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Crit Care Nurs Clin North Am · Dec 2005
Clinical judgments about endotracheal suctioning: what cues do expert pediatric critical care nurses consider?
- Margot Thomas and Frances Fothergill-Bourbonnais.
- Pediatric Intensive Care Unit, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario K1H 8L1, Canada. thomas@cheo.on.ca
- Crit Care Nurs Clin North Am. 2005 Dec 1;17(4):329-40, ix.
AbstractMaking accurate and timely judgments based on multiple ways of knowing is an essential skill in critical care nursing practice. Studies have proposed that positive patient outcomes are linked to expert judgments in a variety of critical care situations; however, little is known about clinical judgments related to specific critical care nursing interventions. This article presents a qualitative nursing research study which examined the cues that expert pediatric critical care nurses used in making clinical judgments about suctioning intubated and ventilated, critically ill children. The participants' words and actions attest that the 'sensing' and 'thinking' of the process of cue use, are interwoven with, and integral to, the 'doing,' which is the process of skilled performance.
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