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Exploring Clinical Judgment and Influences on Emergency Nurses' Handoff Process.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Exploring Clinical Judgment and Influences on Emergency Nurses' Handoff Process./
Author:	Mizerek, Elizabeth A.
Description:	1 online resource (193 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-11, Section: A.
Contained By:	Dissertations Abstracts International84-11A.
Subject:	Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30425179click for full text (PQDT)
ISBN:	9798379488970

Exploring Clinical Judgment and Influences on Emergency Nurses' Handoff Process.
Mizerek, Elizabeth A.

Exploring Clinical Judgment and Influences on Emergency Nurses' Handoff Process. - 1 online resource (193 pages)

Source: Dissertations Abstracts International, Volume: 84-11, Section: A.

Thesis (Ph.D.)--Widener University, 2023.

Includes bibliographical references

Communication between healthcare providers during transitions in care or handoffs is essential to safe patient care. Failure to communicate accurate or complete information about the patient can lead to adverse events, such as medication errors, delayed tests, or increased length of hospital stay. Therefore, understanding the clinical judgment used and influences on the handoff process is integral to patient safety.The qualitative methodology of interpretive description was used to guide this study. Semi-structured interviews with emergency nurses who provide direct patient care were conducted to collect data and answer the following research questions: How do emergency nurses describe the process of clinical judgment during the handoff process to other nurses in the emergency department and how do emergency nurses describe the influences on their handoff processes to other nurses in the emergency department? Guided by information power, a total of 13 emergency nurses were recruited through the researcher's professional network and social media platforms. Interviews were conducted via Zoom®, audiotaped and transcribed verbatim. Data were analyzed through broad coding in an iterative and reflective process.Analysis and interpretation of the data yielded four themes related to clinical judgment and three themes related to influences on the handoff process. The themes associated with the understanding of emergency nurses' use of clinical judgment in the handoff were getting the essential information, evolving with experience, making good judgments, and location matters. The themes connected to understanding the influences on the handoff process between emergency nurses were thinking about each other, figuring it out, and practicing in chaos.The significance of this study to nursing science and research includes providing more evidence for current theoretical models in nursing, such as Tanner's Model of Clinical Judgment. The findings inform changes to current handoff practices in the clinical setting, specifically the emergency department, to improve patient safety. Finally, nurse educators may benefit from increased understanding of clinical judgment in practice to assist in educating nurses in the development of their own clinical judgment.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379488970Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Clinical judgmentIndex Terms--Genre/Form:

542853
Electronic books.

Exploring Clinical Judgment and Influences on Emergency Nurses' Handoff Process.
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520 $a Communication between healthcare providers during transitions in care or handoffs is essential to safe patient care. Failure to communicate accurate or complete information about the patient can lead to adverse events, such as medication errors, delayed tests, or increased length of hospital stay. Therefore, understanding the clinical judgment used and influences on the handoff process is integral to patient safety.The qualitative methodology of interpretive description was used to guide this study. Semi-structured interviews with emergency nurses who provide direct patient care were conducted to collect data and answer the following research questions: How do emergency nurses describe the process of clinical judgment during the handoff process to other nurses in the emergency department and how do emergency nurses describe the influences on their handoff processes to other nurses in the emergency department? Guided by information power, a total of 13 emergency nurses were recruited through the researcher's professional network and social media platforms. Interviews were conducted via Zoom®, audiotaped and transcribed verbatim. Data were analyzed through broad coding in an iterative and reflective process.Analysis and interpretation of the data yielded four themes related to clinical judgment and three themes related to influences on the handoff process. The themes associated with the understanding of emergency nurses' use of clinical judgment in the handoff were getting the essential information, evolving with experience, making good judgments, and location matters. The themes connected to understanding the influences on the handoff process between emergency nurses were thinking about each other, figuring it out, and practicing in chaos.The significance of this study to nursing science and research includes providing more evidence for current theoretical models in nursing, such as Tanner's Model of Clinical Judgment. The findings inform changes to current handoff practices in the clinical setting, specifically the emergency department, to improve patient safety. Finally, nurse educators may benefit from increased understanding of clinical judgment in practice to assist in educating nurses in the development of their own clinical judgment.
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