Deriving the Practice-Primed Decision Model from a naturalistic decision-making perspective for acute care nursing research

Christine W. Nibbelink, Pamela G Reed

Research output: Contribution to journalArticle


Aim: The purpose of this article is to present the derivation of the Practice Primed Decision Model from a naturalistic decision-making framework for use in guiding future nursing decision-making research. Background: Acute care nurses make decisions in demanding environments under the influence of many factors. The influence of these factors on nurse decision-making is not well understood leading to gaps in understanding how to best support acute care nurse decision-making. Methods: The strategy of theory derivation was used in the development of a new model for use in nursing research. This model incorporates important elements identified in naturalistic decision making, a Recognition Primed Decision Model and an integrative review of nurse decision-making literature. Conclusion: The new model, Practice Primed Decision Model, provides a new perspective to guide nurse decision-making research. This model includes factors influential to the nurse decision-making process that is more realistic in time limited, high stakes decision-making situations.

Original languageEnglish (US)
Pages (from-to)20-23
Number of pages4
JournalApplied Nursing Research
Publication statusPublished - Apr 1 2019



  • Acute care nursing
  • Decision support
  • Decision-making
  • Informatics
  • Naturalistic decision making
  • Recognition Primed Decision Model

ASJC Scopus subject areas

  • Nursing(all)

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