title: Supporting nurse decision making in primary care: exploring use of and attitude to decision tools.
abstract: 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.
authors.affiliation: Centre for HCI Design School of Informatics City University Northampton Square London EC1V 0HB, UK. rebecca.randell.1@ city.ac.uk
authors.forename: Rebecca
authors.initials: R
authors.lastname: Randell
authors.forename: Natasha
authors.initials: N
authors.lastname: Mitchell
authors.forename: Carl
authors.initials: C
authors.lastname: Thompson
authors.forename: Dorothy
authors.initials: D
authors.lastname: McCaughan
authors.forename: Dawn
authors.initials: D
authors.lastname: Dowding
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003152:Community Health Nursing; D003658:Decision Making, Computer-Assisted; D020000:Decision Support Systems, Clinical; D006801:Humans; D007407:Interviews as Topic; D024802:Nurse's Role; D048108:Nursing Informatics; D009740:Nursing Staff / Q000523:psychology*; D017410:Practice Guidelines as Topic; D011321:Primary Nursing / Q000379:methods*; D017009:Professional Autonomy; D036301:Qualitative Research