Abstract:
AIM:The aim of this study was to examine the decision-making of nursing students during team based simulations on patient deterioration to determine the sources of information, the types of decisions made and the influences underpinning their decisions. BACKGROUND:Missed, misinterpreted or mismanaged physiological signs of deterioration in hospitalized patients lead to costly serious adverse events. Not surprisingly, an increased focus on clinical education and graduate nurse work readiness has resulted. DESIGN:A descriptive exploratory design. METHODS:Clinical simulation laboratories in three Australian universities were used to run team based simulations with a patient actor. A convenience sample of 97 final-year nursing students completed simulations, with three students forming a team. Four teams from each university were randomly selected for detailed analysis. Cued recall during video review of team based simulation exercises to elicit descriptions of individual and team based decision-making and reflections on performance were audio-recorded post simulation (2012) and transcribed. RESULTS:Students recalled 11 types of decisions, including: information seeking; patient assessment; diagnostic; intervention/treatment; evaluation; escalation; prediction; planning; collaboration; communication and reflective. Patient distress, uncertainty and a lack of knowledge were frequently recalled influences on decisions. CONCLUSIONS:Incomplete information, premature diagnosis and a failure to consider alternatives when caring for patients is likely to lead to poor quality decisions. All health professionals have a responsibility in recognizing and responding to clinical deterioration within their scope of practice. A typology of nursing students' decision-making in teams, in this context, highlights the importance of individual knowledge, leadership and communication.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Bucknall TK,Forbes H,Phillips NM,Hewitt NA,Cooper S,Bogossian F,FIRST2ACT Investigators.doi
10.1111/jan.13009subject
Has Abstractpub_date
2016-10-01 00:00:00pages
2482-94issue
10eissn
0309-2402issn
1365-2648journal_volume
72pub_type
杂志文章abstract::the current definitions of caring in nursing education denote a mutual relationship between teachers and students in which they interact to provide an environment which supports the students' personal and professional development. The learning of caring in an interactional context is typical of the female experience. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.22030600.x
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:The Nursing Outcomes Classification (NOC), second edition, consists of 260 patient outcomes with definitions. This has been translated into five languages, but has not been clinically validated outside the United States of America (USA). AIM:The aim of this paper is to describe the translation of the labels...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.02989.x
更新日期:2004-05-01 00:00:00
abstract:AIMS:To provide: (a) an overview of interventions aimed at improving mental health of student or novice nurses; and (b) an evaluation of their effectiveness on dropout-related outcomes. DESIGN:Systematic review. DATA SOURCES:Research papers published between January 1971-February 2019 were identified from the followi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14453
更新日期:2020-10-01 00:00:00
abstract:AIMS:To investigate newly graduated Chinese nurses' intention to leave their jobs and to explore the association of intention to leave with nurse characteristics, person-environment fit, and social support. DESIGN:This was a cross-sectional descriptive study. METHODS:Newly graduated nurses (N = 1,313) were recruited ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14545
更新日期:2020-12-01 00:00:00
abstract:AIM:This paper is a report of an evaluation of paediatric nurses' assessment and diagnostic skills and interventions used for child maltreatment. BACKGROUND:The use of violence against children occurs in all environments worldwide. Therefore, broader theoretical and practical knowledge related to this issue is needed ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05473.x
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:A portfolio captures learning from experience, enables an assessor to measure student learning, acts as a tool for reflective thinking, illustrates critical analytical skills and evidence of self-directed learning and provides a collection of detailed evidence of a person's competence. AIMS:This paper repor...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03050.x
更新日期:2004-06-01 00:00:00
abstract::This study utilizes four outcome measures to compare the success of a home nursing programme on a group of patients previously hospitalized and a non-hospitalized group. The outcome measures are: mortality, stabilization, hospitalization and nursing home confinement at discharge from the programme. No significant diff...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1980.tb03187.x
更新日期:1980-11-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2020-10-01 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
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13866
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Giving birth to a child with cleft lip and palate (CLP) can be emotionally traumatic for parents. The facial appearance awakens feelings and reactions in the family and other people. Feeding these children in the neonatal period is known to be difficult. Previous research has mainly dealt with visual defects...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03075.x
更新日期:2004-07-01 00:00:00
abstract:AIMS:This paper is a report of a correlational study of the relations of nurse agreeableness and negative supervisor mood to nurses' intentions to help their colleagues. BACKGROUND:Nursing collaboration is important to high quality care. Previous studies have identified agreeableness and negative mood of supervisors a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05776.x
更新日期:2012-03-01 00:00:00
abstract:AIMS:To evaluate the effectiveness of a mobile health (mHealth) application, based on self-regulation theory, on patients' knowledge of wound care, skills in changing dressings and anxiety. DESIGN:A prospective randomized controlled trial. METHODS:Seventy patients (or family members) at a 1,500-bed university hospita...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.14287
更新日期:2020-04-01 00:00:00
abstract::Twenty-nine family caregivers of terminally ill cancer patients in Hong Kong were asked about their perceived difficulty in managing caregiver tasks. Results showed that the level of difficulty in handling the three main aspects of tasks, that is the direct care, intrapersonal tasks, and interpersonal ties, were simil...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00911.x
更新日期:1999-02-01 00:00:00
abstract::The purposes of this study were to: (a) determine nursing students' perceptions of the learning activities which contribute the most to their knowledge and skills; (b) determine students' perceptions of their learning difficulties; (c) compare the perceptions of English as a second language (ESL) and non-ESL students;...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.1997025199.x
更新日期:1997-01-01 00:00:00
abstract::This study forms part of the International Family Dynamics Project. Its purpose was describe the family functioning of families with mental health problems on the basis of Barnhill's framework for healthy family systems. The sample consisted of 160 families in which one family member had mental health problems. Both t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1997.tb00802.x
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:During a patient's stay on a surgical ward, nurses hold a great deal of responsibility for pain management, especially when analgesics are prescribed on a PRN ('as needed') basis. Despite the availability of effective analgesics and new technologies for drug administration, studies continue to demonstrate su...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01714.x
更新日期:2001-03-01 00:00:00
abstract:AIM:This paper is a report of a study conducted to elucidate experiences and perceptions of self-management of diabetes as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area. BACKGROUND:Older people worldwide are disproportionately affected by diabetes and are more likely to have...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05278.x
更新日期:2010-05-01 00:00:00
abstract:AIM:This paper reports a study of the impact of emotional narratives on the well-being of members of a qualitative research team during the conduct of sensitive research. BACKGROUND:Qualitative data are frequently collected from participants using repeated in-depth interviews when exploring sensitive issues such as lo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.04039.x
更新日期:2006-12-01 00:00:00
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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::The focus of this paper is an exploration of the implications for curriculum planning of adopting the nursing process; which, it is suggested, represents the most far-reaching innovation in British nursing of recent years. An examination of the abilities required by nurses in order for them to deliver care in this way...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1986.tb01239.x
更新日期:1986-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1991.tb01767.x
更新日期:1991-07-01 00:00:00
abstract::Health and well-being are basic concepts to nursing science and also important to practical nursing care: to provide effective nursing we need to have a good understanding of both health and well-being. Experienced health has been studied quite extensively at the individual level, but the family's point of view has be...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.21810.x
更新日期:1996-09-01 00:00:00
abstract::This paper describes a research study designed to explore the experiences of nurses caring for ethnic-minority clients and to identify any specific problems nurses encounter when caring for these clients. Data were collected through a process of in-depth interviews with 18 trained nurses. The findings of the study sug...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18030442.x
更新日期:1993-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03366.x
更新日期:2005-04-01 00:00:00
abstract:AIM:This paper presents findings from a study that was designed to understand, from the perspective of cancer patients and their family caregivers, what spiritual care is wanted from nurses. BACKGROUND:Distressing and transformative spiritual responses to living with cancer have been documented. Although there is mome...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03285.x
更新日期:2005-02-01 00:00:00
abstract::Collaboration is a complex phenomenon, yet one that is of significance to nursing. This concept analysis presents definitions and defining characteristics of collaboration so that the concept may be used in the creation of operational definitions, or to develop and evaluate tools for measuring collaboration. Anteceden...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.21010103.x
更新日期:1995-01-01 00:00:00
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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::This comparative study of the perceptions of mental health nurses and psychiatrists about aspects of their work environment was undertaken in the West Midlands in England. The aim of the study was to ascertain the extent to which the environment in which mental health professionals' work impacts on their own mental an...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00858.x
更新日期:1999-01-01 00:00:00
abstract:AIMS:To identify the variables that affect family management of childhood atopic dermatitis and establish a prediction model based on Bandura's self-efficacy theory. BACKGROUND:Atopic dermatitis is a chronic recurrent skin disease and common health problem in childhood. It is necessary to use an approach that includes...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13551
更新日期:2018-06-01 00:00:00