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Supporting nurse decision making in primary care: exploring use of and attitude to decision tools

Rebecca Randell, BSc PhD

Centre for HCI Design School of Informatics City University Northampton Square London EC1V 0HB, UK, rebecca.randell.1@ city.ac.uk

Natasha Mitchell, BSc MSc PhD

Department of Health Sciences Seebohm Rowntree Building (Area 2) University of York Heslington, York YO10 5DD, UK, nm513{at}york.ac.uk

Carl Thompson, BA PhD RN

Department of Health Sciences Seebohm Rowntree Building (Area 2) University of York Heslington, York YO10 5DD, UK, cat4{at}york.ac.uk

Dorothy McCaughan, BA MSc RN

Department of Health Sciences Seebohm Rowntree Building (Area 2) University of York Heslington, York YO10 5DD, UK, dmm5{at}york.ac.uk

Dawn Dowding, BSc PhD RN

Department of Health Sciences Seebohm Rowntree Building (Area 2) University of York Heslington, York YO10 5DD, UK, Dawn.Dowding{at}hyms.ac.uk

Nurses are increasingly working more autonomously in extended roles, yet we know little about the nature of the decisions they make. Decisions vary in terms of complexity, ambiguity and presentation, and the nature of the decision task impacts on the process of decision making, such as the likelihood of using a decision tool. Thus, knowledge about the nature of nursing decisions is essential for development of effective decision tools. This article presents an analysis of 410 nurse—patient consultations and interviews with 76 primary care nurses, and explores the nature of the decisions that primary care nurses make and the impact of that on their use of and attitudes towards decision tools.

Key Words: decision tools • nurse decision making • primary care

Health Informatics Journal, Vol. 15, No. 1, 5-16 (2009)
DOI: 10.1177/1460458208099864
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R. Randell, N. Mitchell, C. Thompson, D. McCaughan, and D. Dowding
From pull to push: understanding nurses' information needs
Health Informatics Journal, June 1, 2009; 15(2): 75 - 85.
[Abstract] [PDF]