The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
Clinical decision‐making by midwives: managing case Complexity
Abstract
In making clinical judgements, it is argued that midwives use 'shortcuts' or heuristics based on estimated probabilities to simplify the decision-making task. Midwives (n = 30) were given simulated patient assessment situations of high and low complexity and were required to think aloud. Analysis of verbal protocols showed that subjective probability judgements (heuristics) were used more frequently in the high than low complexity case and predominated in the last quarter of the assessment period for the high complexity case. 'Representativeness' was identified more frequently in the high than in the low case, but was the dominant heuristic in both. Reports completed after each simulation suggest that heuristics based on memory for particular conditions affect decisions. It is concluded that midwives use heuristics, derived mainly from their clinical experiences, in an attempt to save cognitive effort and to facilitate reasonably accurate decisions in the decision-making process.
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“While studies relating to expertise have been undertaken in a range of nursing contexts and specialties (see for example Benner et al 1992, Greenwood & King 1995, Cioffi & Markham 1997, King & Macleod Clark 2002, Reischman & Yarandi 2002) to date none have been undertaken, in Australia or elsewhere, which focus on nephrology nursing.”
From The acquisition and exercise of nephrology nursing expertise: a grounded theory study (2006) · cites this paper as Cioffi & Markham 1997
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Metadata
- Authors
- Cioffi, J., & Markham, R.
- Affiliations
- Western Sydney University (AU)
- The University of Sydney (AU)
- ORCID
- Cioffi, Jane
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 1997-02
- Volume
- 25
- Issue
- 2
- Pages
- 265-272
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2020323129
- Cited by
- 119
- References
- 32
- Citations by year
- 2026: 2 · 2025: 1 · 2022: 3 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 6 · 2013: 5 · 2012: 7
- FWCI
- 5.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Tehran University of Medical Sciences and Health Services
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- midwives, clinical decision-making, heuristics, representativeness heuristic, case complexity, patient assessment, think-aloud, verbal protocols, clinical judgment, memory-based decision making, cognitive effort
- MeSH terms
- Decision Making, Female, Humans, Interviews as Topic, Nurse Midwives, Nursing Assessment, Students, Nursing, Tape Recording, Case Management
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