The impact of COVID-19 on Australian clinicians’ decision making in line with the principles of Choosing Wisely

Megan Giles; Morne Terblanche; Liang Wang; Shashivadan P Hirani; Chiung-Jung Wu

doi:10.1002/NOP2.2026

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The impact of COVID-19 on Australian clinicians’ decision making in line with the principles of Choosing Wisely

Journal article

Open access

Peer reviewed

The impact of COVID-19 on Australian clinicians’ decision making in line with the principles of Choosing Wisely

Megan Giles, Morne Terblanche, Liang Wang, Shashivadan P Hirani and Chiung-Jung Wu

Nursing Open, Vol.10(12), pp.7788-7795

2023

DOI: https://doi.org/10.1002/NOP2.2026

PMCID: PMC10643817

PMID: 37828732

Appears in UniSC Supported Open Access Outputs

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Abstract

Choosing Wisely

shared decision making

clinician decision making

COVID-19

Interview

nursing practice

Aim: To explore the perspectives of clinicians' decision-making processes and considerations in line with the Choosing Wisely principles during the first wave of the COVID-19 pandemic. Design: An exploratory qualitative approach was used. Methods: Data were collected via semi-structured interviews to encourage participants to discuss their own experience in making clinical decisions during the COVID-19 pandemic. A total of 12 clinicians from across disciplines were interviewed to reach data saturation. Interview data were analysed considering the Choosing Wisely principles. Results: Five main themes as they relate to clinician decision-making emerged and included; prioritizing care and treatment, uncertainty regarding best practice as a result of rapidly changing guidelines, organizational challenges to clinical decision-making, the use of telehealth and enabling consumer engagement with health services. Conclusion: Despite the disruption caused by COVID-19, clinicians were mindful of necessary care and worked to ensure that core care was not compromised during the first wave of the pandemic. The need for clinicians to protect both their own safety and that of their colleagues arose as an additional factor that influenced clinicians' decision-making process during the COVID-19 pandemic.

Details

Title: The impact of COVID-19 on Australian clinicians’ decision making in line with the principles of Choosing Wisely
Authors: Megan Giles (Author) - Sunshine Coast Hospital and Health Service
Morne Terblanche (Author) - Sunshine Coast Hospital and Health Service
Liang Wang (Author) - University of the Sunshine Coast, Queensland, School of Health
Shashivadan P Hirani (Author) - University of London
Chiung-Jung Wu (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - Nursing
Publication details: Nursing Open, Vol.10(12), pp.7788-7795
Publisher: Wiley-Blackwell Publishing Ltd.
Date published: 2023
DOI: 10.1002/NOP2.2026
ISSN: 2054-1058
PMID: 37828732; PMC10643817
Copyright note: © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Data Availability: Research data are not shared.
Organisation Unit: School of Health - Nursing; Academic Support Unit
Language: English
Record Identifier: 99970798902621
Output Type: Journal article

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