Abstract:
:Effective decision-making has the potential to facilitate improvements in health care. This paper reports several aspects of a study which used "thinking aloud" within a concept attainment framework to examine the decision-making processes of expert critical care nurses in relation to haemodynamic monitoring. The purpose of this study was to examine whether hypotheses were used in the decision-making process and, if so, were hypotheses deactivated when no longer relevant. In addition, the strategies that were used during the decision-making process were examined. Eight expert critical care nurses consented to participate in the study after ethics clearance was obtained from both the University and Hospital ethics committees. The majority of expert critical care nurse participants in this study demonstrated extensive use of hypotheses to explain the relationship between attributes and concepts. There was no evidence of specific deactivation of hypotheses when they were no longer relevant. Participants demonstrated use of a range of decision-making strategies, with a Focus Gambling Strategy being the most common. The reason for using different decision-making strategies was not clear and may represent variation between decision-makers or between scenarios for each individual decision-maker. Recommendations are made to help improve critical care nurses' decision-making.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Aitken LMdoi
10.1046/j.1365-2702.2003.00763.xsubject
Has Abstractpub_date
2003-07-01 00:00:00pages
476-83issue
4eissn
0962-1067issn
1365-2702pii
763journal_volume
12pub_type
杂志文章abstract::Documentation of nursing care is an important source of reference and communication between nurses and other health care providers. This article describes a study of the documentation practices of nurses in a long-term care institution. Results revealed a number of positive aspects of nurses' documentation practices a...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.1999.00281.x
更新日期:1999-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper aims to provide an updated comprehensive review of the research-based evidence related to the transitions of care process for adolescents and young adults with chronic illness/disabilities since 2010. BACKGROUND:Transitioning adolescent and young adults with chronic disease and/or disabi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13326
更新日期:2016-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore chronic heart failure patients' perceptions of the burden related to treatment and self-care. BACKGROUND:Living with chronic heart failure entails following a demanding treatment regimen, with daily self-care, which could make patients vulnerable to experiencing treatment burden. Burden ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14799
更新日期:2019-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aims of this study were to determine (1) the prevalence of complementary and alternative medicine use among patients with cancer, (2) the method of use of the particular therapy, (3) the reasons for using complementary and alternative medicine therapies, (4) the benefits experienced by the use o...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03732.x
更新日期:2012-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study performed a meta-analysis of seven parallel-group comparison studies evaluating the efficacy of tuina in treating cervical spondylosis. BACKGROUND:Tuina is a form of Chinese manipulative therapy. It has been used as a modality for the treatment of symptoms associated with such a musculos...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/j.1365-2702.2008.02446.x
更新日期:2008-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine nurses' perceptions of barriers to and facilitators of end-of-life care, as well as their association with the quality of end-of-life care. BACKGROUND:Often, dying patients and their families receive their care from general nurses. The quality of end-of-life care in hospital wards is ina...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14130
更新日期:2018-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate gender differences in locus of control in an alcohol-dependent population. BACKGROUND:Locus of control helps to explain behaviour in terms of internal (the individual is responsible) or external (outside forces, such as significant other people or chance, are responsible) elements. P...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13391
更新日期:2017-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To compare the levels of self-care behaviour, social support and quality of life among type 2 diabetes mellitus patients who underwent three regimens: taking medicine, taking-medicine-while dieting and taking-medicine-while-dieting-with exercise. BACKGROUND:Diabetes treatment is a critical concern ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12123
更新日期:2013-07-01 00:00:00
abstract::Psychological stressors are said to be an important influence on the outcome of chronic illness such as rheumatoid arthritis (Engel, 1977). Helping patients to cope with stressors is identified as a central concept in the delivery of nursing care (Khan et al., 1994). It is thus reasonable to suggest that rheumatology ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.1996.tb00270.x
更新日期:1996-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:This paper aims to explore student nurses' experiences of bioscience learning, teaching and application within the practice setting. It draws upon the social learning theory of communities of practice to consider the issues raised. BACKGROUND:The teaching of bioscience within many nursing curricula...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13020
更新日期:2016-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study is to describe the participation of family members in the care of Finnish adult surgical patients and the connection of the participation with the quality of patient care as perceived by surgical patients. BACKGROUND:The family members of adult surgical patients are important....
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13262
更新日期:2016-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore and describe nurses' role in the rehabilitation and care of patients in one subacute care facility in Melbourne, Australia. BACKGROUND:The role of nurses in subacute care and within the rehabilitation team is evolving and remains unclear. DESIGN:Mixed methods. METHODS:Fourteen nurses f...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15235
更新日期:2020-07-01 00:00:00
abstract:AIM AND OBJECTIVES:To determine the relationship between cultural sensitivity and perceived stress of nurses working at Kilis State Hospital. BACKGROUND:As foreigners live in and visit Turkey for various reasons, it is essential to provide culturally appropriate healthcare. DESIGN:Descriptive and cross-sectional desi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12982
更新日期:2015-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:Participant narratives from a feminist and queer phenomenological study aim to broaden current understandings of trauma. Examining structural marginalisation within perinatal care relationships provides insights into the impact of dominant models of care on queer birthing women. More specifically, v...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13727
更新日期:2017-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:This is a follow-up study to investigate the long-term effects of a holistic care programme for the rehabilitation of persons with serious mental illness. Perception of help from the programme and factors relating to the outcomes of the programme will also be studied. BACKGROUND:This psychiatric re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03622.x
更新日期:2011-10-01 00:00:00
abstract::The research reported in this article formed part of a project evaluating nursing developments in four demonstration wards in one health authority, and the article focuses on evaluation of patient satisfaction. The evaluation of patient satisfaction is a topic surrounded by much methodological debate and therefore it ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.1995.tb00040.x
更新日期:1995-11-01 00:00:00
abstract::There is very little work that discusses the pain experience following fractured shaft of femur. Therefore, an exploratory phenomenological study of the individual experience of pain following a traumatic fracture of the shaft of femur was conducted. Two key themes emerged: the injury experience and the pain experienc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00506.x
更新日期:2001-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the experience and personal impact of a group leadership course for child healthcare nurses. BACKGROUND:During their child's first year, all parents in Sweden are invited to participate in parental groups within the child health service; however, only 49% choose to participate. Despi...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13446
更新日期:2017-02-01 00:00:00
abstract:AIM AND OBJECTIVES:To validate the Numeric Rating Scale (NRS) for postoperative nausea assessments, and determine whether a central tendency, median, based on patients' self-rated nausea is a clinically applicable daily measure to describe patients' nausea after major surgery. BACKGROUND:Postoperative nausea causes ma...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14705
更新日期:2019-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the lived experience of patients in fast-track primary unilateral total hip and knee arthroplasty from the first visit at the outpatient clinic until discharge. BACKGROUND:Fast-track has resulted in increased effectiveness, including faster recovery and shorter length of stay to about tw...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13121
更新日期:2016-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate the prevalence of cancer-related fatigue and explore the relationship between resilience, positive affect, and fatigue among Chinese patients with gastric cancer. BACKGROUND:Cancer-related fatigue is the most distressing symptom reported frequently by cancer patients during both trea...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14245
更新日期:2018-04-01 00:00:00
abstract:AIMS:To examine paediatric nurses' pain assessment and management practices in relation to postoperative care for children following surgery of a fractured lower limb and to compare these practices with evidence-based guidelines. BACKGROUND:Managing pain is one of the most challenging issues in current paediatric prac...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03068.x
更新日期:2010-01-01 00:00:00
abstract:AIMS:This paper reviews placebo and placebo effects and their measurement and application to nursing. Ethical and methodological issues are also discussed. Implications for nursing and recommendations for future study are offered. BACKGROUND:Placebos have been used for decades in clinical trials but discussion about c...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2006.01373.x
更新日期:2006-05-01 00:00:00
abstract::Sedation which is used for intubated patients may prolong mechanical ventilation by increasing the risk of complications. The aim of the study was to illuminate the specific terminology and unrecognized contextual factors which may influence nurses' and physicians' sedation practices. The main research questions were:...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2002.00725.x
更新日期:2002-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:Examine the effect of an ongoing breast health screening program, at a not-for-profit, non-government assisted, volunteer clinic, specifically examining mammography usage and to discover variables to improve the rate of mammography. BACKGROUND:Detection of breast cancer in women of low socio-econom...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04205.x
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:The importance of interdisciplinary collaboration has been attested to by a number of authors. Some have suggested that Nurse Practitioners (NPs) may be able to improve collaboration between doctors and nurses, but this assertion does not appear to have been researched. AIMS AND OBJECTIVES:To investigate do...
journal_title:Journal of clinical nursing
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1046/j.1365-2702.2003.00827.x
更新日期:2004-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to test the Chinese version of the Critical Thinking Disposition Inventory (CTDI-CV) among nurses in Taiwan. BACKGROUND:Critical thinking is the use of purposeful self-regulatory judgments to identify patient's problems and provide patient care. Critical thinking influence...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03343.x
更新日期:2010-11-01 00:00:00
abstract::Simulations are of particular advantage in research studies where large samples are necessary to achieve statistical power and the information must be collected under uniform conditions in order to aid interpretation. In the study reported below, simulation was achieved through the use of medical photography accompani...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00525.x
更新日期:2001-09-01 00:00:00
abstract:AIM:The aim of the study was to explore factors which impact on quality nursing care in the community from the Public Health Nurse's (PHN) perspective. BACKGROUND:Public Health Nursing has significantly evolved over the past few years with the delivery of quality nursing being a focus point. This study explores factor...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01894.x
更新日期:2008-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To analyse the perceived characteristics of an effective nursing clinical instructor and methods for measure instructor effectiveness. This review also examined importance of characteristics based on student age. BACKGROUND:The clinical instructor has a vital role in clinical education. While the r...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13931
更新日期:2018-01-01 00:00:00