Information sources used in decision making: considerations for simulation development.

Simulation tasks, together with think aloud techniques are often used to research the cognitive processes individuals go through when making a decision or solving a problem. They have been utilised to a certain degree within nursing. A study was carried out to try and identify the sources of information nurses in acute medical and surgical wards used to make assessment judgements. A sample of 114 nurses were interviewed, and their responses analysed using content analysis. Four main sources of information were identified, with verbal interaction being the source of information most frequently mentioned by the subjects. The content of material presented in simulations is normally tested using techniques such as expert panels. However, this paper suggests that of equal importance may be the form of presentation or source of that information. It is suggested that in order to increase the validity of information obtained from simulation tasks, the form of presentation of information to the subject should also be considered.

[1]  J Grant,et al.  The structure of memorized knowledge in students and clinicians: an explanation for diagnostic expertise , 1987, Medical education.

[2]  C. Tanner,et al.  Diagnostic Reasoning Strategies Of Nurses and Nursing Students , 1987, Nursing research.

[3]  Benjamin Kuipers,et al.  A Description of Think Aloud Method and Protocol Analysis , 1993 .

[4]  Christine H. McGuire,et al.  Construction and use of written simulations , 1976 .

[5]  S. Corcoran,et al.  Task Complexity and Nursing Expertise as Factors In Decision Making , 1986, Nursing research.

[6]  J. Shanteau,et al.  Livestock judges: How much information can an expert use? , 1978 .

[7]  J. R. Landis,et al.  The measurement of observer agreement for categorical data. , 1977, Biometrics.

[8]  Timothy D. Wilson,et al.  Telling more than we can know: Verbal reports on mental processes. , 1977 .

[9]  G A Gorry,et al.  Toward a theory of clinical expertise. , 1982, The American journal of medicine.

[10]  S Corcoran-Perry,et al.  Supplemental-information-seeking behavior of cardiovascular nurses. , 1990, Research in nursing & health.

[11]  Dorothea P. Simon,et al.  Expert and Novice Performance in Solving Physics Problems , 1980, Science.

[12]  R. Weber Basic Content Analysis , 1986 .

[13]  M. G. Hile,et al.  SIDDS: Simulations in developmental disabilities , 1993 .

[14]  L. Shulman,et al.  Medical Problem Solving: An Analysis of Clinical Reasoning , 1978 .

[15]  J. Grant,et al.  Primary knowledge, medical education and consultant expertise , 1988, Medical education.

[16]  W L Holzemer,et al.  An evaluation of paper-and-pencil and computer-assisted simulations. , 1983, The Journal of nursing education.

[17]  G. Breakwell Research: theory and method , 1995 .

[18]  J. Bransford,et al.  The study of clinical judgment: an ecological approach , 1987 .

[19]  R. Mitchell,et al.  Diagnosis as a Skill: A Clinical Perspective , 2015, Perspectives in biology and medicine.

[20]  S J Grobe,et al.  A descriptive analysis of experienced nurses' clinical reasoning during a planning task. , 1991, Research in nursing & health.

[21]  John W. Payne,et al.  Contingent decision behavior. , 1982 .

[22]  D. Lamond,et al.  The cognitive component of nursing assessment: an analysis. , 1995, Journal of advanced nursing.

[23]  Sean Hammond,et al.  Research Methods in Psychology , 1994 .

[24]  W L Holzemer,et al.  Criterion-related validity of a clinical simulation. , 1986, The Journal of nursing education.