Hamed Parnikh, Camellia Torabizadeh, Majid Najafi Kalyani, Mitra Soltanian
A Study of the Relationship between Professional Communication and Professional Commitment in Operating Room Nurses
Nursing research and practice
outofhospital care becoming complex thus placing greater reliance cognitive abilities paramedics manage difficult situations adapting challenges work paramedics develop expertise study cognitive strategies used expert paramedics contribute understanding paramedics ems system adapt new challenges conducted stagedworld cognitive task analysis explore paramedics handling cognitive challenges related sensemaking resource task management mixedfidelity simulation used present paramedics 2 challenging scenarios pulmonary embolism initially presenting myocardial infarction 2person shooting limited resources available participants 10 paramedics 6 experienced 4 less experienced analysis involved comparing performance 2 groups identify strategies associated expertise experienced paramedics made assessments explored wider variety presumptive diagnoses identified pulmonary embolism earlier switched attention 2 shooting victims used emergency medical technicianbasic level partners provided advanced level care patients patients arrived emergency department prepared specialized emergency care findings correspond general cognitive attributes expertise greater cue gathering inferential reasoning functional strategic thinking results suggest potential areas methods facilitate development expertise well ways better support use expertise future studies expand findings larger sample sizes complex scenarios