Spelling suggestions: "subject:"cursing - 8ecision making"" "subject:"cursing - becision making""
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The Use of Skin Conductance as a Marker of Intuitive decision making in nursingPayne, Leslie K. 18 March 2009 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / A quasi-experimental design was undertaken to explore the possibility of utilizing
electrodermal activity as a marker of intuitive decision making in nursing. This study
compared 11 senior female nursing students to 10 female nurses with more than five
years of nursing experience completing a clinical decision making task utilizing
MicroSim© program software while measuring skin conductance response (SCR). The
clinical decision making task chosen was based on the cognitive continuum theory. The
somatic marker hypothesis is also a theoretical base for this study. This theory suggests
that physiological markers are present during decision making. An independent t-test was
conducted in SPSS comparing the total number of skin conductance responses generated
and overall score in the card task and clinical scenario between the two groups.
According to the Somatic Marker Hypothesis, the researcher’s definition of intuition, and
the results of this experiment, SCR generation shows promise as a marker of intuitive
decision making in nursing.
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'n Sisteem vir gehaltebesluitneming in verpleging22 November 2010 (has links)
D.Cur. / With the dawn of the new democratic dispensation in South Africa, numerous structural changes in the form of new legislation on health care were introduced by government. The purpose hereof is to transform health care delivery in order to bring about equality, accessibility, availability and applicability of health care to the citizens of South Africa. However, such changes have given rise to rationalization and the restructuring of health care services and health care personnel. Against the background of the so-called brain drain of health care personnel, it possibly contributed to a situation where numerous health care services find themselves with a shortage of expert human and material resources. These changes have influenced the quality of decisionmaking in health care services in general, and nursing in particular. Furthermore, based on an investigation of disciplinary case studies of the SANe, it appears that there is an increase in the number of disciplinary cases against nurses. These disciplinary cases reflect the nature of the decisions made by nurses. From these disciplinary case studies, it appears that decision-making by nurses do not comply with the reasonable expectations as stipulated in the legal-ethical framework of the nursing profession. Furthermore, it appears that decisions made by nurses in order to promote the health of the individual, group and/or community, are unsafe, ineffective and unacceptable in terms of the reasonable expectations as stipulated in the legal-ethical framework of the nursing profession. It can be concluded, that decision-making by these nurses no longer complies with the regulation in terms of the Nursing Act (Act 50 of 1978, as ammended), namely to deliver safe nursing to the citizens of South Africa. As a possible solution to the aforementioned problem, the researcher sees the description of a system for quality decision-making as being necessary in nursing. This goal can be achieved by the following objectives: the exploration and description of the expectations of the stakeholders with regard to quality decision-making in nursing, the integration of these expectations during iv the conceptualization of quality decision-making in nursing, as well as the formulation of standards for quality decision-making in nursing.Based on a qualitative, explorative, descriptive and standard-generation design, the study was conducted in four phases to achieve the objectives of the study. During the first phase, the expectations ofthe stakeholders with regard to quality decision-making in nursing were explored and described. In phase two, the identified themes on quality decision-making were conceptualized. In phase three standards for quality decision-making in nursing were formulated through inductive and deductive reasoning from the results of the previous two phases. In phase four a system for quality decision-making in nursing was described based on a theoretical foundation of the systems theory.
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Perceptions of the public health staff nurse in Manitoba, Canada, as to the decision-making authority in the initiation of physical nursing care.Scollie, June Roberta, January 1972 (has links)
Thesis (Ed.D)--Teachers College, Columbia University. / Typescript; issued also on microfilm. Sponsor: M. Frances Frazier. Dissertation Committee: Mary T. Ramshorn. Includes tables. Includes bibliographical references.
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Nursing clinical decision-making in the context of emergency telephone interactionsLeprohon, Judith January 1991 (has links)
No description available.
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Professional nursing education : cognitive processes utilized in clinical decision makingHiguchi, Kathryn A. Smith. January 1997 (has links)
No description available.
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Expertise in nurses’ clinical judgments : the role of cognitive variables and experienceChristie, Lynda A. 11 1900 (has links)
Many researchers have failed to find a relationship between experience and
judgment accuracy. In this study the purpose was to understand the relationship
between experience and expertise in clinical judgment. Common sense suggests that
experienced subjects make better quality judgments, compared to novices. Clinical
judgments, however, are ill-structured and characterized by uncertainty; they take place
in a dynamic context, with delayed or nonexistent feedback and are difficult to learn.
Cognitive operations that translate "cues" (such as risk factors, signs, and
symptoms) into judgments are not fully understood. Cognitive constructs (conceptual
structure, sensitivity to patterns in data, and judgment process) and individual
differences in age, education, and experience were explored to identify their relationship
to judgment expertise. Indicators of judgment quality were: accuracy, consistency,
latency, confidence, calibration, and knowledge accessibility.
In phase 1 of this study, cues were identified that best predicted healing time for
258 surgical patients with abdominal incisions. In Phase 2, the subjects were 36 nurses
with a range of experience caring for surgical patients. Generating both quantitative and
qualitative data, subjects made judgments about incisional healing on the basis of
information from actual patients. Multidimensional scaling was used to reveal
conceptual structure, and lens modeling was applied to assess sensitivity to broad
patterns. An information board task with think-aloud protocols demonstrated judgment
process. The selection of tasks was based on their analysis- or intuition-inducing
features, using K. R. Hammond's (1990) cognitive continuum theory.
Experience accounted for a only a small proportion of variance in performance,
whereas confidence in judgment was more strongly related to experience. Taken
together, these findings replicated previous research. Protocol data showed that
metacognition, knowledge accessibility, and reflectivity increased with experience.
Conceptual structure predicted judgment accuracy under intuitive conditions. Support
was found for Dreyfus and Dreyfus' (1986) hypothesized transition in cognition, from
deliberate processing of discrete cues, to intuitive processing of patterns of cues
encoded in memories for specific cases.
This study has theoretical significance by adding to knowledge about clinical
judgment, and by increasing understanding of cognitive changes associated with
expertise. This study has practical significance in providing direction for the
development of teaching methods aimed to increase learning from experience in
probabilistic contexts.
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Professional nursing education : cognitive processes utilized in clinical decision makingHiguchi, Kathryn A. Smith. January 1997 (has links)
Clinical decision making is essential to clinical practice, yet research into the cognitive processes underlying clinical decision making is limited. The purpose of this study was to investigate the cognitive processes utilized by nurses in actual clinical decision making situations. Using a criterion sampling technique, eight experienced medical and surgical nurses from an acute care community hospital were selected as participants for in-depth interviews about clinical decision making in nursing practice. Actual clinical data documented by the eight nurses were obtained from a review of 100 randomly selected hospital records of patients discharged over a one year period. The study examined the influence of contextual factors (nursing subgroup, Problem Oriented Recording [POR] charting system and primary nursing system), task variables (complexity of clinical problems), and clinician characteristics (nursing expertise) on clinical decision making. The dependent variables included the accuracy of nursing diagnosis documentation and the utilization of specific thinking processes. Donald's model of thinking processes provided a framework for the analysis of the data. / The results suggest that clinical decision making is a complex cognitive process requiring numerous thinking skills and operations. Five different categories of thinking skills and 14 different operations were identified in the narrative notes. The clinical situations were categorized into three types based on the complexity of clinical problems. Nurses from both hospital units documented a wider range of thinking skills and operations in situations of greater complexity. The findings also suggest that structured charting formats such as SOAP narrative notes encouraged the use of higher order thinking processes. The introduction of the primary nursing patient assignment system did not result in significant changes in the documentation of nursing diagnoses or thinking processes utilized by nurses. The nurses were grouped into two levels of expertise according to Benner's categories: expert and proficient, with differences more evident in the medical nurses. An important outcome of this study was the development of nursing exemplars and illustrations of thinking processes that can provide a working vocabulary to describe the underlying cognitive processes used in clinical decision making.
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Decision-making in an interest group an analysis of the processes used by the National League for Nursing in the development of its policy statement on the open curriculum in nursing education /Del Papa, Lillian. January 1975 (has links)
Report (Ed. D.)--Teachers College. / Issued also on microfilm. Includes bibliographical references.
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Decision-making in an interest group an analysis of the processes used by the National League for Nursing in the development of its policy statement on the open curriculum in nursing education /Del Papa, Lillian. January 1975 (has links)
Report (Ed. D.)--Teachers College. / Issued also on microfilm. Includes bibliographical references.
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An interaction study of the decision-making process during nursing-team conferences in psychiatric units of general hospitalsNorthrop, Celeste Cipriano, January 1975 (has links)
Thesis (D.N. Sc.)--Catholic University of America. / Typescript. Bibliography: leaves 109-113.
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