東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

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

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Exploring Clinical Judgment and Influences on Emergency Nurses' Handoff Process./
作者:	Mizerek, Elizabeth A.
面頁冊數:	1 online resource (193 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-11, Section: A.
Contained By:	Dissertations Abstracts International84-11A.
標題:	Nursing. -
電子資源:	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.
LDR:03666nmm a2200397K 4500 001 2362878
005 20231109093752.5
006 m o d
007 cr mn ---uuuuu
008 241011s2023 xx obm 000 0 eng d
020 $a 9798379488970
035 $a (MiAaPQ)AAI30425179
035 $a AAI30425179
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Mizerek, Elizabeth A. $3 3703622
245 1 0 $a Exploring Clinical Judgment and Influences on Emergency Nurses' Handoff Process.
264 0 $c 2023
300 $a 1 online resource (193 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 84-11, Section: A.
500 $a Advisor: Baumberger-Henry, Mary.
502 $a Thesis (Ph.D.)--Widener University, 2023.
504 $a Includes bibliographical references
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.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Nursing. $3 528444
650 4 $a Bioinformatics. $3 553671
650 4 $a Medical personnel. $2 itrt. $3 774747
653 $a Clinical judgment
653 $a Emergency nurses
653 $a Handoff process
653 $a Influences
653 $a Interpretative description
655 7 $a Electronic books. $2 lcsh $3 542853
690 $a 0569
690 $a 0207
690 $a 0715
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a Widener University. $b Nursing. $3 3177644
773 0 $t Dissertations Abstracts International $g 84-11A.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30425179 $z click for full text (PQDT)