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Decisions and Dilemmas: The Context of Prioritization Dilemmas and Influences on Staff Members' Prioritization Decisions in Residential Aged Care.
- Source :
- Qualitative Health Research; Jun2021, Vol. 31 Issue 7, p1306-1318, 13p
- Publication Year :
- 2021
-
Abstract
- Staff members in residential aged care facilities (RACFs) make prioritization decisions to determine which aspects of care are most important and thus should be attended to first. Prioritization can potentially result in substandard care if lower priority tasks are delayed or left undone, known as "missed care." This study investigated the contexts in which prioritization dilemmas arise in RACFs and the influences on prioritization decision-making. Thirty-two staff members participated in a think-aloud task during a prioritization activity, a demographic questionnaire, a post-sorting interview, and a semi-structured interview. Data were analyzed using inductive content analysis. Prioritization dilemmas occurred in response to high workloads, inadequate staffing, unexpected events, and conflicting demands. Seven influences on prioritization decision-making were identified. In some instances, these influences were seen to be in conflict, making prioritization decision-making challenging. Efforts to prevent missed care should consider the influences on staff members' decision-making and aim to reduce prioritization dilemmas. [ABSTRACT FROM AUTHOR]
- Subjects :
- NURSES' attitudes
ATTITUDE (Psychology)
RESEARCH methodology
MEDICAL care
MEDICAL personnel
INTERVIEWING
QUALITATIVE research
RESIDENTIAL care
QUESTIONNAIRES
EMPLOYEES' workload
FIELD notes (Science)
DESCRIPTIVE statistics
GERIATRIC nursing
DECISION making in clinical medicine
CONTENT analysis
JUDGMENT sampling
BIOMECHANICS
DATA analysis software
ELDER care
PERSONNEL management
Subjects
Details
- Language :
- English
- ISSN :
- 10497323
- Volume :
- 31
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Qualitative Health Research
- Publication Type :
- Academic Journal
- Accession number :
- 150707709
- Full Text :
- https://doi.org/10.1177/1049732321998294