The Critical Decision Method in Uncovering the Cognitive Work of Nursing
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Abstract
Purpose: This presentation will provide a description of the Critical Decision Method (CDM), a review of nursing studies using CDM and consider future application of this method in understanding the cognitive work of nursing. Analysis of current research reveals how the CDM uncovers the cognitive strategies and demands of nurses in the clinical practice environment. Methods: A search for nursing studies using the CDM was conducted using CINHAL, Medline and Web of Knowledge using the search terms "critical decision method" and nursing. This search produced a data set of 11 articles, representing 8 unique studies. Results: Five studies investigated the cues and factors which nurses use in clinical situations including assessment of critical illness and necrotizing enterocolitis in neonates, predicting and managing aggression in brain injured patients, identifying and interrupting potential cardiopulmonary arrest and midwives decision to suture following childbirth. Two studies used the critical decision method to describe the complexity of work among nurses in acute care. One study described the stress, coping and decision-making among nurse managers. Conclusion: Studies examing clinical situations revealed that nurses do not use a single cue in isolation; rather they are attentive to patterns of early, ambiguous and subtle perceptual cues over time and constantly compare current state to previous state. The studies examining the cognitive demands of the clinical practice environment revealed the complexity of the clinical situations, which are influenced by multiple factors including resources, people and organizational culture. The synthesis of these articles demonstrated CDM to be valuable in eliciting practice knowledge held by experienced nurses. Precise use of CDM and other cognitive task analysis methods allows nursing expertise to be made explicit in order for nurses to practice safely in novel situations.
Repository Posting Date
2012-09-12T09:20:24Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type Information
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Category Information
Evidence Level | |
Keywords | critical decision method; research methods; cognitive task analysis |
Conference Information
Name | 23rd International Nursing Research Congress |
Host | Sigma Theta Tau International, the Honor Society of Nursing |
Location | Brisbane, Australia |
Date | 2012 |
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