Unpacking knowledge use in clinical judgement using social judgement approaches to explore the clinical decisions of nurses Carl Thompson Department of Health, Senior Research Fellow

What is SJT? ‘ecology’

Intra-group variation

Information utility

thresholds

SJT and research knowledge? 2 sets of nurses and judgements (ITU and chronic wounds) 2 sets of nurses and judgements (ITU and chronic wounds) Fractional factorial manipulation of info. Fractional factorial manipulation of info. Visual & textual Scenario Visual & textual Scenario Real data informing ecology Real data informing ecology Conjoint analysis to generate cue weights Conjoint analysis to generate cue weights Capturing unexpected information Capturing unexpected information

advantages Information vs. knowledge Information vs. knowledge Retention of ecology Retention of ecology not self reported information use. not self reported information use. Predictability and richness of data Predictability and richness of data Weights Weights Importance Importance Internal consistency Internal consistency Accuracy Accuracy Threshold effects Threshold effects

disadvantages Time vs quality trade-off Time vs quality trade-off Simple front-end belies background analytic workup. Simple front-end belies background analytic workup. Quality assuring data in the model Quality assuring data in the model