Дисертації з теми "Emergency nursing Decision making"
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Pugh, Dale M. "A phenomenological study of clinical decision making by flight nurse specialists in emergency situations." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1999. https://ro.ecu.edu.au/theses/1249.
Повний текст джерелаMeeks-Sjostrom, Diana. "Clinical decision-making of nurses regarding elder abuse." unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-04302008-123109/.
Повний текст джерелаTitle from file title page. Cecelia Gatson Grindel, committee chair; Anne Koci, Annette Bairan, committee members. Electronic text (144 p. : ill.) : digital, PDF file. Description based on contents viewed July 10, 2008. Includes bibliographical references (p. 82-86).
Fry, Margaret. "Triage Nursing Practice in Australian Emergency Departments 2002-2004: An Ethnography." University of Sydney, 2004. http://hdl.handle.net/2123/701.
Повний текст джерелаAlba, Barbara. "An Investigation of Intuition, Years of Worked Nursing Experience, and Emergency Nurses' Perceived Ethical Decision Making." Thesis, Adelphi University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10669616.
Повний текст джерелаThe purpose of this study was to explore the relationship between nurses' use of intuition, years of worked nursing experience, and nurses' perceived ethical decision making ability. Additionally, recognizing the relationship between the intuitive/experiential and the analytic/rational systems, this research extended beyond the intuitive/experiential system capturing analytic/rational thought. A sample of 182 nurses from the Emergency Nurses Association (ENA) was recruited for this investigation. A nonexperimental, correlational research design was used to examine the relationship between the variables. Intuition was measured using the Experiential scale of the Rational-Experiential Inventory (REI) and analytic/rational was measured using Rationality scale of the REI. Perceived ethical decision making ability was measured with the Clinical Decision Making in Nursing Scale (CDMNS) applied to an ethical dilemma within the participants own practice. Cognitive-Experiential Self-Theory (CEST) provided the theoretical framework for this study. According to CEST, information is processed by two independent, interactive conceptual systems; a preconscious intuitive/experiential system and a conscious analytic/rational system. These are thought to function parallel from yet interactively with each other. One-way ANOVAs, independent sample t-tests, Pearson's r correlation, and multiple regressions analysis provided the statistical methods used to answer nine research questions. A significant relationship was found between intuition and perceived ethical decision making (r = .252, p = .001). This contributes to a broader understanding of the different thought processes used by emergency nurses to make ethical decisions.
Kihlgren, Annica. "Older patients in transition : from home care towards emergency care /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-271-3/.
Повний текст джерелаWolf, Lisa Adams. "Testing and refinement of an integrated, ethically-driven environmental model of clinical decision-making in emergency settings." Thesis, Boston College, 2011. http://hdl.handle.net/2345/2224.
Повний текст джерелаThesis advisor: Pamela J. Grace
The purpose of the study was to explore the relationship between multiple variables within a model of critical thinking and moral reasoning that support and refine the elements that significantly correlate with accuracy and clinical decision-making. Background: Research to date has identified multiple factors that are integral to clinical decision-making. The interplay among suggested elements within the decision making process particular to the nurse, the patient, and the environment remain unknown. Determining the clinical usefulness and predictive capacity of an integrated ethically driven environmental model of decision making (IEDEM-CD) in emergency settings in facilitating accuracy in problem identification is critical to initial interventions and safe, cost effective, quality patient care outcomes. Extending the literature of accuracy and clinical decision making can inform utilization, determination of staffing ratios, and the development of evidence driven care models. Methodology: The study used a quantitative descriptive correlational design to examine the relationships between multiple variables within the IEDEM-CD model. A purposive sample of emergency nurses was recruited to participate in the study resulting in a sample size of 200, calculated to yield a power of 0.80, significance of .05, and a moderate effect size. The dependent variable, accuracy in clinical decision-making, was measured by scores on clinical vignettes. The independent variables of moral reasoning, perceived environment of care, age, gender, certification in emergency nursing, educational level, and years of experience in emergency nursing, were measures by the Defining Issues Test, version 2, the Revised Professional Practice Environment scale, and a demographic survey. These instruments were identified to test and refine the elements within the IEDEM-CD model. Data collection occurred via internet survey over a one month period. Rest's Defining Issues Test, version 2 (DIT-2), the Revised Professional Practice Environment tool (RPPE), clinical vignettes as well as a demographic survey were made available as an internet survey package using Qualtrics TM. Data from each participant was scored and entered into a PASW database. The analysis plan included bivariate correlation analysis using Pearson's product-moment correlation coefficients followed by chi square and multiple linear regression analysis. Findings: The elements as identified in the IEDEM-CD model supported moral reasoning and environment of care as factors significantly affecting accuracy in decision-making. Findings reported that in complex clinical situations, higher levels of moral reasoning significantly affected accuracy in problem identification. Attributes of the environment of care including teamwork, communication about patients, and control over practice also significantly affected nurses' critical cue recognition and selection of appropriate interventions. Study results supported the conceptualization of the IEDEM-CD model and its usefulness as a framework for predicting clinical decision making accuracy for emergency nurses in practice, with further implications in education, research and policy
Thesis (PhD) — Boston College, 2011
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
Göransson, Katarina. "Registered nurse-led emergency department triage : organisation, allocation of acuity ratings and triage decision making." Doctoral thesis, Örebro University, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-732.
Повний текст джерелаSuccessful triage is the basis for sound emergency department (ED) care, whereas unsuccessful triage could result in adverse outcomes. ED triage is a rather unexplored area in the Swedish health care system. This thesis contributes to our understanding of this complex nursing task. The main focus of this study has been on the organisation, performance, and decision making in Swedish ED triage. Specific aims were to describe the Swedish ED triage context, describe and compare registered nurses’ (RNs) allocation of acuity ratings, use of thinking strategies and the way they structure the ED triage process.
In this descriptive, comparative, and correlative research project quantitative and qualitative data were collected using telephone interviews, patient scenarios and think aloud method. Both convenience and purposeful sampling were used when identifying the participating 69 nurse managers and 423 RNs from various types of hospital-based EDs throughout the country.
The results showed national variation, both in the way triage was organised and in the way it was conducted. From an organisational perspective, the variation emerged in several areas: the use of various triageurs, designated triage nurses, and triage scales. Variation was also noted in the accuracy and concordance of allocated acuity ratings. Statistical methods provided limited explanations for these variations, suggesting that RNs’ clinical experience might have some affect on the RNs’ triage accuracy. The project identified several thinking strategies used by the RNs, indicating that the RNs, amongst other things, searched for additional information, generated hypotheses about the fictitious patients and provided explanations for the interventions chosen. The RNs formed relationships between their interventions and the fictitious patients’ symptoms. The RNs structured the triage process in several ways, beginning the process by searching for information, generating hypotheses, or allocating acuity ratings. Comparison of RNs’ use of thinking strategies and the structure of the triage process based on triage accuracy revealed only slight differences.
The findings in this dissertation indicate that the way a patient is triaged, and by whom, depends upon the particular organisation of the ED. Moreover, the large variation in RNs triage accuracy and the inter-rater agreement and concordance of the allocated acuity ratings suggest that the acuity rating allocated to a patient may vary considerably, depending on who does the allocation. That neither clinical experience nor the RNs’ decision-making processes alone can explain the variations in the RNs triage accuracy indicates that accuracy might be influenced by individual and contextual factors. Future studies investigating triage accuracy are recommended to be carried out in natural settings.
In conclusion, Swedish ED triage is permeated by diversity, both in its organisation and in its performance. The reasons for these variations are not well understood.
Duro, Carmen Lúcia Mottin. "Classificação de risco em serviços de urgência na perspectivas dos enfermeiros." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/98547.
Повний текст джерелаThe Risk Classification was deployed in emergency services in order to prioritize care, considering the severity of clinical status and need immediate attention from users. However, there are difficulties regarding the development of this activity by nurses. The objective of the study is to evaluate the triage performed at emergency services, from the nurses‘ perspective. To achieve this purpose was conducted exploratory study, quantitative measurement of opinion by the Delphi technique. The subjects answered interactive questionnaires, which circulated among the participants for three rounds, until reaching consensus. The board of experts was composed using the snowball method. Data were collected using a questionnaire available on SurveyMonkey®,an online electronic platform, and submitted to statistical analysis. It was established that consensus would be reached when 70% or more answers were equal. The findings show that triage is a tool that guides patient flow and rates clinical severity, thus contributing to reducing the waiting time for patients in severe clinical conditions, and permitting to reduce complications and sequels in emergency patients. Furthermore, the participants agreed that triage organizes the work of nurses and the emergency service. It was identified that the evaluation of the clinical condition by carefully listening to the patient‘s complaints was one of the actions that nurses used to classify the risk, and that the autonomy of this activity was considered one of its strengths. As to the necessary training to conducttriage, it was indicated that clinical knowledge should be the foundation for making decisions when establishing priorities in patient care. Professional experience was also considered important in triage to judge the priority of patient care, and intuition was pointed out as a facilitator. Nurses, therefore, must have communication skills as well as coping skills to deal with the patients‘ conflicts. Among the weaknesses, there was consensus of the disagreement that the triage environment promotes patient embracement and offers privacy. It was considered that nurse staffing per working shift is insufficient to perform triage at emergency services, in a way that the excessive demand of patients and the insufficient number of professionals can expose triage nurses to high work overload. There was also consensus regarding the disagreement of the availability of periodic training for nurses on how to use triage protocols/scales. Regarding the weaknessof the triage nurses‘ practice, it was indicated there was a lack of reevaluations of the patient‘s clinical condition during the waiting time, which could worsen the patient‘s clinical condition and harm the nurses‘ practice. In conclusion, nurses represent professional, cognitive and emotional support to triage. The findings indicate that qualification allows nurses to continue conducting triage at emergency services and will continue performing this activity in the future.
La clasificación de riesgo se desplegó en los servicios de emergencia con el fin de priorizar la atención, teniendo en cuenta la gravedad de la situación clínica y la necesidad de atención inmediata por parte de los usuarios. Sin embargo, existen dificultades en relación con el desarrollo de esta actividad por las enfermeras. El objetivo del estudio es evaluar la clasificación de riesgo los servicios de emergencia desde la perspectiva de las enfermeras. Para lograr este propósito se realizó un estudio exploratorio, la medición cuantitativa de la opinión por la técnica Delphi. Se realizaron tres rondas de aplicación de cuestionarios interactivos, que circularon entre los participantes hasta obtenerse consenso. Para conformar el panel de especialistas se utilizó la técnica de la bola de nieve. Datos recolectados mediante cuestionario ingresado en plataforma informática SurveyMonkey®, disponible online, sometidos a tratamiento estadístico. Fue estipulado como consenso un porcentaje igual o superior al 70% de respuestas. Los resultados obtenidos indicaron que la Clasificación de Riesgo es un dispositivo orientador de flujo de usuarios y de priorización de gravedad clínica, contribuyendo a disminuir el tiempo de espera de pacientes en condiciones clínicas graves y permitiendo la reducción de agravamientos y secuelas en pacientes de urgencia. Además, los participantes concordaron en que la clasificación de riesgo organiza el trabajo de los enfermeros y del servicio de urgencias. La evaluación del estado clínico mediante el desarrollo de escucha calificada de quejas de pacientes fue señalada como una de las acciones de enfermería en la clasificación de riesgo, considerándose la autonomía en el ejercicio de la actividad como una de las potencialidades. Respecto a la formación necesaria para realización de clasificación de riesgo, se indicó el conocimiento clínico como base para toma de decisiones en priorización de atención del paciente. La experiencia profesional en clasificación de riesgo fue también mencionada para determinar la prioridad de atención del paciente, la capacidad intuitiva resultó señalada como facilitadora. Para ello, los enfermeros necesitan poseer habilidades comunicacionales y de enfrentamiento a los conflictos de los pacientes. Entre las fragilidades, hubo consenso de discordancia sobre que el ámbito de clasificación de riesgo sea capaz de promover la recepción del paciente y favorecer su privacidad. Se consideró que el dimensionamiento numerario de enfermeros por turno laboral es insuficiente para la realización de clasificación de riesgo en los servicios de urgencias, dado que la demanda excesiva de pacientes y la escasez de exponen a los enfermeros de clasificación de riesgo a una carga laboral elevada. También hubo consenso de discordancia respecto a la disponibilización de capacitación periódica para los enfermeros sobre la utilización de protocolos/escalas de clasificación de riesgo. Acerca de la fragilidad de acciones de los enfermeros en la clasificación de riesgo, se indicó la falta de reevaluación de la condición clínica del paciente durante el tiempo de espera previo a la atención, lo cual puede agravar la condición clínica del mismo y perjudicar el ejercicio profesional del enfermero. Se concluye en que los enfermeros representan soporte profesional, cognitivo y emocional en la Clasificación de Riesgo. Los resultados señalan que la calificación permite que los enfermeros continúen actuando en la evaluación y clasificación del riesgo en los servicios de urgencias, y continuarán realizando dicha actividad en el futuro.
Danielsson, Mats. "Decision making in emergency management." Licentiate thesis, Luleå, 2002. http://epubl.luth.se/1402-1757/2002/25.
Повний текст джерелаTissington, Patrick. "Emergency decision making by fire commanders." Thesis, University of Aberdeen, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.484299.
Повний текст джерелаSkriver, Jan. "Emergency decision making on offshore installations." Thesis, University of Aberdeen, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.265383.
Повний текст джерелаWong, Thomas Kwok Shing. "Clinical decision making in nursing." Thesis, Glasgow Caledonian University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.283692.
Повний текст джерелаWinfield, Catherine V. "Clinical decision making in district nursing." Thesis, University of Surrey, 1998. http://epubs.surrey.ac.uk/2830/.
Повний текст джерелаGurbutt, Russell. "Demonstrating nurses' clinical decision-making." Thesis, University of Central Lancashire, 2005. http://clok.uclan.ac.uk/21842/.
Повний текст джерелаDench, Erin. "Maternal decision making in obstetrical interventions." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1393.
Повний текст джерелаBachelors
Nursing
Nursing
Coble, Daniel Bruce. "Testing a decision making model for nursing." [Florida] : State University System of Florida, 2000. http://purl.fcla.edu/fcla/etd/ane5946.
Повний текст джерелаTitle from first page of PDF file. Document formatted into pages; contains xi, 133 p.; also includes graphics. Vita. Includes bibliographical references (p. 100-131).
Currey, Judy A., and mikewood@deakin edu au. "Critical care nurses' haemodynamic decision making." Deakin University. School of Nursing, 2003. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050728.094123.
Повний текст джерелаCrichton, Margaret. "Decision making in a nuclear emergency response organisation : the access controller." Thesis, University of Aberdeen, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.430904.
Повний текст джерелаMahdavian, Farnaz [Verfasser], and F. [Akademischer Betreuer] Schultmann. "Emergency Decision Making and Disaster Recovery / Farnaz Mahdavian ; Betreuer: F. Schultmann." Karlsruhe : KIT-Bibliothek, 2021. http://d-nb.info/1229514724/34.
Повний текст джерелаSvensson, Martin. "Routes, Routines and Emotions in Decision Making of Emergency Call Takers." Doctoral thesis, Blekinge Tekniska Högskola, Sektionen för management, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-00524.
Повний текст джерелаDisp. June 12
D'Ambrosio, Catherine P. "Computational representation of bedside nursing decision-making processes /." Thesis, Connect to this title online; UW restricted, 2003. http://hdl.handle.net/1773/7266.
Повний текст джерелаHedberg, Berith. "Decision making and communication in nursing practice : aspects of nursing competence /." Göteborg : Acta Universitatis Gothoburgensis, 2005. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=013341214&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
Повний текст джерелаMcNichol, Elaine. "The decision making strategies of modern matrons." Thesis, Northumbria University, 2011. http://nrl.northumbria.ac.uk/4208/.
Повний текст джерелаSmith, Laurie Ann Johnson. "Clinical decision making capacity among institutionalized elders." Thesis, The University of Arizona, 1993. http://hdl.handle.net/10150/278392.
Повний текст джерелаForde, Colin Ainsworth. "Emergency Medicine Triage as the Intersection of Storytelling, Decision-Making, and Dramaturgy." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5354.
Повний текст джерелаWiens, V. I., and University of Lethbridge Faculty of Education. "Factors influencing decision making during patient care : nursing students' perceptions." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1991, 1991. http://hdl.handle.net/10133/48.
Повний текст джерелаviii, 96 leaves ; 28 cm.
Feufel, Markus Alexander. "Bounded Rationality in the Emergency Department." Wright State University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=wright1249241698.
Повний текст джерелаNibbelink, Christine Williams, and Christine Williams Nibbelink. "Nurse Decision-Making in Acute Care." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624543.
Повний текст джерелаCary, Barbara Lorraine. "Case managers and ethical decision making." Thesis, The University of Arizona, 1997. http://hdl.handle.net/10150/291522.
Повний текст джерелаJoshua, Beverly. "Nursing students' approaches to learning and clinical decision-making." Thesis, London South Bank University, 2017. http://researchopen.lsbu.ac.uk/1840/.
Повний текст джерелаSmith, Sally Ann. "Decision-making in acute care nursing with deteriorating patients." Thesis, University of Brighton, 2013. https://research.brighton.ac.uk/en/studentTheses/0b2fc4c1-b4b5-42f6-8ee8-2d29343db3b8.
Повний текст джерелаKoskelainen, Markku Olavi. "Stakeholder involvement : an integral part of radiation protection decision making." Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/stakeholder-involvement-an-integral-part-of-radiation-protection-decision-making(afc624d4-c887-46ae-9710-cfe8091a40b2).html.
Повний текст джерелаHiguchi, Kathryn A. Smith. "Professional nursing education : cognitive processes utilized in clinical decision making." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0006/NQ44452.pdf.
Повний текст джерелаGenot, Carrie J. "A Phenomenological Study: End of Life Decision Making." Connect to full-text via OhioLINK ETD Center, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=mco1116801543.
Повний текст джерела"In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Joanne Ehrmin. Includes abstract. Document formatted into pages: ii, 63 p. Title from title page of PDF document. Bibliography: pages 59-61.
Taylor-Clapp, Susan. "Parents' decision making needs regarding circumcision of male newborns." Thesis, University of Ottawa (Canada), 2001. http://hdl.handle.net/10393/6158.
Повний текст джерелаKinnaman, Mary Louise Wilson Thad. "Exploring the clinical decision-making strategies of nurses." Diss., UMK access, 2006.
Знайти повний текст джерела"A dissertation in nursing." Advisor: Thad Wilson. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed Jan. 29, 2007. Includes bibliographical references (leaves 213-230). Online version of the print edition.
Hoss, Frauke. "Uncertainty in River Forecasts: Quantification and Implications for Decision- Making in Emergency Management." Research Showcase @ CMU, 2014. http://repository.cmu.edu/dissertations/432.
Повний текст джерелаKrepak, Dariia Ihorivna. "Decision making in emergency situation of air navigation system’s operator: low oil pressure." Thesis, Національний авіаційний університет, 2020. http://er.nau.edu.ua/handle/NAU/41873.
Повний текст джерелаAir navigation system can be considered as a complex system with multiple composite parts or subsystems that constantly interact with each other, e.g.: – Airspace users (AU); – Air navigation service providers (ANSP); – Airports; – Network Manager (NM). Due to growing demand in air transportation, the complexity of the systems and load on it increases constantly. However, at the same time, the requirements for the level of safety, security remains the same. In order to meet the required levels of safety, there is a need for supporting systems that would support operators (e.g. flight crew, air traffic controller, etc.) of air navigation systems in making decision in day-to-day operations. That’s why the decision support systems became widely used in the air navigation systems to support the human operators. They are aimed at helping and supporting decision making processes or human operators in air transportation sphere and allow them to select the best decision in conditions of limited time or uncertainty. The wide introduction of decision support systems in air navigation will contribute to the optimisation of human operator work which will lead to an increase in operational efficiency and safety. One of the components that negatively contribute to the safety of flights are human errors that could lead to emergency situations and later on to incidents or accidents. The emergency situation of low oil pressure is a serious issue for both flight crew and air traffic controller and possess a threat to the flight safety due to its nature. It can lead to serious incidents and accidents and due to the type of the issue it is close to impossible to eliminate it. However, it is possible to provide all necessary means to support decision making of a human operator (e.g. air traffic controller) to ensure that correct and safe decisions are taken by the operator to resolve an emergency situation.
McCullough, Christina M. "Building a Replicable Flood Forecast Mitigation Support System to Simplify Emergency Decision-Making." University of Toledo / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1301756439.
Повний текст джерелаSehume, Gloria Gaogakwe. "Ethical decision-making the experience of nurses in selected clinical settings /." Diss., Pretoria :b [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-05132009-125706.
Повний текст джерелаReimer, Andrew P. "A COOPERATIVE INQUIRY INVESTIGATION OF TRANSPORT NURSES’ DECISION MAKING AND EXPERTISE." Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1270242549.
Повний текст джерелаMeeks-Sjostrom, Diana J. "Clinical Decision-Making of Nurses Regarding Elder Abuse." Digital Archive @ GSU, 2008. http://digitalarchive.gsu.edu/nursing_diss/8.
Повний текст джерелаClark, Rebecca Culver. "Clinical decision making by beginning nurses: a naturalistic study." Diss., Virginia Tech, 1996. http://hdl.handle.net/10919/37767.
Повний текст джерелаSinfield, Melissa. "Respectful relationships : an approach to ethical decision-making for gerontic nursing /." View thesis, 2001. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030924.140531/index.html.
Повний текст джерелаSinfield, Melissa. "Respectful relationships : an approach to ethical decision-making for gerontic nursing." Thesis, View thesis, 2001. http://handle.uws.edu.au:8081/1959.7/747.
Повний текст джерелаRoss, Nancy J. "Facilitating shared understanding| A grounded theory for decision-making in pain management." Thesis, University of Phoenix, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10137454.
Повний текст джерелаInadequate and inconsistent nursing practices related to pain management are a significant problem facing stakeholders in the health care industry. The purpose of the research study was twofold: (a) to explore the processes used by registered nurses’ for clinical decision making regarding pain management in the acute care setting and (b) to develop a substantive theory using grounded theory by examining the emergent data from the perceptions of as many as 20 registered nurses. The study explored registered nurses’ perceptions of the process of clinical decision-making in pain management within the context of social norms of nursing care and the setting in which practice takes place. The exploration of the complex dynamics of clinical decision-making in pain management was guided by the principles of classic grounded theory. Fourteen registered nurses (n=14) participated in an interview process and provided their perceptions of the clinical decision-making process in pain management. Through an inductive iterative process of constant comparative analysis, patterns of conceptual relationships were revealed closing the theory-practice gap in the literature for the substantive problem of inadequate pain management and the process of clinical decision-making in pain management. The substantive theory that emerged from the data is facilitating shared understanding: registered nurses partnering through relating, referring, advocating, and bargaining with the patient, and members of the health care team to make patient-centered clinical decisions in pain management.
Yi, Ji Soo. "Visualized decision making development and application of information visualization techniques to improve decision quality of nursing home choice /." Diss., Atlanta, Ga. : Georgia Institute of Technology, 2008. http://hdl.handle.net/1853/24662.
Повний текст джерелаCommittee Chair: Stasko, John; Committee Member: Abowd, Gregory; Committee Member: Cross, Stephen; Committee Member: Czerwinski, Mary; Committee Member: Vidakovic, Brani
Washington, Deborah. "Social Cognition and the Impact of Race/Ethnicity on Clinical Decision Making." Thesis, Boston College, 2012. http://hdl.handle.net/2345/3149.
Повний текст джерелаSocial Cognition and the Impact of Race and Ethnicity on Clinical Decision Making Most literature reflects the persistent existence of unequal treatment in the care provided to ethnic and racial minorities. Comparatively little about ethnic bias in the literature goes beyond the retrospective study as the most frequently encountered method of inquiry. Access to providers and the ability to pay only provide partial explanation in the known data. A more controversial hypothesis is the one offered in this dissertation. This qualitative research explored the cognitive processes of ethnic bias as a phenomenon in clinical decision making. The method was a simulation that captured events as they occurred with a sample of nurse participants. The racial and ethnically related cognitive content of participants was evoked through the interactive process of playing a board game. Immediately following that activity, a video vignette of an ambiguous pain management situation involving an African American male was viewed by each nurse who was then asked to make a "treat" or "not treat" clinical decision. The dialogues during playing of the board game in addition to the rationale for the treatment decision provided data for analysis. Content analysis is the primary approach for using the data to answer the research question. Themes of latent and manifest content were described for those who made the decision to treat and those who decided not to treat
Thesis (PhD) — Boston College, 2012
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
Pousti, Hamidreza. "Applying wireless and mobile agent technologies for human decision making in the mission critical emergency environments." Access electronically, 2005. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20051021.121211/index.html.
Повний текст джерелаVersteeg, Cynthia Elaine. "Fostering collaborative evidence-based decision-making: The public health nurse's role." Thesis, University of Ottawa (Canada), 2002. http://hdl.handle.net/10393/6360.
Повний текст джерела