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It states that characteristics of the decision task induce certain modes of thinking. Hammond and colleagues, called cognitive continuum theory (CCT). In conjunction with evidence-based nursing practice and decision making, intuitive decision making is imperative and indispensable aspect of nursing care. CCT is featured by three key assumptions. A 24-item Nursing Decision Making Instrument based on cognitive continuum theory was used to explore how nurses perceived their CDM when meeting an elective patient for the first time. Data were analyzed with descriptive frequencies, t-tests, Chi-Square test, and linear regression. Journal of Advanced Nursing 2004; 49 (4): 397 – 405. It is critical that theories used in nursing are evaluated to provide an understanding of their aims, concepts and usefulness. Conclusion. Gerdtz, T.K. Application of Nursing Theory Title: Application of Cognitive Continuum theory to decision making by nurse managers Student Name: Institutional Affiliation: 10th October, 2014 Introduction Decision making may in this case be expressed as a route of selecting an alternative that is more likely to facilitate the achievement of organizational or individual goals (Bjork & Hamilton, 2011). Type Article Author(s) Raffik Cader, Steve Campbell, Don Watson Date 02/2005 Volume 49 Issue 4 Page start 397 Page end 405 DOI 10.1111/j.1365-2648.2004.03303.x OpenURL Check for local electronic subscriptions Is part of Journal Title Journal of Advanced Nursing ISSN 0309-2402 EISSN 1365-2648 … CCT has the potential to improve both individual health practitioner, and interprofessional team understanding about, and communication of, clinical decision-making processes. With the advent of evidence-based care, theories on decision-making have acquired increased significance. Abstract. Cognitive Continuum Theory in nursing decision-making. His theory, the cognitive continuum theory (CCT), places the cognitive activities of decision-makers into six broad categories . Cognitive continuum theory synthesizes rival and complementary approaches to decision theory in an accessible format, which has been applied in medicine, and various nursing scholars have advocated its use to enhance the effectiveness of nurses' clinical judgement and decision-making. A cross-sectional survey was carried out with 2095 nurses in four hospitals in Norway. Data were analyzed with descriptive frequencies, t-tests, Chi-Square test, and linear regression. The theory has been applied to the decision‐making process of many professionals, including medical practitioners and nurses. It is more like the awareness of the present moment of the person, the person who is more aware of his inner self and surroundings because pertains to decision-making are non-directional. Clack, G. Decision making in nursing practice: a case review. Paediatric Nursing 2009; 21 (5): 24 – 27. Cognitive Continuum Theory in nursing decision-making. Crossref. It is critical that theories used in nursing are evaluated to provide an understanding of their aims, concepts and usefulness. Decision‐making in acute care nursing requires an evaluation of many complex factors. Making sound decisions while working collaboratively in interprofessional healthcare teams is essential for modern healthcare Add to My Bookmarks Export citation. The key features of Hammond’s cognitive continuum theory are summerised in Box 6. With the advent of evidence-based care, theories on decision-making have acquired increased significance. ABSTRACT Effective clinical decision making is among the most important skills required by healthcare practitioners. BACKGROUND It is critical that theories used in nursing are evaluated to provide an understanding of their aims, concepts and usefulness. The purpose of this paper is to analyse and evaluate Cognitive Continuum Theory and to provide evidence for its relevance to nurses' decision-making. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. This article outlines the difficulties of this “two-system view” and presents an alternative, developed by K.R. While decision‐making research in acute care nursing is prevalent, errors in decision‐making continue to lead to poor patient outcomes. View Essay - Application of nursing theory Revised from NURS NURS449 at Chamberlain College of Nursing. The cognitive continuum theory (CCT) is a model of human judgement and decision making aimed at orienting decision-making processes. Box 6 . (King et al 2002, 323- 328.) Hammond’s cognitive continuum theory proposes that different forms of cognition (intuitive, analytical, common sense) are situated in relation to one another along a continuum that places intuitive processing at one end and analytical processing at the other. Existing evidence suggests that Cognitive Continuum Theory can provide the framework to explain decision‐making in nursing. Performance is impacted by the degree of match between the task and mode of thinking. The information processing theory derived from the cognitive sciences has been one of the most influential descriptive theories of decision making in medicine and nursing. The cognitive continuum theory 30, 52 in particular can be regarded as an early form of dual process theory. Clinical decision-making skills; Cognitive models; New nursing graduates. The instrument for this study was the NDMI-R14, which quantifies decision-making from analytical cognition to intuitive cognition. decision making by nurses and other healthcare professionals is of growing concern among researchers and more viv id acknowledgements are being revealed. Type Article Author(s) Raffik Cader, Steve Campbell, Don Watson Date 2005 Volume 49 Issue 4 Page start 397 Page end 405 DOI 10.1111/j.1365-2648.2004.03303.x Web address https://0-onlinelibrary-wiley-com.brum.beds.ac... Is part of Journal Title Journal of Advanced Nursing ISSN 0309-2402 EISSN 1365 … ture, yet the idea of two independent dichotomous cognitive systems is not entirely without problems. The purpose of this paper is to analyse and evaluate Cognitive Continuum Theory and to provide evidence for its relevance to nurses’ decision-making. Application of Cognitive Continuum theory to decision making by nurse managers 1 Title: Highlights Cognitive Continuum Theory describes intuitive, quasi-rational and analytic thinking. cognitive continuum theory and Benner’s novice to expert theory were the framework for this research. As nurses know that, the decision making with the help of the Cognitive continuum theory is the way to relief and wellbeing o the patient in the nursing, without any change in the attention of the person. The author in this article presents a theory of decision-making in nursing, specifically a middle-range theory of intuitive decision-making in nursing created through the synthesis of Patricia Benner’s model of skill acquisition in nursing and Damasio’s somatic marker hypothesis. Maxine Offredy, Sally Kendall, Claire Goodman, The use of cognitive continuum theory and patient scenarios to explore nurse prescribers’ pharmacological knowledge and decision-making, International Journal of Nursing Studies, 10.1016/j.ijnurstu.2007.01.014, 45, 6, (855-868), (2008). However, existing modes of inquiry applied to medicine emphasize experimental research, ignoring many alternative approaches used in nursing. It is proposed that clinical decision making improves as the nurse gains experience of nursing patients within a specific speciality and with experience, nurses gain a sense of saliency in relation to decision making. The use of cognitive continuum theory guided the analysis. Quasirationality may be a frequent and appropriate mode of thinking in management. This study analyzed nurses' perceptions of clinical decision making (CDM) in their clinical practice and compared differences in decision making related to nurse demographic and contextual variables. Cognitive Continuum Theory in nursing decision-making. Naturalistic decision making may provide a framework for further exploring decision‐making in acute care nursing practice. In the cognitive continuum theory, intuition and rational analysis are defined as two modes of cognition that can be placed at the ends of a continuum, where intuition refers to rapid, unconscious processing and low control, and analysis refers to slow, conscious and controlled processing. A 24-item Nursing Decision Making Instrument based on cognitive continuum theory was used to explore how nurses perceived their CDM when meeting an elective patient for the first time. Sirkka Lauri, Sanna Salanterä, Developing an instrument to measure and describe clinical decision making in different nursing fields, Journal of Professional Nursing, 10.1053/jpnu.2002.32344, 18, 2, (93-100), (2002). Hammond’s (1996) cognitive continuum theory was developed as an alternative decision making theory. Add to My Bookmarks Export citation. Since the 1960s, cognitive psychologists and decision theorists have developed the idea of the cognitive continuum. Results The majority of participants were unable to identify the issues involved in all the scenarios; they also failed to provide an acceptable solution to the problem, suggesting that they would refer the patient to the general practitioner. Cognitive Continuum Theory in nursing decision-making Aim. Experienced nurses may use all three forms of clinical decision making both indepe … A review of clinical decision making: models and current research J Clin Nurs. Key features of Hammond’s cognitive continuum theory . Cognitive Continuum Theory can be used to develop a dynamic theory of managerial judgment and decision making by allowing researchers to track movement back and forth along the cognitive continuum during a task and enabling them to explain patterns of shifting cognition in terms of, for example, success and failure on the task and the dynamic features of the task. Aim. Findings: Cognitive continuum theory illustrates how different judgement tasks are suited to different thought processes and how matching the two can optimize decision-making. M.F. A 24-item Nursing Decision Making Instrument based on cognitive continuum theory was used to explore how nurses perceived their CDM when meeting an elective patient for the first time. Cioffi, J. Heuristics, servants to intuition, in clinical decision-making. Journal of Advanced Nursing 1997; 26: 203 – 208. Although gut feelings as such do not feature in any of these theories, the affect heuristic described in decision-making research 6 , 60 , 61 as the intuitive positive and negative feelings guiding decisions comes close to our description of a sense of reassurance and a sense of alarm. Background. Hammond suggested the cognitive processes used in decision-making were arranged on a continuum with intuition anchored at one end of the continuum and analysis anchored at … Examination of the current application of CCT indicates that this theory … AIM The purpose of this paper is to analyse and evaluate Cognitive Continuum Theory and to provide evidence for its relevance to nurses' decision-making. Background. And presents an alternative decision making theory clinical decision-making skills ; cognitive models ; New graduates. Intuitive cognition article outlines the difficulties of this paper is to analyse and evaluate cognitive continuum theory and Benner s! 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