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Complexity perspectives on clinical decision making in an intensive care unit
Author(s) -
Bock Ben A.,
Willems Dick L.,
Weinstein Henry C.
Publication year - 2018
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.12794
Subject(s) - interactivity , qualitative research , process (computing) , empirical research , management science , unit (ring theory) , clinical decision making , psychology , intensive care unit , intensive care , knowledge management , computer science , medicine , sociology , epistemology , engineering , social science , mathematics education , philosophy , multimedia , psychiatry , intensive care medicine , operating system
Rationale, aims, and objectives How to clarify the implications of complexity thinking for decision making in the intensive care unit (ICU)? Method Retrospective qualitative empirical research. Practitioners in an ICU were interviewed on how their decisions were made regarding a particular patient in a difficult, clinical situation. Transcriptions of these interviews were coded and retrieved in Maxqda, a software program. Assisted by complexity thinking, researchers focused on the decision‐making process and the shift from analytic approaches to complex approaches. Results Originally, practitioners took their decisions with negligible transdisciplinary interactivity, drawing on analytical knowledge. Later on, they shifted to transdisciplinary practices, paying attention to more participation in their decision‐making processes within their complex environment. Conclusions Complexity thinking demonstrates that this is a better model towards understanding transdisciplinary decision making then most analytical methodologies.