卫生保健与预防杂志

抽象的

Navigating Complex Clinical Scenarios: A Guide to Effective Decision- Making in Critical Care

Dr. Akhavan Clara

The objectives of this study were to describe the critical care nurses' decision-making procedures and activities in real-world clinical situations. Data were gathered using an exploratory descriptive strategy that included interview and observation techniques. Twenty-four critical care nurses from three hospitals in Jordan participated in the study. Critical Care nurses' routine clinical judgments were studied through participant observation. The involved intensive care units saw about 150 hours of observation time. In order to learn more about the decisions nurses make about the care of patients, they were interviewed. According to the study, nurses most frequently employ the intuitive model to identify the relevant clues for the patient's circumstance. Research showed that the decision-making process is ongoing and that one of the key elements affecting a nurse's decision-making capacity is experience. Ongoing process, autonomy, experience/power, joint/ethical judgements, and advocacy were the five themes that emerged from the data. It was observed that critical care nurses were perceptive to the patient's verbal and non-verbal cues and were able to respond to these cues to prevent the patient's condition from worsening. Critical care nurses who have greater expertise managing patients' changing situations are likely to be more assured and productive.