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Unravelling Uncertainty Inception: When We Really Know That We Don't Know?

Cunha, Lara Daniela Matos; Ventura, Filipa; Pestana‐Santos, Márcia; Lomba, Lurdes; Reis Santos, Margarida

Through technical rationality, healthcare professionals address instrumental problems by applying the theory and technique arising from scientific knowledge. Nevertheless, the divergent situations of practice characterised by uncertainty, instability, and uniqueness place nurses in a positivist epistemological dilemma. Decision‐making under uncertainty is a challenge that nurses face in clinical practice daily....


Nurses’ work conditions: The role of clinical reasoning uncertainty at the post...

Cunha, Lara Daniela Matos; Santos, Márcia Noélia Pestana; Lomba, Maria de Lurdes Lopes de Freitas; Reis Santos, Margarida


O papel do enfermeiro perioperatório nos cuidados de transição no período pós-a...

Cunha, Lara Daniela Matos

O capítulo discute a complexidade das transições vivenciadas pela pessoa em situação perioperatória,abordando as diferentes dimensões e atributos do cuidar. Baseado na teoria de Meleis, são identificados três constructos fundamentais: a natureza da transição, as condições de transição e os padrões de resposta. Quatro tipos específicos de transições são delineados: desenvolvimentais, situacionais, relacionadas à...


Teste de Concordância de Scripts: uma nova abordagem à educação digital para a ...

Cunha, Lara Daniela Matos; Santos, Márcia Noélia Pestana dos; Lomba, Maria de Lurdes Lopes de Freitas; Santos, Margarida Reis

Introdução: A estratégia educativa digital baseada no teste de concordância de scripts é um método inovador de avaliação do raciocínio clínico em situações incertas. Objetivos: Explorar a percepção de usabilidade do TCS como estratégia educativa digital nos estudantes pós-graduados em enfermagem perioperatória. Fundamentação: A estratégia educacional digital baseada na concordância de scripts é um método que co...


Addressing Health Uncertainty in Post-anesthesia Nurses' Clinical Reasoning: ke...

Cunha, Lara Daniela Matos; Santos, Márcia Noélia Pestana dos; Lomba, Maria de Lurdes Lopes de Freitas; Santos, Margarida Reis

Background: Healthcare uncertainty is a pervasive and important problem that arises in a wide variety of circumstances, and affects both providers and recipients of healthcare. The strategies that nurses use to manage it have not been systematically described. Objectives: The objectives of this study are: to describe uncertainty management strategies in clinical reasoning of nurses in recovery rooms, and to ana...


Script concordance test as a web-based training tool for perioperative postgrad...

Cunha, Lara Daniela Matos; Santos, Márcia Noélia Pestana dos; Lomba, Maria de Lurdes Lopes de Freitas; Santos, Margarida Reis

Background: The virtual training strategy based on the script concordance test is an emerging tool for the assessment of clinical reasoning under uncertain circumstances. Objectives: To explore the perceived usability of SCT as a digital educational strategy among perioperative postgraduate nursing students. Methods: The online training based on script concordance is a tool that consists of presenting clinical ...


Script concordance test as a web-based training tool for perioperative postgrad...

Cunha, Lara Daniela Matos; Santos, Márcia Noélia Pestana dos; Lomba, Maria de Lurdes Lopes de Freitas; Santos, Margarida Reis

Background: The virtual training strategy based on the script concordance test is an emerging tool for the assessment of clinical reasoning under uncertain circumstances. Objectives: To explore the perceived usability of SCT as a digital educational strategy among perioperative postgraduate nursing students. Methods: The online training based on script concordance is a tool that consists of presenting clinical ...


Addressing Health Uncertainty in Post-anesthesia Nurses' Clinical Reasoning: ke...

Cunha, Lara Daniela Matos; Santos, Márcia Noélia Pestana dos; Lomba, Maria de Lurdes Lopes de Freitas; Santos, Margarida Reis

and affects both providers and recipients of healthcare. The strategies that nurses use to manage it have not been systematically described. Objectives: The objectives of this study are: to describe uncertainty management strategies in clinical reasoning of nurses in recovery rooms, and to analyze those strategies in light of the Integrative Framework of Uncertainty Management taxonomy. Methods: Qualitative des...


The unknown known: deepen our understanding of uncertainty in nursing practice

Cunha, Lara Daniela Matos; Santos, Márcia Noélia Pestana dos; Lomba, Maria de Lurdes Lopes de Freitas; Santos, Margarida Reis

In the realm of nursing, decision-making often hinges on non-analytic, intuitive processes, akin to an autopilot mode. Nurses frequently rely on unconscious reasoning to guide their actions, a method supported by Kahneman & Henik's concept of "scripts" used for normative judgments. This intuitive approach, however, is challenged by the pervasive uncertainty inherent in clinical practice. Uncertainty, defined as...


The unknown known: deepen our understanding of uncertainty in nursing practice

Cunha, Lara Daniela Matos; Santos, Márcia Noélia Pestana dos; Lomba, Maria de Lurdes Lopes de Freitas; Santos, Margarida Reis

In the realm of nursing, decision-making often hinges on non-analytic, intuitive processes, akin to an autopilot mode. Nurses frequently rely on unconscious reasoning to guide their actions, a method supported by Kahneman & Henik's concept of "scripts" used for normative judgments. This intuitive approach, however, is challenged by the pervasive uncertainty inherent in clinical practice. Uncertainty, defined as...


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