2.50
Hdl Handle:
http://hdl.handle.net/10755/616104
Category:
Full-text
Type:
Presentation
Title:
Experiences in Clinical Decision Making for Nursing School Graduates
Other Titles:
Quality Care of the Elderly
Author(s):
Moran, Laura; Aguilera Rivera, Maribel
Lead Author STTI Affiliation:
Non-member
Author Details:
Laura Moran, RN, eneolm@yahoo.com; Maribel Aguilera Rivera, BSN
Abstract:
Session presented on Friday, July 22, 2016: Purpose: The overall objective is to explore the experiences of graduates from the National School of Nursing 'and Obstetrics of the National Autonomous University of Mexico (UNAM) in relation to the factors that influence the process of clinical decision making during their social service Methods: Phenomenological qualitative study was executed using a focus group of seven recent nursing school graduates. This study is semi-structured based on the process and sources of clinical decision making proposed by Dr. Andrea Marshall. From the focus group, audiovisual data was recorded transcribed and micro analyzed through open and axial coding in order to find categories and subcategories of factors involving their decision making. Results: Two main categories emerged: The first one reveals on what the graduates base their clinical decisions. Graduates based their decisions more on information from outdated healthcare personnel and textbooks than proper consultation of scientific evidence and resources. They also fall back on unfounded practical knowledge without applying sound theory. The second category is in regards to the factors that influence the graduates process of clinical decision making. Nursing school graduate students tend to study in a linear and stagnant manner. They limit their development to simply following instructions and memorizing facts instead of developing skills such as citical thinking, nonlinear analysis , and professional management in addition to written and spoken English'comprehension.'These factors, along 'with the dissociation of theory and practice, have been found to influence and create problems in the graduates decision making process especially in scenarios such as when having to treat a patient without a supervising' figure as a facilitator. Conclusion: It can be concluded that to make clinical decisions, graduates are based more on unfounded practical knowledge and informal opinions of others such as colleagues and/or senior staff rather than rely on up to date sicientific evidence and critical thinking. This severely impacts their ability to make the kinds of competent decisions that nursing demands.
Keywords:
clinical decision making; Nursing graduate; accurate sourses of information
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16E06; INRC16E06
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleExperiences in Clinical Decision Making for Nursing School Graduatesen
dc.title.alternativeQuality Care of the Elderlyen
dc.contributor.authorMoran, Lauraen
dc.contributor.authorAguilera Rivera, Maribelen
dc.contributor.departmentNon-memberen
dc.author.detailsLaura Moran, RN, eneolm@yahoo.com; Maribel Aguilera Rivera, BSNen
dc.identifier.urihttp://hdl.handle.net/10755/616104-
dc.description.abstractSession presented on Friday, July 22, 2016: Purpose: The overall objective is to explore the experiences of graduates from the National School of Nursing 'and Obstetrics of the National Autonomous University of Mexico (UNAM) in relation to the factors that influence the process of clinical decision making during their social service Methods: Phenomenological qualitative study was executed using a focus group of seven recent nursing school graduates. This study is semi-structured based on the process and sources of clinical decision making proposed by Dr. Andrea Marshall. From the focus group, audiovisual data was recorded transcribed and micro analyzed through open and axial coding in order to find categories and subcategories of factors involving their decision making. Results: Two main categories emerged: The first one reveals on what the graduates base their clinical decisions. Graduates based their decisions more on information from outdated healthcare personnel and textbooks than proper consultation of scientific evidence and resources. They also fall back on unfounded practical knowledge without applying sound theory. The second category is in regards to the factors that influence the graduates process of clinical decision making. Nursing school graduate students tend to study in a linear and stagnant manner. They limit their development to simply following instructions and memorizing facts instead of developing skills such as citical thinking, nonlinear analysis , and professional management in addition to written and spoken English'comprehension.'These factors, along 'with the dissociation of theory and practice, have been found to influence and create problems in the graduates decision making process especially in scenarios such as when having to treat a patient without a supervising' figure as a facilitator. Conclusion: It can be concluded that to make clinical decisions, graduates are based more on unfounded practical knowledge and informal opinions of others such as colleagues and/or senior staff rather than rely on up to date sicientific evidence and critical thinking. This severely impacts their ability to make the kinds of competent decisions that nursing demands.en
dc.subjectclinical decision makingen
dc.subjectNursing graduateen
dc.subjectaccurate sourses of informationen
dc.date.available2016-07-13T11:04:30Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:04:30Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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