Dr Brad Wilson
Dr Beth Fylan
Dr Gemma Louch
Professor Rebecca Lawton
This is a cross-theme project between the Patient Involvement in Patient Safety and Workforce Engagement and Wellbeing themes.
Summary of results:
Why is this study important?
Research suggests that experience is important in understanding decision making in situations where there is risk and uncertainty. In an emergency care setting, a clinician’s experience has been found to play a role in patient management decisions. Having less clinical experience has been related to increased anxiety about uncertainty, ordering more tests and admitting a higher number of patients and may add to the increasing strain in A&E. This study aims to explore thought processes, feelings, team and environmental influences involved in patient management decisions made by junior doctors during an A&E shift and learn how junior doctors cope with the challenging decisions they have to make.
In-depth interviews with junior doctors working in A&E departments will identify key factors that impact their patient management decisions. It will also identify the types of coping strategies available and used to help them to manage the challenging decisions they have to make. Findings will assist the development of an intervention to support junior doctor decision making in A&E.
Ultimately this work will assist in improving patient management decisions in an A&E context and will inform how junior staff might be better supported to deal with risk and uncertainty.