A bottom-up framework for nurses' protocol-based care decision-making

Vázquez-Calatayud, Mónica; Pumar Méndez, María Jesús; Oroviogoicoechea, Cristina

A bottom-up framework for nurses' protocol-based care decision-making

dc.contributor.author	Vázquez-Calatayud, Mónica
dc.contributor.author	Pumar Méndez, María Jesús
dc.contributor.author	Oroviogoicoechea, Cristina
dc.contributor.department	Ciencias de la Salud	es_ES
dc.contributor.department	Osasun Zientziak	eu
dc.date.accessioned	2024-10-16T19:07:52Z
dc.date.available	2024-10-16T19:07:52Z
dc.date.issued	2024-09-15
dc.date.updated	2024-10-16T18:53:49Z
dc.description.abstract	Aim: To develop a conceptual framework for nurses' protocol-based care decision-making. Design: Miles & Huberman's bottom-up approach to developing conceptual frameworks was followed, using data collected from a multiple embedded case study examining protocol-based decision-making by nurses in three hospital wards within a university hospital in northern Spain. Methods: The qualitative data from the case study, obtained through documentary analysis, observations, and interviews, underwent a secondary analysis consisting of four steps: data reduction, data display, comparison, and drawing conclusions. Results: The framework for protocol-based care decision-making comprises four components: (1) protocol-based care, as a balance between standardisation and individualised care, (2) the process, (3) the context, and (4) the elements of protocol-based care decision-making. These components and their relationship as a context-dependent, linear, variable and multifactorial process, directly influenced by the perception of risk, are described and illustrated. Conclusions: This study provides a rigorous bottom-up framework for nurses' protocol-based care decision-making. The framework could be a valuable resource for managers, clinical nurses, educators, and researchers to guide and evaluate nurses' decision-making, leading to improved care quality and reduced variability in clinical practice. Furthermore, the framework lays a foundation for further research and practical applications. Impact: This study addressed the problem of understanding nurses' protocol-based care decision-making and the need for a specific conceptual framework. The main findings of the study contribute to the development of a rigorous bottom-up framework comprising four components of protocol-based care decision-making. The framework has the potential to improve care quality, reduce variability, enhance patient safety, and increase healthcare efficiency by guiding nurses' decision-making in various healthcare settings. No Patient or Public Contribution: Patient or public contribution was not applicable since the study focused on nurses' decision making.	en
dc.description.sponsorship	This research received funding from a grant provided by Maphre Foundation, “Ignacio Hernando de Larramendi” (2014/BIL/14/S2/048).
dc.format.mimetype	application/pdf	en
dc.format.mimetype	application/zip	en
dc.identifier.citation	Vázquez-Calatayud, M., Pumar-Méndez, M. J., Oroviogoicoechea, C. (2024) A bottom-up framework for nurses' protocol-based care decision-making. Nursing Open, 11(9), 1-7. https://doi.org/10.1002/nop2.2232.
dc.identifier.doi	10.1002/nop2.2232
dc.identifier.issn	2054-1058
dc.identifier.uri	https://academica-e.unavarra.es/handle/2454/52305
dc.language.iso	eng
dc.publisher	Wiley
dc.relation.ispartof	Nursing Open 11(9), 2024, e2232
dc.relation.publisherversion	https://doi.org/10.1002/nop2.2232
dc.rights	© 2024 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License.
dc.rights.accessRights	info:eu-repo/semantics/openAccess
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/
dc.subject	Decision-making	en
dc.subject	Framework	en
dc.subject	Nursing	en
dc.subject	Nursing education	en
dc.subject	Protocol-based care	en
dc.title	A bottom-up framework for nurses' protocol-based care decision-making	en
dc.type	info:eu-repo/semantics/article
dc.type.version	info:eu-repo/semantics/publishedVersion
dspace.entity.type	Publication
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