Identifying factors that nurses consider in the decision-making process related to patient care during the COVID-19 pandemic

Autor: Denny Yu, Tera Hornbeck, Nicholas E. Anton, Susan Modlin, Munirul Haque, Megan Crites
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Viral Diseases
Epidemiology
Health Care Providers
Nursing assessment
Nurses
Social Sciences
Nursing care
Cognition
Medical Conditions
0302 clinical medicine
Professional-Family Relations
Pandemic
Medicine and Health Sciences
Psychology
Public and Occupational Health
Medical Personnel
030212 general & internal medicine
Decision-making
Nursing Assessment
Qualitative Research
Allied Health Care Professionals
Multidisciplinary
030504 nursing
Workload
Middle Aged
Nursing Education
Professions
Identification (information)
Infectious Diseases
Engineering and Technology
Medicine
Female
Safety Equipment
Symptom Assessment
Safety
0305 other medical science
Research Article
Adult
Science
Clinical Decision-Making
Decision Making
MEDLINE
Equipment
Interviews as Topic
Nursing Science
03 medical and health sciences
Nursing
Humans
Pandemics
Aged
SARS-CoV-2
Cognitive Psychology
COVID-19
Biology and Life Sciences
Covid 19
Health Care
Medical Risk Factors
People and Places
Cognitive Science
Nursing Care
Population Groupings
Nurse-Patient Relations
Neuroscience
Qualitative research
Zdroj: PLoS ONE, Vol 16, Iss 7, p e0254077 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: Background Nurse identification of patient deterioration is critical, particularly during the COVID-19 pandemic, as patients can deteriorate quickly. While the literature has shown that nurses rely on intuition to make decisions, there is limited information on what sources of data experienced nurses utilize to inform their intuition. The objectives of this study were to identify sources of data that inform nurse decision-making related to recognition of deteriorating patients, and explore how COVID-19 has impacted nurse decision-making. Methods In this qualitative study, experienced nurses voluntarily participated in focused interviews. During focused interviews, expert nurses were asked to share descriptions of memorable patient encounters, and questions were posed to facilitate reflections on thoughts and actions that hindered or helped their decision-making. They were also asked to consider the impact of COVID-19 on nursing and decision-making. Interviews were transcribed verbatim, study team members reviewed transcripts and coded responses, and organized key findings into themes. Results Several themes related to decision-making were identified by the research team, including: identifying patient care needs, workload management, and reflecting on missed care opportunities to inform learning. Participants (n = 10) also indicated that COVID-19 presented a number of unique barriers to nurse decision-making. Conclusions Findings from this study indicate that experienced nurses utilize several sources of information to inform their intuition. It is apparent that the demands on nurses in response to pandemics are heightened. Decision-making themes drawn from participants’ experiences can to assist nurse educators for training nursing students on decision-making for deteriorating patients and how to manage the potential barriers (e.g., resource constraints, lack of family) associated with caring for patients during these challenging times prior to encountering these issues in the clinical environment. Nurse practice can utilize these findings to increase awareness among experienced nurses on recognizing how pandemic situations can impact to their decision-making capability.
Databáze: OpenAIRE
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