Open AccessJournal Article
Using judgement to improve accuracy in decision-making.
Dawn Dowding,Carl Thompson +1 more
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TLDR
It is argued that as nurses take on more roles requiring accurate judgement, it is time to increase the knowledge of judgement and ways to improve it.Abstract:
Nursing judgements are complex, often involving the need to process a large number of information cues. Key issues include how accurate they are and how we can improve levels of accuracy. Traditional approaches to the study of nursing judgement, characterised by qualitative and descriptive research, have provided valuable insights into the nature of expert nursing practice and the complexity of practice. However, they have largely failed to provide the data needed to address judgement accuracy. Social judgement analysis approaches are one way of overcoming these limitations. This paper argues that as nurses take on more roles requiring accurate judgement, it is time to increase our knowledge of judgement and ways to improve it.read more
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The assessment and management of pain in patients with dementia in hospital settings:a multi-case exploratory study from a decision making perspective
Valentina Lichtner,Dawn Dowding,Nick Allcock,John Keady,Elizabeth L Sampson,Michelle Briggs,Anne Corbett,Kirstin James,Reena Lasrado,Caroline Swarbrick,S. José Closs +10 more
TL;DR: There is a need for an efficient method of eliciting and centralizing all pain-related information for patients with dementia, which is distributed in time and between personnel.
Journal ArticleDOI
Using sense-making theory to aid understanding of the recognition, assessment and management of pain in patients with dementia in acute hospital settings.
Dawn Dowding,Dawn Dowding,Valentina Lichtner,Nick Allcock,Michelle Briggs,Kirstin James,John Keady,Reena Lasrado,Elizabeth L Sampson,Caroline Swarbrick,S. José Closs +10 more
TL;DR: A revised theoretical model of decision making related to pain assessment and management for patients with dementia based on theories of sense-making is proposed, reflective of the reality of clinical decision making in acute hospital wards.
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Improving critical thinking and clinical reasoning with a continuing education course.
TL;DR: This study evaluated a 4-day, 16-hour continuing education course conducted in Brazil to improve the accuracy of nurses' diagnoses and found significant differences in accuracy from pretest to posttest.
From expert to tasks, expert nursing practice redefined?
TL;DR: In this paper, the authors explore the concept of expertise in nursing from the perspective of how it relates to current driving forces in health care in which it discusses the potential barriers to acceptance of nursing expertise in a climate in which quantification of value and cost containment run high on agendas.
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From expert to tasks, expert nursing practice redefined?
TL;DR: Nursing expertise which focuses on the provision of individualized, holistic care and is based largely on intuitive decision making cannot be reduced to being articulated in positivist terms and nurses must be confident in articulating the value of a concept which may be outside the scope of knowledge of those with whom they are debating.
References
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Task complexity and nursing expertise as factors in decision making.
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