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Uncertainty in post-anaesthesia nursing clinical reasoning: An integrative review in the light of the model of uncertainty in complex health care settings

2022Journal article Open access
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dc.contributor.authorCunha, Lara Daniela Matos
dc.contributor.authorPestana-Santos, Márcia
dc.contributor.authorLomba, Lurdes
dc.contributor.authorReis Santos, Margarida
dc.date.accessioned2022-06-07T14:30:55Z
dc.date.available2022-06-07T14:30:55Z
dc.date.issued2022
dc.description.abstractProblem identification: Post-anaesthesia nursing plays an important role in the early detection and treatment of clinical deterioration after surgery and/or anaesthesia. Concomitantly, the effectiveness of post-operative care is highly dependent on the accurate analysis, synthesis of patient data and quality of diagnostic decisions through clinical reasoning. Given the dynamic processes required to come to a diagnosis, uncertainty is common in clinical reasoning and expected during practice. Nevertheless, uncertainty may permeate the foundations of clinical reasoning, which can jeopardise diagnostic accuracy and consequently the quality and safety of health care. Literature search: The objectives of this review are to identify available evidence related to uncertainty in post-anaesthesia nursing clinical reasoning and to analyse the results from the perspective of the Model of Uncertainty in Complex Healthcare Settings (MUCH-S). A comprehensive search strategy using CINAHL (EBSCO), Cochrane Library (EBSCO), Medline (PubMed), ProQuest and Google Scholar databases was used to find published and unpublished relevant studies. Studies published in English and Portuguese were included. There was no temporal restriction, nor geographical or cultural limitation for the studies included. Data evaluation synthesis: All papers were reviewed by the authors to extract key information about purpose, sample and setting, research design and method, key findings and limitations. The literature search identified a total of 248 studies, 22 of which were retrieved for full reading. A total of four articles were included in this review. Implications for practice: Three main themes were identified: nurses’ intuition to reason, feelings of uncertainty related to lack of nursing knowledge and clinical (in)experience to deal with uncertainty. These findings are encompassed within the MUCH-S taxonomy: personal, scientific and practical. This review offers post-anaesthesia nurses’ greater levels of understanding of this phenomenon and may support more informed and reflexive clinical reasoning.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJournal of Perioperative Nursing Volume 35 Number 2pt_PT
dc.identifier.doi10.26550/2209-1092.1182pt_PT
dc.identifier.eissn2209-1092
dc.identifier.urihttp://hdl.handle.net/10400.26/40951
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAustralian College of Perioperative Nurses (ACORN).pt_PT
dc.relation.publisherversionhttps://www.journal.acorn.org.au/do/search/?q=patient%20safety&start=60&context=11449017&facet=publication_year%3A2022#pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectPatient safetypt_PT
dc.subjectPost-anaesthesia nursingpt_PT
dc.titleUncertainty in post-anaesthesia nursing clinical reasoning: An integrative review in the light of the model of uncertainty in complex health care settingspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagee40pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPagee32pt_PT
oaire.citation.titleJournal of Perioperative Nursingpt_PT
oaire.citation.volume35pt_PT
person.familyNameReis Santos
person.givenNameMargarida
person.identifier.ciencia-id9813-185A-AC20
person.identifier.orcid0000-0002-7948-9317
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9ae620cf-8b78-4888-9a0f-5d11168cb36d
relation.isAuthorOfPublication.latestForDiscovery9ae620cf-8b78-4888-9a0f-5d11168cb36d

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