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J Caring Sci. 2022;11(3): 154-162.
doi: 10.34172/jcs.2022.04
PMID: 36247041
PMCID: PMC9526789
Scopus ID: 85138068824
  Abstract View: 866
  PDF Download: 366
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Original Article

Intuitive Decision-making by Iranian Nurses of Patients with COVID-19: A Qualitative Study

Mohammad Aghajani 1 ORCID logo, Mohsen Taghadosi 2* ORCID logo, Neda Mirbagher Ajorpaz 3 ORCID logo

1 Department of Psychiatric Nursing, Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
2 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
3 Department of Operating Room, Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran
*Corresponding Author: Corresponding Author: Mohsen Taghadosi, Email: , Email: taghadosi_m@kaums.ac.ir

Abstract

Introduction: Clinical decision-making related to coronavirus disease 2019 (COVID-19) is a new experience; thus, there is a lack in knowledge in this area. The aim of this study is to explore critical care nurses’ experience of intuitive decision-making in patients diagnosed with COVID-19.

Methods: In this qualitative descriptive study, 16 nurses who had the experience of providing care for patients diagnosed with COVID-19 were selected through purposive sampling and participated in semi-structured interviews. The interviews were transcribed and finally analyzed through the conventional content analysis approach.

Results: 62.5% of participants were females and the mean (SD) of the participant’s age and working experience were 36.56 (6.58) and 12.62 (5.59) years, respectively. Three main themes emerged out of the experiences of the nurses, including (a) inner revolution, (b) holistic awareness and (c) clinical wisdom.

Conclusion: Critical care nurses use intuition in novel, complex situations where they often have to make quick and independent decisions. Understanding the phenomenon of intuition in clinical decision making increases the professional practice of nursing and leads to better quality care for patients, especially in acute, critical situations and pandemic diseases.

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Submitted: 13 Apr 2021
Revision: 18 May 2021
Accepted: 18 May 2021
ePublished: 16 Nov 2021
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