• Christine W Nibbelink and Pamela G Reed.
• University of California, San Diego, Department of Biomedical Informatics, United States of America. Electronic address: cnibbelink@ucsd.edu.
• Appl Nurs Res. 2019 Apr 1; 46: 20-23.

AimThe purpose of this article is to present the derivation of the Practice Primed Decision Model from a naturalistic decision-making framework for use in guiding future nursing decision-making research.BackgroundAcute care nurses make decisions in demanding environments under the influence of many factors. The influence of these factors on nurse decision-making is not well understood leading to gaps in understanding how to best support acute care nurse decision-making.MethodsThe strategy of theory derivation was used in the development of a new model for use in nursing research. This model incorporates important elements identified in naturalistic decision making, a Recognition Primed Decision Model and an integrative review of nurse decision-making literature.ConclusionThe new model, Practice Primed Decision Model, provides a new perspective to guide nurse decision-making research. This model includes factors influential to the nurse decision-making process that is more realistic in time limited, high stakes decision-making situations.Copyright © 2019 Elsevier Inc. All rights reserved.

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