Decision-making by nurses in emergency services: a literature review
DOI:
https://doi.org/10.62827/eb.v23i4.4023Keywords:
Nursing services; decision making; emergency nursing.Abstract
Introduction: Decision-making in emergency services is a critical process that impacts the quality of care and prognosis of patients. It involves the ability to assess complex situations and implement interventions quickly. Objective: A literature review highlighted the challenges faced by nurses when making decisions in emergency environments and, consequently, the interference in the quality and safety of care. Methods: An integrative literature review was carried out, searching for articles in the following databases: PubMed, Scopus, and Web of Science, published on the subject from 2018 to the first half of 2024. The articles were found in English and read in full according to the study's objective. Results: Deliberation in emergency services is influenced by several factors such as the severity of the situation, availability of resources, training and experience of the nurse, and ability to work under pressure. Conclusion: Continuing education and specific emergency training are crucial to prepare nurses for a challenging environment such as the emergency room, where decision-making needs to be quick and assertive; specific emergency training, simulation programs in high-pressure scenarios, and continuing education on the best conduct for nurses in this environment are necessary.
References
Carter EJ, Thompson JE. Decision-making in emergency care: Exploring the impact of stress and uncertainty. J Emerg Nurs. 2020;46(5):603-10.
Hinds RK, Marshall AP. The challenges of emergency nursing: Decision making in the face of uncertainty. Australas Emerg Care. 2019;22(4):215-20.
Smith JA, Roberts MA, Turner CR. Advanced Decision-Making Skills in Emergency Nursing: Enhancing Patient Outcomes. Int J Nurs Stud. 2022;129:104187.
Garcia LP, Silva AB, Melo RS. The Impact of Decision-Making in Emergency Nursing: A Systematic Review. BMC Nurs. 2024;22(1):83.
Walker SE, Forbes H. Evidence-based practice in emergency nursing: Protocols and technological aids. Int J Emerg Nurs. 2021;45:100741.
Jones CS, Westbrook J, Duffield C. Factors influencing decision-making in emergency nurses: A systematic review. J Adv Nurs. 2018;74(9):2078-89.
Smith JA, Johnson LM, White RE. Standardized clinical protocols in emergency care: Impact on patient outcomes and nursing practice. J Emerg Nurs. 2021;47(3):317-24.
Brown CE, Clarke SP. The role of technology in enhancing decision-making in emergency nursing. Int J Nurs Stud. 2020;108:103625.
Doyle L, McCabe C, Keogh B. Simulation training in emergency nursing: Enhancing clinical decision-making skills. Nurse Educ Today. 2019;79:67-72.
Turner PD, Simon R, Jones TS. The effectiveness of clinical decision support systems in emergency nursing practice: A systematic review. J Clin Nurs. 2021;30(13-14):1885-95.
White PL, Smith DR, Robinson A. Nurse retention and job satisfaction in emergency departments: The impact of decision-making support systems. J Nurs Manag. 2020;28(5):1070-8.
Wang H, Wang H, Li X. Clinical decision-making in emergency nursing practice: A standardized protocol approach. J Emerg Med. 2018;54(2):217-23.
Johnson L, Smith R. Balancing protocols and individual clinical judgment in emergency care. Nurs Clin North Am. 2020;55(1):45-59.
Taylor S, Adams J, Turner M. Improving workflow efficiency in emergency departments through evidence-based practices. J Emerg Nurs. 2018;44(5):409-17.
Williams J, Davis K. Adapting to changes in emergency nursing: Continuous improvement and innovation. J Nurs Adm. 2021;51(7-8):375-82.
Martin A, Johnson L, Smith D. Nurse satisfaction and retention in emergency departments: The role of decision-making support. J Nurs Manag. 2019;27(5):993-1002.
Lee CH, Park SJ, Kim YS. Impact of clinical decision support systems on emergency care: Systematic review. J Med Internet Res. 2019;21(1)
Gonzalez M, Hernandes R. Technological advancements in emergency nursing: Opportunities and challenges. Technol Health Care. 2021;29(4):675-83.
Parker P, Thomas K. Simulation-based education for emergency nurses: Enhancing decision-making skills. Nurse Educ Today. 2020;88:104383.
Roberts L, Jones M, Spencer D. Training emergency nurses: Ensuring preparedness for high-pressure situations. J Contin Educ Nurs. 2019;50(3):129-36.
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Copyright (c) 2024 Maria da Glória Freitas, Érica de Andrade Alves da Silva, Jandson de Oliveira Soares (Autor)
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