Skip to main content
SpringerLink
Log in

Decision analysis in evidence-based children’s nursing: a community nursing perspective

  • Chapter
Book cover Evidence-based Child Health Care

  • 29 Accesses

Abstract

In this chapter, decision analysis is explored as a model in support of the clinical judgement and decision making necessary for the transfer of care from the hospital to the home environment. The need to be able to demonstrate accountability in a health care arena such as community children’s nursing is argued. Decision analysis is suggested as a process that may enable children’s nurses to provide the evidence of their judgement and decision making when working in increasingly complex care settings and within multiprofessional health care teams.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Anderson K. N., Anderson L. E. and Glanze W. D. (1994) Mosby’s Medical, Nursing and Allied Health Dictionary, 4th edn, St Louis, Mosby.

    Google Scholar 

  • Atwell J. D. and Gow M. A. (1985) ‘Paediatric trained district nurse in the community: expensive luxury or economic necessity?’, British Medical Journal, 291: 227–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Baumann A. O., Deber R. B. and Thompson G. G. (1991) ‘Overconfidence among physicians and nurses: the “micro-certainty, macro-uncertainty” phenomenon’, Social Science of Medicine 32 (2): 161–74.

    Article  Google Scholar 

  • Benner P. (1984) From Novice to Expert: Excellence and Power in Clinical Nursing Practice, Menlo Park, CA, Addison Wesley.

    Google Scholar 

  • Blagg N., Ballinger M. and Gardner R. (1988) Somerset Thinking Skills Course, Oxford, Basil Blackwell.

    Google Scholar 

  • Bond N., Philips P. and Rollins J. A. (1994) ‘Family centered care at home for families with children who are technology dependent’, Pediatric Nursing 20 (2): 123–30.

    CAS  PubMed  Google Scholar 

  • Catchpole A. (1989) ‘Cystic fibrosis: intravenous treatment at home’, Nursing Times 85 (12): 40–2.

    CAS  PubMed  Google Scholar 

  • Couriel J. M. and Davies P. (1988) ‘Costs and benefits of a community special care baby service’, British Medical Journal 296: 1043–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • David J. T. (1986) ‘Potential practical and legal problems with home administration of intravenous antibiotics for children with cystic fibrosis’. In Davis J. T. (ed.) Cystic Fibrosis in Children. Practical and Legal Aspects of Intravenous Antibiotic Administration in the Home, Amsterdam, Elsevier.

    Google Scholar 

  • Department of Health (1993) Children First–a Study of Hospital Services, London, Audit Commission/HMSO.

    Google Scholar 

  • Dowie J. (1993) ‘Clinical decision analysis: background and introduction’. In Llewelyn H. and Hopkins A. (eds) Analysing How we Reach Clinical Decisions, London, Royal College of Physicians.

    Google Scholar 

  • Einhorn H. J. (1980) ‘Overconfidence in judgment. New directions for methodology of social and behavioral science’ New Directions for Methodology of Social and Behavioural Science 4: 1–16.

    Google Scholar 

  • Ellis J. M. (1989) ‘Let parents give the care: IV therapy at home in cystic fibrosis’, Professional Nurse 4 (12): 589–92.

    Google Scholar 

  • Elstein A. S. and Bordage G. (1988) ‘Psychology of clinical reasoning’. In Dowie J. and Elstein A. (eds) Professional Judgment: A Reader in Clinical Decision Making, Cambridge, Cambridge University Press, pp. 109–29.

    Google Scholar 

  • Emden C. (1991) ‘Becoming a reflective practitioner’. In Gray G. and Pratt R. (eds) Towards a Discipline of Nursing, Edinburgh, Churchill Livingstone.

    Google Scholar 

  • Eraker S. A. and Politser P. E. (1988) ‘How decisions are reached: physician and patient’. In Dowie J. and Elstein A. (eds) Professional Judgement: A Reader in Clinical Decision Making, Cambridge, Cambridge University Press, pp. 379–94.

    Google Scholar 

  • Fields A. I., Hardy Coble D., Pollock M. M. and Kaufman J. (1991) ‘Outcome of home care for the technology-dependent children’, Pediatric Pulmonology 11: 310–17.

    Article  CAS  PubMed  Google Scholar 

  • Fischhoff B., Slovic P. and Lichtenstein S. (1980) ‘Knowing what you want: measuring labile values’. In Wallsten T. S. (ed.) Cognitive Processes in Choice and Decision Behaviour, USA, Lawrence Erlbaum.

    Google Scholar 

  • Gill S. (1993) ‘Home administration of intravenous antibiotics to children with cystic fibrosis’, British Journal of Nursing 2 (15): 767–70.

    CAS  PubMed  Google Scholar 

  • Gordon M., Murphy C. P., Candee D. and Hiltunen E. (1994) ‘Clinical judgement: an integrated model’, Advances in Nursing Science 16 (4): 55–70.

    Article  CAS  PubMed  Google Scholar 

  • Hammond K. R., McClelland G. H. and Mumpower J. (1980) Human Judgement and Decision Making, New York, Hemisphere.

    Google Scholar 

  • Harbison J. (1991) ‘Clinical decision making in nursing’, Journal of Advanced Nursing 16: 404–7.

    Article  CAS  PubMed  Google Scholar 

  • Hill D. S. (1993) ‘Co-ordinating a multi disciplinary discharge for the technology-dependent child based on parental needs’, Issues in Comprehensive Paediatric Nursing, 16: 229–37.

    Article  CAS  Google Scholar 

  • Hogue E. (1992) ‘Parental noncompliance in home care’, Pediatric Nursing 18 (6): 603–6.

    CAS  PubMed  Google Scholar 

  • Klug R. M. (1993) ‘Clarifying roles and expectations in home care’, Pediatric Nursing 19 (4): 374–6.

    CAS  PubMed  Google Scholar 

  • Komaroff A. J. (1979) The variability and inaccuracy of medical data, Proceedings of IEEE 67: 1196–207.

    Article  Google Scholar 

  • Lantos J. D. and Kohrman A. F. (1992) ‘Ethical aspects in pediatric home care’, Pediatrics 89 (5): 920–4.

    CAS  PubMed  Google Scholar 

  • Luker K. A. and Kendrick M. (1992) ‘An exploratory study of the sources of influence on the clinical decisions of community nurses’, Journal of Advanced Nursing 17: 457–66.

    Article  CAS  PubMed  Google Scholar 

  • McCormack K. (1992) ‘Areas of outcome research in nursing’, Journal of Professional Nursing 8 (2): 71.

    Article  Google Scholar 

  • Mehtar S. (1992) Hospital Infection Control, Oxford, Oxford Medical Publications.

    Google Scholar 

  • Müller D. J., Harris P. J., Wattley L. A. and Taylor J. (1993) Nursing Children: Psychology, Research and Practice ( 2nd edn ), London, Chapman & Hall.

    Google Scholar 

  • Roberts J., While A. E. and Fitzpatrick J. M. (1993) ‘Problem solving in nursing practice: application, process, skill acquisition and measurement’, Journal of Advanced Nursing 18: 886–91.

    Article  CAS  PubMed  Google Scholar 

  • Roberts J., While A. and Fitzpatrick J. (1995) ‘Information-seeking strategies and data utilisation: theory and practice’, International Journal of Nursing Studies 32 (6): 601–11.

    Article  CAS  PubMed  Google Scholar 

  • Schön D. A. (1991) The Reflective Practitioner ( 2nd edn ), San Francisco, Jossey Bass.

    Google Scholar 

  • Signorelli C., D’Alessandro D., Collina D. and Fara G. M. (1991) ‘Prevalence survey of nosocomial infections in a paediatric hospital’, Journal of Hospital Infection 18: 139–43.

    Article  CAS  PubMed  Google Scholar 

  • Soden R. (1994) Teaching Problem Solving in Vocational Education, London, Routledge.

    Google Scholar 

  • Sterling Y. (1990) ‘Resource needs of mothers managing chronically ill infants at home’, Neonatal Work 9 (1): 55–9.

    CAS  Google Scholar 

  • Tversky A. and Kahneman D. (1982) ‘Judgment under uncertainties and biases’. In Kahneman D., Slovic P. and Tversky A. (eds) Under Uncertainty: Heuristics and Biases, Cambridge, Cambridge University Press.

    Google Scholar 

  • Watson S. (1994) ‘An exploratory study into a methodology for the examination of decision making by nurses in the clinical area’, Journal of Advanced Nursing 20: 351–60.

    Article  CAS  PubMed  Google Scholar 

  • While E. A. (1991) ‘An evaluation of a paediatric home care scheme’, Journal of Advanced Nursing 16: 1413–21.

    Article  CAS  PubMed  Google Scholar 

  • Whyte D. A. (1994) Family Nursing: The Case of Cystic Fibrosis, Aldershot, Avebury.

    Google Scholar 

  • Zarin D. A. and Pauker S. G. (1984) ‘Decision analysis as a basis for medical decision making: the tree of Hippocrates’, Journal of Medicine and Philosophy 9: 181–213.

    Article  CAS  PubMed  Google Scholar 

Further reading

  • Bakken H. S. (1995) ‘Nursing informatics: state of the science’, Journal of Advanced Nursing 22: 1182–92.

    Google Scholar 

  • Corcoran S. (1989) ‘Decision analysis: a step-by-step guide for making clinical decisions’, Nursing and Health Care Mar.: pp 149–54.

    Google Scholar 

  • Edwards B. (1994) ‘Telephone triage: how experienced nurses reach decisions’, Journal of Advanced Nursing 19: 717–24.

    Article  CAS  PubMed  Google Scholar 

  • Gray J. A. Muir (1997) Evidence-based Health Care, Edinburgh, Churchill Livingstone.

    Google Scholar 

  • O’Neill E. and Dluhy N. M. (1997) ‘A longitudinal framework for fostering critical thinking and diagnostic reasoning’, Journal of Advanced Nursing 26: 825–32.

    Article  PubMed  Google Scholar 

  • Thomas S., Wearing A. and Bennett M. (1991) Clinical Decision Making for Nurses and Health Professionals, New York, W. B. Saunders/Baillière Tindall.

    Google Scholar 

Download references

Authors
  1. Dorothèe J. H. O’Sullivan-Burchard
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. School of Nursing and Midwifery, University of Southampton, UK

    Edward Alan Glasper (Professor of Nursing and Academic Head of Child Health Studies) & Lorraine Ireland (Lecturer in Child Health Studies) (Professor of Nursing and Academic Head of Child Health Studies) &  (Lecturer in Child Health Studies)

Copyright information

© 2000 The Editor(s)

About this chapter

Cite this chapter

O’Sullivan-Burchard, D.J.H. (2000). Decision analysis in evidence-based children’s nursing: a community nursing perspective. In: Glasper, E.A., Ireland, L. (eds) Evidence-based Child Health Care. Palgrave, London. https://doi.org/10.1007/978-0-333-98239-6_17

Download citation

  • DOI: https://doi.org/10.1007/978-0-333-98239-6_17

  • Publisher Name: Palgrave, London

  • Print ISBN: 978-0-333-80230-4

  • Online ISBN: 978-0-333-98239-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation