describe the Finnish CP and examine the factors that were involved in CNPs’ decision-making processes. The study was based on data from 450 consecutive CP patient records from three hospital districts. A more detailed analysis was carried out on 339 cases in patients’ homes and elderly care homes, and the data analysis included multivariate logistic regression to examine the impact of variables on the CNPs’ decisions. These patients’ most common health issues were general weakness (15.9%) and fever (10.6%), and over half (58.7%) could remain at home after the CP visit. There were five independent factors associated with the CNPs’ decisions of the patient’s care continuum: the hospital district, if the patient could walk, whether the troponin test was performed, a physician was consulted, and the nature of the task. CP units played a valuable role in non-emergency care. Understanding the factors associated with CNP decision-making can increase the safety and effectiveness of reducing hospital visits, by providing patient care at home, or in elderly care facilities.

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Currey, Judy, and Linda Worrall-Carter. "Making decisions: nursing practices in critical care." Australian Critical Care 14, no. 3 (August 2001): 127–31. http://dx.doi.org/10.1016/s1036-7314(01)80030-8.

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Crossetti, Maria da Graça Oliveira, Greicy Kelly Gouveia Dias Bittencourt, Ana Amélia Antunes Lima, Marta Georgina Oliveira de Góes, and Gislaine Saurin. "Structural elements of critical thinking of nurses in emergency care." Revista Gaúcha de Enfermagem 35, no. 3 (September 2014): 55–60. http://dx.doi.org/10.1590/1983-1447.2014.03.45947.

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The objective of this study was to analyze the structural elements of critical thinking (CT) of nurses in the clinical decision-making process. This exploratory, qualitative study was conducted with 20 emergency care nurses in three hospitals in southern Brazil. Data were collected from April to June 2009, and a validated clinical case was applied from which nurses listed health problems, prescribed care and listed the structural elements of CT. Content analysis resulted in categories used to determine priority structural elements of CT, namely theoretical foundations and practical relationship to clinical decision making; technical and scientific knowledge and clinical experience, thought processes and clinical decision making: clinical reasoning and basis for clinical judgments of nurses: patient assessment and ethics. It was concluded that thinking critically is a skill that enables implementation of a secure and effective nursing care process.

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Chen, Fujuan, Xueying Xiao, Youshan Ni, Yanan Zhu, and Xiao Li. "Analysis of Risk Factors of Hospital Emergency Nursing Based on Comprehensive Nursing Methods." Computational and Mathematical Methods in Medicine 2021 (December 14, 2021): 1–11. http://dx.doi.org/10.1155/2021/1077358.

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In order to improve the comprehensive nursing effect of the hospital emergency treatment, this paper analyzes the process of the hospital emergency treatment. In addition, this paper combines the possible risks to analyze the risk factors of the comprehensive nursing in the hospital emergency treatment and builds an intelligent analysis model based on the actual situation of the hospital emergency treatment. At the same time, this paper conducts a systematic survey of emergency services and gives the composition and structure of the system. In addition, this paper divides the business required by the system into modules, including registration module, doctor workstation, nurse workstation, query statistics module, decision-making module, and maintenance module. Finally, this paper suggests that in the process of the clinical triage, more ideas for improving the existing evaluation model should be proposed, and experience should be transformed into advantages, so as to improve emergency triage skills; establish an objective, quantitative, and scientific concept of emergency classification and triage; and fully realize scientific triage and precise triage.

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Bond, Susan, and Simon Cooper. "Modelling emergency decisions: recognition-primed decision making. The literature in relation to an ophthalmic critical incident." Journal of Clinical Nursing 15, no. 8 (August 2006): 1023–32. http://dx.doi.org/10.1111/j.1365-2702.2006.01399.x.

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Wueste, Daniel E. "A Philosophical YetUser-friendly Framework For Ethical Decision Making in Critical Care Nursing." Dimensions of Critical Care Nursing 24, no. 2 (March 2005): 70–79. http://dx.doi.org/10.1097/00003465-200503000-00006.

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Fitzgerald, Kristin, Lori Pelletier, and Martin A. Reznek. "A Queue-Based Monte Carlo Analysis to Support Decision Making for Implementation of an Emergency Department Fast Track." Journal of Healthcare Engineering 2017 (2017): 1–8. http://dx.doi.org/10.1155/2017/6536523.

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Emergency departments (EDs) are seeking ways to utilize existing resources more efficiently as they face rising numbers of patient visits. This study explored the impact on patient wait times and nursing resource demand from the addition of a fast track, or separate unit for low-acuity patients, in the ED using a queue-based Monte Carlo simulation in MATLAB. The model integrated principles of queueing theory and expanded the discrete event simulation to account for time-based arrival rates. Additionally, the ED occupancy and nursing resource demand were modeled and analyzed using the Emergency Severity Index (ESI) levels of patients, rather than the number of beds in the department. Simulation results indicated that the addition of a separate fast track with an additional nurse reduced overall median wait times by 35.8 ± 2.2 percent and reduced average nursing resource demand in the main ED during hours of operation. This novel modeling approach may be easily disseminated and informs hospital decision-makers of the impact of implementing a fast track or similar system on both patient wait times and acuity-based nursing resource demand.

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Pearce, Lynne. "How will a new safe staffing tool support decision-making in the emergency department?" Emergency Nurse 30, no. 2 (March 1, 2022): 10–11. http://dx.doi.org/10.7748/en.30.2.10.s3.

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Cioffi, J. "Triage decision making: Educational strategies." Accident and Emergency Nursing 7, no. 2 (April 1999): 106–11. http://dx.doi.org/10.1016/s0965-2302(99)80031-9.

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Hirano, Yuko, and Yoshihiko Yamazaki. "Ethical issues in invasive mechanical ventilation for amyotrophic lateral sclerosis." Nursing Ethics 17, no. 1 (January 2010): 51–63. http://dx.doi.org/10.1177/0969733009350945.

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Currently in Japan, discontinuing an invasive mechanical ventilator (IMV) is illegal; therefore IMV-related decision making is a crucial issue. This study examined IMV decision-making factors and psychological conflict in 50 patients with amyotrophic lateral sclerosis. The Herth Hope Index was used for the assessment of pre- and post-IMV conflict. Interviews identified some decision-making factors: patient’s decision, patient’s and family’s mutual decision, family’s decision, and emergency-induced without patient’s or family’s consent. Participants who experienced no IMV-related regret received sufficient prior IMV education from physicians and nurses, and time for reflection and family consultation. Their hope was similar to their pre-onset levels. Patients who received no prior IMV education accepted treatment as a natural progression. Their hope levels were lower than pre-onset. Those who received only a brief prior IMV explanation rejected the ventilator, experiencing regret if they were given an emergency IMV. Their hope levels were among the lowest. However, some of these patients managed to overcome their regret through being helped by nurses. Sufficient physician explanation and nursing advocacy for autonomous patient decision making are critical for improving hope in this patient group.

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Ek, Bosse, and Marianne Svedlund. "Registered nurses' experiences of their decision-making at an Emergency Medical Dispatch Centre." Journal of Clinical Nursing 24, no. 7-8 (October 2, 2014): 1122–31. http://dx.doi.org/10.1111/jocn.12701.

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Paese, Fernanda, Grace Teresinha Marcon Dal Sasso, and Gabriela Winter Colla. "Structuring methodology of the Computerized Nursing Process in Emergency Care Units." Revista Brasileira de Enfermagem 71, no. 3 (May 2018): 1079–84. http://dx.doi.org/10.1590/0034-7167-2016-0619.

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ABSTRACT Objective: To structure the Computerized Nursing Process using the International Classification for Nursing Practice (ICNP®) version 2.0 to emergency care units in a computerized structure. Method: This is a methodological and technological research that followed the stages: (1) establishment of the development team and resources; (2) adequacy of clinical situations, diagnoses and nursing interventions for the emergency area; (3) association of diagnoses and interventions based on ICNP®; (4) organization and codification of clinical evaluation, diagnoses and nursing interventions; (5) transfer of data to the a computerized platform. Results: Readjustment and construction of 1,445 possibilities of clinical evaluations associated with 961 different diagnoses and their corresponding interventions to the most frequent situations in emergency services. Conclusion: ICNP® has a strong and solid form for the development of the computerized nursing process able to support nurses in safe decision-making to improve the quality of health care.

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Wei, Nian, Yuehui Du, and Shiyu Chen. "Application of Doctor-Nurse-Patient Co-Decision-Making Nursing Intervention Based on Evidence-Based Problems in the Rehabilitation of Acute Ankle Lateral Collateral Ligament Injury." Emergency Medicine International 2022 (August 19, 2022): 1–6. http://dx.doi.org/10.1155/2022/2363230.

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Objective. The aim of this study is to study the application effects of doctor-nurse-patient co-decision-making nursing intervention based on evidence-based problems in the rehabilitation of acute ankle lateral collateral ligament injury. Methods. 150 patients with acute ankle lateral collateral ligament injury who were treated in the hospital between December 2020 and December 2021 were selected, and they were divided into the routine group and the evidence-based group by the random number table method, with 75 cases in each group. The patients in the routine group received routine nursing intervention, while the patients in the evidence-based group adopted doctor-nurse-patient co-decision-making nursing intervention based on evidence-based problems, and both groups were intervened for 1 month. The rehabilitation time (swelling subsidence time, fixation removal time, and normal walking time), ankle active range of motion (dorsiflexion and plantar flexion), ankle function (ankle Kofoed score) before and after intervention, and the total incidence rate of complications (tendon injury, ankylosis, and traumatic arthritis) within 1 month of intervention were compared between the two groups of patients. Results. The swelling subsidence time, fixed removal time, and normal walking time in the evidence-based group were significantly shorter than those in the routine group ( P < 0.05 ). After 1 month of intervention, the ranges of motion of dorsiflexion and plantar flexion and ankle Kofoed scores of the two groups were significantly higher than those before intervention, and the abovementioned indicators in the evidence-based group were significantly higher than those in the routine group ( P < 0.05 ). Within 1 month of intervention, the total incidence rate of tendon injury, ankylosis, and traumatic arthritis was significantly lower in the evidence-based group than that in the routine group ( P < 0.05 ). Conclusion. Nursing intervention of doctor-nurse-patient co-decision-making based on evidence-based problems in patients with acute ankle lateral collateral ligament injury can promote postoperative rehabilitation and restore the ankle function of patients.

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Lei, Yan, Linxiang He, and Houqiang Huang. "Enhancement of Nursing Effect in Emergency General Surgery Based on Computer Aid." Journal of Healthcare Engineering 2022 (March 10, 2022): 1–10. http://dx.doi.org/10.1155/2022/6745993.

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In order to improve the nursing effect of emergency general surgery, this paper combines computer algorithms to carry out the intelligent management of general surgery nursing, and realizes the standardization of nursing information, the electronic nursing file, the precision of nursing workload, and the intelligentization of nursing quality control by means of informatization. This truly and objectively reflects the nursing operation and treatment situation, prevents the occurrence of some adverse events, and effectively reduces the workload of nursing care. Moreover, this paper uses a standardized software design method to define the software concept, and then conducts a detailed demand analysis of the nursing display function through detailed investigation, class work, discussion and analysis, and comparison decision-making methods. In addition, this paper compiles the software through strict coding standards, and finally designs test cases to test and improve the software. Through actual case studies, it can be seen that the computer-assisted emergency general surgery nursing method proposed in this paper has a certain progress compared with the traditional nursing method.

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Du, Jingrong, Sang Huang, Qing Lu, Lin Ma, Kailan Lai, and Kun Li. "Influence of empathy and professional values on ethical decision-making of emergency nurses: A cross sectional study." International Emergency Nursing 63 (July 2022): 101186. http://dx.doi.org/10.1016/j.ienj.2022.101186.

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Cavender, Barbara Sechrist. "Nursing Diagnoses and Interventions in Bronchopulmonary Dysplasia: A Case Study." AACN Advanced Critical Care 1, no. 2 (August 1, 1990): 331–38. http://dx.doi.org/10.4037/15597768-1990-2012.

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Bronchopulmonary dysplasia (BPD) requires collaborative management in the pediatric health care setting. Because of the nature of the medical diagnoses, BPD can be viewed by nurses using selected nursing diagnoses. With the pediatric client, nursing diagnoses can assist the nurse to identify system alterations, and thereby address nursing interventions most appropriate for the child. Nursing interventions are based on collaborative decision making using both medical and nursing diagnoses. This case study will identify selected nursing diagnoses useful in the care of the child with BPD and nursing interventions used to treat frequently occurring health problems

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McClelland, Heather M. "Ethics in nursing practice – a guide to ethical decision making (2nd edn)." Accident and Emergency Nursing 11, no. 3 (July 2003): 192. http://dx.doi.org/10.1016/s0965-2302(03)00016-x.

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Leopardi, Marco, and Marco Sommacampagna. "Emergency Nursing Staff Dispatch: Sensitivity and Specificity in Detecting Prehospital Need for Physician Interventions During Ambulance Transport in Rovigo Emergency Ambulance Service, Italy." Prehospital and Disaster Medicine 28, no. 5 (August 15, 2013): 523–28. http://dx.doi.org/10.1017/s1049023x13008790.

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AbstractIntroductionIn Italy, administration of medications or advanced procedures dictates the prehospital presence of a physician to initiate treatment. Nursing staff is often used as dispatchers in Italian emergency medical ambulance services. There is little data about nursing dispatch performance in detecting high-acuity patients who need prehospital medications and procedures.ObjectiveTo determine the ability of a dispatch center staffed by emergency ambulance nurses to detect prehospital need for physician interventions in the context of a semi-rural area Emergency Medical Services system.MethodsA retrospective analysis of 53,606 calls from the Rovigo Emergency Ambulance Services’ database was undertaken. Physician prehospital interventions were defined as the administration of medications or procedures (advanced airway management and ventilation, pneumothorax decompression, fluid replacement therapy, external defibrillation, cardioversion and pacing). The dispatch codes (assigned by a subjective decision-making process as Red, Yellow, or Green) of all transported prehospital patient calls were matched with an out-of-hospital triage system staffed by clinicians to determine the number of correctly identified prehospital need of physician interventions. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated.ResultsThe sensitivity of subjective experience-based nursing dispatch in detecting the need for physician interventions was 78.0% (95% CI, 76.9%-79.1%), with a PPV of 36.6% (95% CI, 35.8%-37.5%). Specificity was 83.8% (95% CI: 83.4%-84.1%), with an NPV of 96.9% (95% CI, 96.8%-97.1%).ConclusionA dispatch center staffed by nurses with six years of experience and three months of training correctly identified when not to send a doctor to the scene in the absence of need for physician interventions, using a subjective decision-making process. The nurses staffing the dispatch center also worked in the field. Dispatch center staff were not able to predict when there was no need for physician interventions in high-acuity dispatch code patients, resulting in an over-triage and use of emergency physicians on scene.LeopardiM, SommacampagnaM.Emergency nursing staff dispatch: sensitivity and specificity in detecting prehospital need for physician interventions during ambulance transport in Rovigo Emergency Ambulance Service, Italy. Prehosp Disaster Med. 2013;28(5):1-6.

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Yang, Jiayi, Xinli Wan, Pengyu Yu, and Xiaobo Li. "Factors affecting the triage decision-making ability of emergency nurses in Northern China: A multi-center descriptive survey." International Emergency Nursing 67 (March 2023): 101264. http://dx.doi.org/10.1016/j.ienj.2023.101264.

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Lightbody, Calvin. "P-22 Decision making around end of life care in the emergency department." BMJ Supportive & Palliative Care 7, Suppl 1 (March 2017): A8.2—A8. http://dx.doi.org/10.1136/bmjspcare-2017-00133.22.

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Yu, Miao, Dimitrios Kollias, James Wingate, Niro Siriwardena, and Stefanos Kollias. "Machine Learning for Predictive Modelling of Ambulance Calls." Electronics 10, no. 4 (February 18, 2021): 482. http://dx.doi.org/10.3390/electronics10040482.

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A novel machine learning approach is presented in this paper, based on extracting latent information and using it to assist decision making on ambulance attendance and conveyance to a hospital. The approach includes two steps: in the first, a forward model analyzes the clinical and, possibly, non-clinical factors (explanatory variables), predicting whether positive decisions (response variables) should be given to the ambulance call, or not; in the second, a backward model analyzes the latent variables extracted from the forward model to infer the decision making procedure. The forward model is implemented through a machine, or deep learning technique, whilst the backward model is implemented through unsupervised learning. An experimental study is presented, which illustrates the obtained results, by investigating emergency ambulance calls to people in nursing and residential care homes, over a one-year period, using an anonymized data set provided by East Midlands Ambulance Service in United Kingdom.

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Edwards, Michelle, Alison Cooper, Thomas Hughes, Freya Davies, Delyth Price, Pippa Anderson, Bridie Evans, et al. "The effectiveness of primary care streaming in emergency departments on decision-making and patient flow and safety – A realist evaluation." International Emergency Nursing 62 (May 2022): 101155. http://dx.doi.org/10.1016/j.ienj.2022.101155.

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Haley, Campbell Belisle, and David Mackenzie. "Cat got your artery? Point of care ultrasound in the evaluation of penetrating trauma by a feline: a case report." Clinical and Experimental Emergency Medicine 9, no. 1 (March 31, 2022): 63–66. http://dx.doi.org/10.15441/ceem.20.065.

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Point of care ultrasound is an important tool for diagnosis of musculoskeletal and vascular pathology in patients presenting to the emergency department. Superficial vascular and soft tissue structures are well-visualized at the bedside using modern ultrasound systems and have image characteristics that can be rapidly identified. This report describes the use of point of care ultrasound to distinguish between rapidly progressive soft tissue infection and vascular injury following penetrating trauma from a cat scratch. Ultrasound allowed the physician to rapidly make accurate decisions about the next necessary steps in the patient’s care. Point of care ultrasound provides immediate diagnostic information to supplement indeterminate physical examination findings. In this case, it allowed the treating physician to make the diagnosis of arterial injury using ultrasound image characteristics. An integrative approach to ultrasonography of superficial musculoskeletal and vascular structures could enhance clinical decision making and improve care of patients with similar complaints.

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Long, Bronwyn, Lauren Clark, and Paul Cook. "Surrogate Decision Making for Patients With Severe Traumatic Brain Injury." Journal of Trauma Nursing 18, no. 4 (2011): 204–12. http://dx.doi.org/10.1097/jtn.0b013e31823a453a.

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Hung, Chun-Hua, Yi-Hua Lee, De-Chi Lee, Yuan-Ping Chang, and Chih-Chung Chow. "The mediating and moderating effects of shared decision making and medical autonomy on improving medical service satisfaction in emergency observation units." International Emergency Nursing 60 (January 2022): 101101. http://dx.doi.org/10.1016/j.ienj.2021.101101.

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King, Rachel, Tom Sanders, and Angela Tod. "Shortcuts in knowledge mobilization: An ethnographic study of advanced nurse practitioner discharge decision‐making in the emergency department." Journal of Advanced Nursing 77, no. 7 (March 21, 2021): 3156–67. http://dx.doi.org/10.1111/jan.14834.

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Rottman, Steven J., Kimberley I. Shoaf, Jennifer Schlesinger, Eva Klein Selski, Joey Perman, Kerry Lamb, and Janet Cheng. "Pandemic Influenza Triage in the Clinical Setting." Prehospital and Disaster Medicine 25, no. 2 (April 2010): 99–104. http://dx.doi.org/10.1017/s1049023x00007792.

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AbstractIntroduction:There has been much federal and local health planning for an influenza pandemic in the United States, but little is known about the ability of the clinical community to deal quickly and effectively with a potentially overwhelming surge of pandemic influenza patients.Problem:The attitudes and expectations of emergency physicians, emergency nurses, hospital nursing supervisors, hospital administrators, and infection control personnel concerning clinical care in a pandemic were assessed.Methods:Key informant structured interviews of 46 respondents from 34 randomly selected emergency receiving hospitals in Los Angeles County were conducted using an Institutional Review Board-approved protocol. The interview asked about supplies/resources, triage, quality of care, and decision-making. At the conclusion of each interview, the informant was asked to provide the contact information for at least two others within their respective professional group. Interviews were transcribed and coded for key themes using qualitative analytical software.Results:There was little salience that an influx of variably ill patients with influenza would force stratified healthcare decision-making. There also was a general lack of preparation to address the ethics and practices of triaging patients in the clinical setting of a pandemic.Conclusions:Guidelines must be developed in concert with public health, medical society, and legislative authorities to help clinicians define, adopt, and communicate to the public those practice standards that will be followed in a mass population, infectious disease emergency.

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Fry, Margaret, and Colleen Stainton. "An educational framework for triage nursing based on gatekeeping, timekeeping and decision-making processes." Accident and Emergency Nursing 13, no. 4 (October 2005): 214–19. http://dx.doi.org/10.1016/j.aaen.2005.09.004.

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Cioffi, Jane. "Nurses' experiences of making decisions to call emergency assistance to their patients." Journal of Advanced Nursing 32, no. 1 (July 2000): 108–14. http://dx.doi.org/10.1046/j.1365-2648.2000.01414.x.

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Dalgord, Rhian E., Anne Stein, and Mary Franczek. "Improving advance care planning and shared decision-making for veterans." Nursing 52, no. 3 (March 2022): 54–59. http://dx.doi.org/10.1097/01.nurse.0000820052.63068.fc.

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Negrette, Juan Carlos. "Opportunity Cost Analysis for Emergency Medical Teams: A Tool for Policy Making Support." Prehospital and Disaster Medicine 37, S2 (November 2022): s106. http://dx.doi.org/10.1017/s1049023x22002059.

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Background/Introduction:To some planners, allocating resources for emergency response may look unnecessary if not wasteful. Low-probability events can be perceived as unlikely, and for that reason, not worth considering within the regular planning structure. This is almost a dictum when planners must operate in a low-resource setting, where competition for available resources favors an approach that focuses in addressing pressing, not eventual needs.Objectives:Understanding this context, it is also important for planners to consider the importance of systemic resiliency, implicit in the early utilization of Emergency Medical Teams for disasters mitigation, and for that reason, as necessary instruments to reduce impact - in terms of lives lost - and cost - financial and social - of medical emergencies that result from natural and man-made disasters.Method/Description:Conducting an adverted DALYs cost analysis of a recent disaster is an instrument that could help policy, decision makers, and planners in general gain greater visualization of the potential social and financial costs reduction associated to the implementation of EMTs and, as a corollary, acknowledge the importance of preparation for necessary systemic resilience and its impact in equity and societal well-being.Results/Outcomes:Initial analysis shows that preparation for early responses by EMTs to mitigate disasters can result in lower costs while reducing overall mortality and morbidity and potentially favoring faster systemic recovery.Conclusion:The approach utilized requires improvement and expanded discussion with experts and beneficiaries will most likely result in its refinement and advancement.

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Garcia, Samuel, Summer Ghaith, Gregory Moore, Rachel Lindor, and Sara Hevesi. "Let’s Be Honest: These Medical Malpractice Cases Were a Pain in the Back." Clinical Practice and Cases in Emergency Medicine 6, no. 1 (February 28, 2022): 8–12. http://dx.doi.org/10.5811/cpcem.2022.1.54908.

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Introduction: This series reviews three cases of back pain where a highly morbid diagnosis was missed by an emergency physician and subsequently successfully litigated. Case Report: We review the clinical entities of spinal epidural abscess and cauda equina syndrome, challenging diagnoses that can be easily missed and lead to patient harm if not treated promptly. Here we offer suggestions for recognizing these conditions quickly, performing an adequate history and exam, and using documentation to support decision-making. Conclusion: When confronted with an unfortunate medical outcome, maintaining honesty is of paramount importance in medical-legal environments.

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George, Tracy P. "How nurses can encourage shared decision making." Nursing 43, no. 8 (August 2013): 65–66. http://dx.doi.org/10.1097/01.nurse.0000431767.44118.c3.

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Guerrero-Martínez, Ignacio Manuel, Francisco Javier Portero-Prados, Rocío Cándida Romero-González, Rocío Romero-Castillo, Manuel Pabón-Carrasco, and José Antonio Ponce-Blandón. "Nursing Students’ Perception on the Effectiveness of Emergency Competence Learning through Simulation." Healthcare 8, no. 4 (October 13, 2020): 397. http://dx.doi.org/10.3390/healthcare8040397.

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(1) Background: Simulation is a part of the day-to-day of the learning method in health sciences. The objective is to determine if the clinical simulation is useful for learning in the emergency setting, from the point of view of the nursing students. (2) Methods: A pre- and post-test exploratory study with an analytical and quasi-experimental design was used. The population is made up of nursing students from the Seville Red Cross Nursing Centre, who conducted a simulation exercise in the form of a drill for the care of multiple victims. A specific questionnaire was employed as a tool to analyse the dimensions of satisfaction, confidence and motivation, clinical experience, and decision making and technical abilities. (3) Results: There were favourable significant differences in the set of global responses, with p < 0.0001 for the “satisfaction” dimension and d = 1.25 for the “large” size of the effect, and p < 0.0069 for the “confidence and motivation” dimension and d = 0.58 for the “moderate–large” size of the effect. (4) Conclusions: The results are similar to those obtained in other studies in the scope of the 4 dimensions studied, thus coming to the conclusion that the perception of the nursing students on learning through clinical simulation is positive and favourable.

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Brockopp, D., E. Downey, P. Powers, B. Vanderveer, S. Warden, P. Ryan, and U. Saleh. "Nurses’ clinical decision-making regarding the management of pain." Accident and Emergency Nursing 12, no. 4 (October 2004): 224–29. http://dx.doi.org/10.1016/j.aaen.2004.01.008.

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Journal articles on the topic 'Emergency nursing Decision making'

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