Naturalistic decision making: a model to overcome methodological challenges in the study of critical care nurses' decision making about patients' hemodynamic status.

Full Abstract

The quality of critical care nurses' decision making about patients' hemodynamic status in the immediate period after cardiac surgery is important for the patients' well-being and, at times, survival. The way nurses respond to hemodynamic cues varies according to the nurses' skills, experiences, and knowledge. Variability in decisions is also associated with the inherent complexity of hemodynamic monitoring. Previous methodological approaches to the study of hemodynamic assessment and treatment decisions have ignored the important interplay between nurses, the task, and the environment in which these decisions are made. The advantages of naturalistic decision making as a framework for studying the manner in which nurses make decisions are presented.

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Author information

Author/s: Currey, Judy (J); Botti, Mari (M);

Affiliation: School of Nursing, Deakin University, Burwood, Victoria, Australia.

Journal and publication information

Publication Type: Journal Article

Journal: American journal of critical care : an official publication, American Association of Critical-Care Nurses (Am J Crit Care), published in United States. (Language: eng)

Reference: 2003-May; vol 12 (issue 3) : pp 206-11

Dates: Created 2003/05/19; Completed 2003/07/29; Revised 2007/11/15;

PMID: 12751394, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Humans
Models, Nursing
Nursing Assessment - methods

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