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Influences that drive clinical decision making among junior rheumatology nurses: A qualitative study
Author(s) -
Bryer Domini Jayne
Publication year - 2006
Publication title -
musculoskeletal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.628
H-Index - 28
eISSN - 1557-0681
pISSN - 1478-2189
DOI - 10.1002/msc.95
Subject(s) - medicine , thematic analysis , qualitative research , specialty , experiential learning , medical education , nursing , rheumatology , clinical decision making , family medicine , psychology , pedagogy , social science , sociology
Abstract This paper presents a qualitative study exploring the influences that drive clinical decision making among a small group of junior rheumatology nurses. A qualitative, descriptive design was chosen. Semi‐structured interviews were used with a purposive sample of six junior staff nurses from two inpatient rheumatology wards in a large teaching hospital in the North of England. The interviews were audiotaped and transcribed using Burnard's (1991) thematic content analysis. The findings demonstrate four distinct themes which influence clinical decision making including professional development, patient‐focused care, working in a specialty and rheumatology nursing. Development of experiential knowledge alongside access to specialized information and expert practitioners was also influential in informing decisions. Copyright © 2006 John Wiley & Sons, Ltd.