Supported by the Jonas Foundation.
An Integrated, Ethically Driven Environmental Model of Clinical Decision Making in Emergency Settings
Article first published online: 16 OCT 2012
© 2012, The Author. International Journal of Nursing Knowledge © 2012, NANDA International
International Journal of Nursing Knowledge
Volume 24, Issue 1, pages 49–53, February 2013
How to Cite
Wolf, L. (2013), An Integrated, Ethically Driven Environmental Model of Clinical Decision Making in Emergency Settings. Int Jnl Nurs Knowledge, 24: 49–53. doi: 10.1111/j.2047-3095.2012.01229.x
- Issue published online: 17 FEB 2013
- Article first published online: 16 OCT 2012
- Clinical decision making;
- emergency nursing;
- moral reasoning
PURPOSE: To explore the relationship between multiple variables within a model of critical thinking and moral reasoning.
METHODS: A quantitative descriptive correlational design using a purposive sample of 200 emergency nurses. Measured variables were accuracy in clinical decision-making, moral reasoning, perceived care environment, and demographics. Analysis was by bivariate correlation using Pearson's product-moment correlation coefficients, chi square and multiple linear regression analysis.
FINDINGS: The elements as identified in the integrated ethically-driven environmental model of clinical decision-making (IEDEM-CD) corrected depict moral reasoning and environment of care as factors significantly affecting accuracy in decision-making.
CONCLUSIONS: The integrated, ethically driven environmental model of clinical decision making is a framework useful for predicting clinical decision making accuracy for emergency nurses in practice, with further implications in education, research and policy.
PRACTICE IMPLICATIONS: A diagnostic and therapeutic framework for identifying and remediating individual and environmental challenges to accurate clinical decision making.