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The Impact of Emergency Nurses’ Decision-Making Skills on Patient Outcomes in Critical Care at Federal Medical Centre, Keffi

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Background of the Study

In critical care settings, rapid decision-making is essential for the stabilization and management of patients in life-threatening conditions. Emergency nurses are often the first healthcare professionals to assess and respond to critically ill patients, and their clinical decisions can significantly impact patient outcomes, including survival, recovery time, and complication prevention (Hassan & Abdullahi, 2024). The ability of emergency nurses to make quick, informed decisions, particularly under pressure, is a crucial factor in ensuring optimal patient care in critical situations.

Federal Medical Centre (FMC) in Keffi, Nasarawa State, serves as a vital healthcare facility providing emergency and critical care services to a large population. As with other emergency departments, nurses at FMC Keffi are tasked with making critical decisions in a fast-paced environment where time and resources are limited. Emergency nurses must assess patient conditions rapidly, prioritize interventions, and collaborate with other healthcare professionals to determine the best course of action. However, the relationship between emergency nurses' decision-making skills and patient outcomes in critical care settings at FMC Keffi has not been extensively studied.

This study aims to explore the impact of emergency nurses' decision-making skills on patient outcomes in the critical care unit at FMC Keffi. By evaluating the decision-making processes of emergency nurses and correlating these decisions with patient outcomes such as survival rates, complication rates, and recovery times, the study seeks to highlight the importance of decision-making in critical care nursing. The findings are expected to inform training programs for emergency nurses, with the goal of enhancing decision-making abilities and ultimately improving patient care in critical settings.

Statement of the Problem (300 words)

The quality of patient care in critical care units is heavily dependent on the ability of emergency nurses to make timely and accurate decisions. In environments where every second counts, the ability to assess complex patient conditions and prioritize interventions can mean the difference between life and death. However, despite the importance of decision-making skills in critical care, there is limited research on how these skills directly affect patient outcomes in Nigerian hospitals, particularly at FMC Keffi.

Emergency nurses in critical care settings are often faced with a range of challenges, including high patient acuity, time constraints, and the emotional toll of dealing with life-threatening situations. These factors can influence the decision-making process, which may, in turn, affect patient recovery. The gap in understanding how decision-making skills impact patient outcomes at FMC Keffi highlights the need for this study. By assessing the decision-making processes of emergency nurses and their influence on patient outcomes, this study will contribute to improving nursing practices and patient care in critical care units.

Objectives of the Study

1. To evaluate the decision-making skills of emergency nurses in the critical care unit at Federal Medical Centre, Keffi.

2. To assess the impact of emergency nurses’ decision-making skills on patient outcomes in the critical care unit.

3. To identify areas for improvement in emergency nurses’ decision-making processes and recommend strategies to enhance patient care.

Research Questions

1. What are the decision-making skills of emergency nurses in the critical care unit at Federal Medical Centre, Keffi?

2. How do emergency nurses’ decision-making skills impact patient outcomes in the critical care unit?

3. What strategies can be implemented to improve emergency nurses’ decision-making skills and enhance patient outcomes?

Research Hypotheses

1. H₀: There is no significant relationship between emergency nurses' decision-making skills and patient outcomes in critical care at FMC Keffi.

2. H₀: Emergency nurses' decision-making skills do not significantly affect patient survival and recovery rates in the critical care unit.

3. H₀: There are no significant strategies that can improve emergency nurses' decision-making skills and patient outcomes in critical care.

Scope and Limitations of the Study

This study will focus on the decision-making skills of emergency nurses and their impact on patient outcomes in the critical care unit at FMC Keffi. Limitations may include the potential for bias in self-reported data from nurses and limited access to patient outcomes due to confidentiality concerns.

Definitions of Terms

• Emergency Nurses’ Decision-Making Skills: The ability of emergency nurses to assess, prioritize, and make clinical decisions regarding patient care in critical situations.

• Critical Care Unit: A specialized hospital area designed to provide intensive monitoring and treatment for patients with life-threatening conditions.

• Patient Outcomes: The results of medical interventions, including survival rates, recovery time, and the prevention of complications.

 





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