Capturing judgement strategies in risk assessments with improved quality of clinical information: How nurses' strategies differ

Background: Nurses’ risk assessments of patients at risk of deterioration are sometimes suboptimal. Advances in clinical simulation mean higher quality information can be used as an alternative to traditional paper-based approaches as a means of improving judgement. This paper tests the hypothesis that nurses’ judgement strategies and policies change as the quality of information used by nurses in simulation changes. Methods: Sixty-three student nurses and 34 experienced viewed 25 paper-case based and 25 clinically simulated scenarios, derived from real cases, and judged whether the (simulated) patient was at ‘risk’ of acute deterioration. Criteria of judgement “correctness” came from the same real cases. Information relative weights were calculated to examine judgement policies of individual nurses. Group comparisons of nurses and students under both paper and clinical simulation conditions were undertaken using non parametric statistical tests. Judgment policies were als...

• Type: Journal
• Year: 2016
• Where: MIDM
• Authors: Huiqin Yang, Carl Thompson
• Keywords: MIDM 2016