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“A Certainty for you Does Not Mean That it is a Certainty for Science”: A Phenomenological Analysis of Experiences of Uncertainty in Clinical Reasoning of Nurses in the Postanesthesia Care Unit
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Advisor(s)
Abstract(s)
Purpose: To explore the experiences of uncertainty in the clinical reasoning of nurses in the postanesthesia
care unit (PACU).
Design: A phenomenological descriptive design, following Colaizzi’s analysis.
Methods: Semistructured interviews were conducted with 14 nurses from a PACU on their experience of
uncertainty in clinical reasoning. The interviews were digitally audio-recorded and transcribed verbatim.
Two researchers conducted data analysis independently and followed seven phases: (re)reading the
transcripts, extracting significant statements, formulating meanings from significant statements, aggregating
formulated meanings into themes, developing a description of the phenomenon’s essential
structure, generating of the fundamental structure of the phenomenon, validating of the findings through
participant feedback. The process employed MAXQDA analytics Pro 2022 software. Consolidated Criteria for
Reporting A Qualitative Research checklist was used for reporting.
Findings: From uncertainty experiences in nurses’ clinical reasoning, 10 themes emerged: ambiguity and
decision latitude, communication, work ethic, difficulty interpreting and predicting outcomes, cognitive
performance impairment, incivility, core competence vagueness of postanesthesia nurses, high-tech care,
(in)security and risk, and occupational stress.
Conclusions: The experiences of uncertainty in clinical reasoning of nurses in postanesthesia care units are
highly focused on patient safety. Exploring these experiences has made uncertainty more tangible and
explicit, which will enable nurses in postanesthesia care units to prepare for adaptive responses to deal
with uncertainty when it occurs in clinical practice.
Description
Keywords
Citation
32. Cunha, L. D. M., Pestana-Santos, M., Lomba, L., & Santos, M. R. (2024). “A Certainty for you Does Not Mean That it is a Certainty for Science”: A Phenomenological Analysis of Experiences of Uncertainty in Clinical Reasoning of Nurses in the Postanesthesia Care Unit [Article]. Journal of Perianesthesia Nursing, 39(3), 409-416.e403. https://doi.org/10.1016/j.jopan.2023.08.024
Publisher
Elsevier BV