Diagnostic process and decision making in nursing: A literature review

In clinical practice professional nurses appear to make different judgments regarding particular nursing situations. The purpose of this literature review is to gain insight into the way nurses make decisions related to nursing diagnoses and interventions. Literature on decision making can be divide...

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Bibliographic Details
Published inJournal of professional nursing Vol. 10; no. 3; pp. 154 - 163
Main Authors Hamers, J.P.H., Huijer^Abu-Saad, H., Halfens, R.J.G.
Format Journal Article
LanguageEnglish
Published Philadelphia, PA Elsevier Inc 1994
Saunders
Subjects
Biological and medical sciences
Clinical Competence
Clinical Diagnosis
Clinical Experience
Cognitive Processes
Cues
Decision Making
Decision Support Techniques
Expertise
Health and social institutions
Health participants
Humans
Judgment
Medical sciences
Mental Processes
Models, Nursing
Nurses
Nursing
Nursing Evaluation Research
Nursing Process
Problem Solving
Public health. Hygiene
Public health. Hygiene-occupational medicine
Reproducibility of Results
Diagnostic reasoning
Nursing
Decision making
Clinical judgment
Information processing
Human
Health staff
Reasoning
Review
Diagnosis
Public health
Nurse
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Summary:In clinical practice professional nurses appear to make different judgments regarding particular nursing situations. The purpose of this literature review is to gain insight into the way nurses make decisions related to nursing diagnoses and interventions. Literature on decision making can be divided into literature that focuses on how decisions are made, ie, information-processing model, and information that focuses on how decisions ought to be made, ie, mathematical models. Most of the literature about decision making in nursing in particular appears to focus on the former, specifically on the stages and strategies in the decision-making process and on factors influencing this process. These factors include the problem task (cues), the decision maker (his or her knowledge, experience, personal variability), and discipline. However, to date, most of the research that has been done with regard to these factors has been restricted to the performance between novice and expert. We conclude that further validation of nursing diagnoses is necessary to ensure accuracy in decision making in nursing.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ISSN:8755-7223
1532-8481
DOI:10.1016/8755-7223(94)90009-4