Experiences in clinical decision making for nursing school graduates
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Laura Moran, RN; Maribel Aguilera Rivera, BSN
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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 Graduates based their decisions more on information from outdated healthcare personnel and textbooks than proper consultation of scientific evidence and resources.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.
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy
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 | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | Phenomenology |
Research Approach | Qualitative Research |
Keywords | Clinical Decision Making; Nursing Graduate; Accurate Sources of Information |
Name | 27th international Nursing Research Congress |
Host | Sigma Theta Tau international |
Location | Cape Town, South Africa |
Date | 2016 |
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