TY - JOUR
T1 - Nurses' Clinical Decision-Making in a Changed COVID-19 Work Environment
T2 - A Focus Group Study
AU - Laugesen, Britt
AU - Albrechtsen, Maja Thomsen
AU - Grønkjær, Mette
AU - Kusk, Kathrine Hoffmann
AU - Nielsen, Marie Germund
AU - Jørgensen, Lone
AU - Pedersen, Birgith
AU - Lerbæk, Birgitte
AU - Haslund-Thomsen, Helle
AU - Thorup, Charlotte Brun
AU - Jacobsen, Sara
AU - Bundgaard, Karin
AU - Voldbjerg, Siri Lygum
N1 - © 2022 The Author(s).
PY - 2022
Y1 - 2022
N2 - This study aims to explore how a changed COVID-19 work environment influences nurses' clinical decision-making. Data were collected via three focus groups totaling 14 nurses working in COVID-19 pandemic wards at a Danish university hospital. The factors influencing decision-making are described in three themes; navigating in a COVID-19 dominated context, recognizing the importance of collegial fellowship, and the complexities of feeling competent. A strong joint commitment among the nurses to manage critical situations fostered a culture of knowledge-sharing and drawing on colleagues' competencies in clinical decision-making. It is important for nurse leaders to consider multiple factors when preparing nurses not only to work in changing work environments, but also when nurses are asked to work in environments and specialties that deviate from their usual routines.
AB - This study aims to explore how a changed COVID-19 work environment influences nurses' clinical decision-making. Data were collected via three focus groups totaling 14 nurses working in COVID-19 pandemic wards at a Danish university hospital. The factors influencing decision-making are described in three themes; navigating in a COVID-19 dominated context, recognizing the importance of collegial fellowship, and the complexities of feeling competent. A strong joint commitment among the nurses to manage critical situations fostered a culture of knowledge-sharing and drawing on colleagues' competencies in clinical decision-making. It is important for nurse leaders to consider multiple factors when preparing nurses not only to work in changing work environments, but also when nurses are asked to work in environments and specialties that deviate from their usual routines.
KW - COVID-19
KW - Denmark
KW - clinical decision-making
KW - hospital
KW - nursing
KW - pandemic
KW - work environment
UR - http://www.scopus.com/inward/record.url?scp=85133655158&partnerID=8YFLogxK
U2 - 10.1177/23333936221109876
DO - 10.1177/23333936221109876
M3 - Journal article
C2 - 35832604
SN - 2333-3936
VL - 9
JO - Global Qualitative Nursing Research
JF - Global Qualitative Nursing Research
M1 - 23333936221109876
ER -