Abstract:
BACKGROUND:Many studies have tended to explore individual characteristics that impact on nurses' decision-making, despite significant acknowledgement that context is a major determinant in decision-making. The few studies that have examined environmental influences have tended not to study real decisions in the dynamic and complex clinical environment. AIMS:To investigate environmental influences on nurses' real decisions in the critical care setting. METHOD:Naturalistic observations and semi-structured interviews were conducted with 18 critical care nurses in private, public and rural hospitals. Observations and interviews were recorded, transcribed verbatim and coded for themes using content analysis. RESULTS:All clinical decisions were strongly influenced by the context in which the decision was made. Three main environmental influences were identified: the patient situation, resource availability and interpersonal relationships. Time and risk guided all clinical decisions. Nurses established the state of the situation, the time constraints on decisions and the level of risk involved for both patient and nurse. CONCLUSIONS:Decision-making is a manifestation of the landscape and although an increased understanding of the landscape is required, more important is the need to measure the impact of contextual variables on nurses' decision-making in order to improve health care outcomes.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Bucknall Tdoi
10.1046/j.1365-2648.2003.02714.xkeywords:
subject
Has Abstractpub_date
2003-08-01 00:00:00pages
310-9issue
3eissn
0309-2402issn
1365-2648pii
2714journal_volume
43pub_type
杂志文章abstract:AIM:This paper is a report of a study to examine the construction of the stereotype of male nurses as gay, and to describe how this discourse impacts on a group of New Zealand male nurses. BACKGROUND:A discourse stereotyping male nurses as gay is accompanied by one which privileges hegemonic masculinity and marginaliz...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2007.04447.x
更新日期:2007-12-01 00:00:00
abstract:AIM:To compare different levels of self-rated pain and determine if they predict anticipated early physical recovery in patients undergoing general and orthopaedic surgery. BACKGROUND:Previous research has indicated that average self-rated pain reflects patients' ability to recover the same day. However, there is a kn...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13331
更新日期:2017-11-01 00:00:00
abstract::Three variables were experimentally manipulated by simulation measurement using six vignettes in a completely randomized, partial hierarchical, experimental design: medical diagnosis (AIDS v. non-AIDS), sexual orientation (heterosexual v. homosexual) and intravenous drug-use history (IVDU v. non-IVDU). Following each ...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2648.1992.tb01844.x
更新日期:1992-10-01 00:00:00
abstract::The recent increase in published work relating to the supervision of nurses and in particular mentorship suggests that nurses value the opportunities that such schemes present for developing practice. Much of the literature surrounding mentorship concerns the supervision of students in practice settings but more recen...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1999.00884.x
更新日期:1999-01-01 00:00:00
abstract:AIMS:The aim of this study was to compare across different service configurations the acceptability of containment methods to acute ward staff and the speed of initiation of manual restraint. BACKGROUND:One of the primary remits of acute inpatient psychiatric care is the reduction in risks. Where risks are higher than...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13197
更新日期:2017-04-01 00:00:00
abstract::For the past two decades authors have discussed the lack of research-based nursing practice. Many explanations are afforded but few focus on the way in which the researcher plans to involve staff in each stage of the process. The desire by practitioners to become researchers has been confounded in the main by increasi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01862.x
更新日期:1990-05-01 00:00:00
abstract::Ineffective subordinates exist in various degrees in every organization, whether it be the health-care field or business. Nursing administration is no exception. This study examines the reasons why ineffective subordinates in nursing administration are retained by hospitals and the coping methods used by superiors in ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1983.tb00314.x
更新日期:1983-05-01 00:00:00
abstract::Research in nurses' communications has concentrated on nurse to patient interactions. Those few studies which focus on nurse to nurse communications seem to be generated by a pragmatic and normative concern with effective information sharing. In this paper, which describes one aspect of a larger case study of a hospit...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1988.tb01415.x
更新日期:1988-03-01 00:00:00
abstract::This study explores the meaning of excellence in nursing care held by nurses. Qualitative data were collected from 156 undergraduate and postgraduate nurses by means of an open-ended questionnaire. Respondents were asked to reflect on practice which enabled a clear understanding of the meanings given to excellence in ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.25921.x
更新日期:1996-10-01 00:00:00
abstract:AIMS:To analyse the changes in senior students' opinions about the nursing profession over a 10-year period. DESIGN:A descriptive and comparative study. METHOD:Data were collected using a questionnaire form, which was completed by 400 senior high school students in Çankiri city center during 2007-2008 (Group 1) and 2...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14403
更新日期:2020-04-30 00:00:00
abstract:AIM:This paper reports a study evaluating baseline competence levels among Emergency Nurse Practitioners using an Objective Structured Clinical Examination. The study also aimed to document change in competence over time and following an educational intervention. BACKGROUND:Emergency Nurse Practitioners form an increa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03408.x
更新日期:2005-05-01 00:00:00
abstract::Twenty-four family caregivers of bone marrow transplant (BMT) patients were interviewed to describe the burden of care and health outcomes (anxiety, depression, symptom distress and fatigue). A descriptive correlational research design with repeated measures was used. Data were collected in a conference room in the on...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb02926.x
更新日期:1996-11-01 00:00:00
abstract::Nurses have known about unpopular patients for over two decades. Influential studies such as Stockwell's in the UK have had considerable impact upon students of nursing. Stockwell's book, The Unpopular Patient, is widely cited and was reprinted in 1984. Further, a critical review of the wider literature by Kelly & May...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1995.tb02729.x
更新日期:1995-03-01 00:00:00
abstract::This paper addresses the emergence of a humanist discourse within nursing and questions the extent to which it represents the panacea implied within much of the humanist nursing literature. Particular attention will be given to whether it represents an ontological and epistemological framework capable of understanding...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1995.22030442.x
更新日期:1995-09-01 00:00:00
abstract:AIM:This paper is a report of the development and testing of an instrument that measures metacognitive abilities of nursing students. BACKGROUND:Metacognition refers to an individual's knowledge, awareness and command of thinking and learning strategies. Nursing students are challenged to think and learn in ways that ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05427.x
更新日期:2010-11-01 00:00:00
abstract::Cultural criticism is used to describe the political role of autobiographical illness narratives or pathographies. In expressing the subjective experience of illness, authors of pathographies illuminate ideological differences between patient and health care cultures, reveal the dominance of health care ideologies, an...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2000.01461.x
更新日期:2000-06-01 00:00:00
abstract:AIMS:The aim of this study was to explicate the processes by which a patient's choice to undergo bariatric surgery is made to feel like a medical necessity, to explore the ways widespread societal stigmatization of weight and bariatric surgery shapes patient and provider discourse about surgery and to discuss patient r...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13193
更新日期:2017-04-01 00:00:00
abstract::The purpose of this descriptive correlational study was to examine the relationships among preceptors' perceptions of benefits, rewards, supports and commitment to the preceptor role. A convenience sample of 59 nurse preceptors in a 400-bed urban teaching hospital participated by completing a four-part questionnaire: ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.21061144.x
更新日期:1995-06-01 00:00:00
abstract:TITLE:Women's experiences with vaginal pessary use. AIM:This paper is a report of a study of the lived experiences of women using vaginal pessaries for the treatment of urinary incontinence (UI) and/or pelvic organ prolapse. BACKGROUND:The use of a vaginal pessary offers a non-surgical treatment option to provide phy...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05095.x
更新日期:2009-11-01 00:00:00
abstract:AIMS: This article is a report on a study of the effectiveness of breast health education provided by trained breast cancer survivors on knowledge, skills, performance and self-efficacy. BACKGROUND: Numerous studies have been performed to assess the effects of breast health education provided by health professionals...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05815.x
更新日期:2012-05-01 00:00:00
abstract:AIM:This paper is a report of a study conducted to explore how the family members of older people who will undergo haemodialysis treatment for the rest of their lives perceive participation. BACKGROUND:The rights of families to participate in treatment and health care are supported by international law, and by nationa...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05854.x
更新日期:2012-08-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the changes in symptoms and quality of life in people with puborectalis dyssynergia after biofeedback by using Short Form-36 and Patient Assessment of Constipation Quality of Life Questionnaire. BACKGROUND:Biofeedback is an effective treatment in clinical symptoms for puborecta...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05593.x
更新日期:2011-06-01 00:00:00
abstract::Electronic oral thermometry is performed routinely in most medical centres. From the studies available on this subject it seems difficult to find any documentation for this practice. We have conducted clinically controlled studies in which the accuracy of electronic oral thermometry (CRAFTEMP and TERUMO WCT) and that ...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2648.1994.20040660.x
更新日期:1994-10-01 00:00:00
abstract:AIMS:To explore nursing students' perceptions of how their profession is portrayed on medical television programmes. BACKGROUND:Recruitment and retention in nursing have been linked to the image of the profession in society. Images of nursing in popular media frequently draw on stereotypes that may damage the appeal o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12148
更新日期:2013-12-01 00:00:00
abstract:AIMS:To identify significant patient and system access barriers and facilitators to dermatology care in one rural health system with limited dermatology appointment availability. DESIGN:Mixed methods study using data from electronic medical records, patient surveys, stakeholder semi-structured interviews, and service ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14604
更新日期:2020-10-24 00:00:00
abstract:BACKGROUND:Continuity is a major concept in the father-son domain of the Han Chinese value system in Taiwan. Aspects of continuity may include structure, interactions and other facets of family; however, providing descendants is the keystone of women's reality in these families. In a culture in which death is seen as a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03119.x
更新日期:2004-08-01 00:00:00
abstract:AIMS:To examine the experiences of health transitions for young people with intellectual disabilities and their carers and identify the implications for nursing practice. DESIGN:A systematic review and critical appraisal of qualitative, quantitative, and mixed methods studies. DATA SOURCES:A search of the relevant li...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.13985
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Power is a central element in all social interactions. In order to act appropriately in different care situations, it is important to understand the meaning of power. AIM:This paper reports a study whose aim was to describe delivery ward staff opinions about the exercise of power over women in communication...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2003.02963.x
更新日期:2004-04-01 00:00:00
abstract::The compliance of 346 young diabetics aged 13-17 years with health regimens is analysed in the framework of a MIMIC (multiple indicators, multiple causes) model. The data were compiled by means of a questionnaire on compliance, conditions for compliance, the meaning attached to treatment and the impact of the disease,...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb02936.x
更新日期:1996-11-01 00:00:00
abstract:AIM:To evaluate emergency nurse practitioner service effectiveness on outcomes related to quality of care and service responsiveness. BACKGROUND:Increasing service pressures in the emergency setting have resulted in the adoption of service innovation models; the most common and rapidly expanding of these is the emerge...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12386
更新日期:2014-09-01 00:00:00