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Measuring the quality of judgement and decision-making in nursing

Dowding, D and Thompson, C (2003) Measuring the quality of judgement and decision-making in nursing. Journal of Advanced Nursing. pp. 49-57. ISSN 0309-2402

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Abstract

Aim. This paper discusses measurement of the quality of judgement and decision-making in nursing research. It examines theoretical and research issues surrounding how to measure judgement accuracy as a component of evaluating decision-making in nursing practice. Discussion. Judgement accuracy is discussed with reference to different methods of measurement, including comparing judgements with independent criteria and inter-judge approaches. Existing research on how judgement accuracy has been measured in nursing practice is examined. Evaluation of decisions is then discussed, including consideration of the process of decision-making and evaluating decision outcomes. Finally, existing research on decision-making in nursing is assessed and the strengths and limitations of different types of measurement discussed. Conclusion. We suggests that researchers examining the quality of judgement and decision-making in nursing need to be aware of both the strengths and limitations of existing methods of measurement. We also suggest that researchers need to use a number of different methods, including normative approaches such as Bayes' Theorem and Subjective Expected Utility Theory.

Item Type: Article
Copyright, Publisher and Additional Information: 'This is an electronic version of an Article published in Journal of Advanced Nursing, October 2003, vol. 44, no. 1, pp. 49-57’. © Blackwell Science Ltd
Keywords: clinical decision-making, clinical judgement, nursing, PRESSURE ULCER RISK, TELEPHONE TRIAGE, CARE-UNIT, ACCURACY, NURSES, NOVICE, EXPERT, DIAGNOSIS, VALIDITY
Academic Units: The University of York > Health Sciences (York)
Depositing User: Repository Officer
Date Deposited: 23 Aug 2004
Last Modified: 17 Oct 2013 14:29
Published Version: http://dx.doi.org/10.1046/j.1365-2648.2003.02770.x
Status: Published
Refereed: Yes
URI: http://eprints.whiterose.ac.uk/id/eprint/51

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