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Option generation in the treatment of unstable patients: An experienced‐novice comparison study

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  • James Whyte
  • Roxanne Pickett‐Hauber
  • Maria D. Whyte

Abstract

There are a dearth of studies that quantitatively measure nurses' appreciation of stimuli and the subsequent generation of options in practice environments. The purpose of this paper was to provide an examination of nurses' ability to solve problems while quantifying the stimuli upon which they focus during patient care activities. The study used a quantitative descriptive method that gathered performance data from a simulated task environment using multi‐angle video and audio. These videos were coded and transcripts of all of the actions that occurred in the scenario and the verbal reports of the participants were compiled. The results revealed a pattern of superiority of the experienced exemplar group. Novice actions were characterized by difficulty in following common protocols, inconsistencies in their evaluative approaches, and a pattern of omissions of key actions. The study provides support for the deliberate practice‐based programs designed to facilitate higher‐level performance in novices.

Suggested Citation

  • James Whyte & Roxanne Pickett‐Hauber & Maria D. Whyte, 2016. "Option generation in the treatment of unstable patients: An experienced‐novice comparison study," Nursing & Health Sciences, John Wiley & Sons, vol. 18(3), pages 370-378, September.
  • Handle: RePEc:wly:nuhsci:v:18:y:2016:i:3:p:370-378
    DOI: 10.1111/nhs.12280
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    References listed on IDEAS

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    1. Klein, Gary & Wolf, Steve & Militello, Laura & Zsambok, Caroline, 1995. "Characteristics of Skilled Option Generation in Chess," Organizational Behavior and Human Decision Processes, Elsevier, vol. 62(1), pages 63-69, April.
    2. Christine E. Earley, 2002. "The Differential Use of Information by Experienced and Novice Auditors in the Performance of Ill†Structured Audit Tasks," Contemporary Accounting Research, John Wiley & Sons, vol. 19(4), pages 595-614, December.
    3. Johnson, Joseph G. & Raab, Markus, 2003. "Take The First: Option-generation and resulting choices," Organizational Behavior and Human Decision Processes, Elsevier, vol. 91(2), pages 215-229, July.
    4. Alison Twycross & Lucy Powls, 2006. "How do children's nurses make clinical decisions? Two preliminary studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(10), pages 1324-1335, October.
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