Applied cognitive task analysis methodology: Fundamental cognitive skills surgical nurses require to manage patient deterioration.
This study's aims were twofold: firstly, to identify the cognitive skills required of surgical nurses to rescue the deteriorating patient; and secondly, to elicit insight into the potential errors in decisionmaking inexperienced nurses commonly make in the same situation. An exploratory qualitative...
| Publicado en: | Nursing Praxis in Aotearoa New Zealand Vol. 38; no. 1; pp. 25 - 38 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Nursing Praxis in New Zealand
Mar2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156159515&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156159515 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27034542 MCS6 jtl: Nursing Praxis in Aotearoa New Zealand issn: 27034542 maglogo: N pubinfo: dt: Mar2022 vid: 38 iid: 1 pid: 19804 pub: Nursing Praxis in New Zealand place: Palmerston North, <Blank> artinfo: ui: 156159515 156159515 156159515 10.36951/27034542.2022.04 156159515 ppf: 25 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Applied cognitive task analysis methodology: Fundamental cognitive skills surgical nurses require to manage patient deterioration. aug: au: Marshall, Dianne Finlayson, Mary affil: PhD, RN, Senior Lecturer, School of Nursing, University of Auckland, Auckland, Aotearoa New Zealand sug: subj: Medical-Surgical Nursing Psychosocial Factors Nursing Skills Cognition Clinical Deterioration Nursing Decision Making, Clinical Human Exploratory Research Qualitative Studies Semi-Structured Interview ab: This study's aims were twofold: firstly, to identify the cognitive skills required of surgical nurses to rescue the deteriorating patient; and secondly, to elicit insight into the potential errors in decisionmaking inexperienced nurses commonly make in the same situation. An exploratory qualitative design used applied cognitive task analysis. A series of three in-depth interviews with six experienced surgical nurses were employed to collect the data. Applied cognitive task analysis interviews are sequential to identify different aspects of expert knowledge: the task diagram interview; the knowledge audit interview; and the simulation interview. Five difficult cognitive demands were identified when a patient is deteriorating: early recognition of physiological deterioration; confirming physiological deterioration; initiating rescue; securing medical assistance; and rescuing the patient. Nurses require the following cognitive skills to respond effectively to these cognitive demands: decision-making; leadership and management; patient advocacy; situation awareness; and planning. Educators should be aware of these cognitive demands and the specific cognitive skills required to manage patient deterioration and design initiatives to help accelerate nurses' cognitive expertise and consequently reduce errors. The study also highlights the importance of adequate shift coverage with highly skilled nursing staff. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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