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

Author:

Giles Megan12ORCID,Terblanche Morne3ORCID,Wang Liang4ORCID,Hirani Shashivadan P.5,Wu Chiung‐Jung (Jo)67ORCID

Affiliation:

1. Principal Advisor – Quality Improvement, Safety Quality & Innovation Sunshine Coast Hospital and Health Service Queensland Birtinya Australia

2. Sunshine Coast Health Institute Queensland Birtinya Australia

3. Safety Quality & Innovation Sunshine Coast Hospital and Health Service Queensland Birtinya Australia

4. Nursing Laboratory Technician, School of Health University of the Sunshine Coast Queensland Petrie Australia

5. School of Health & Psychological Sciences City, University of London London UK

6. School of Health University of Sunshine Coast Queensland Petrie Australia

7. Royal Brisbane and Women's Hospital (RBWH) Herston Queensland Australia

Abstract

AbstractAimTo 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.DesignAn exploratory qualitative approach was used.MethodsData 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.ResultsFive 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.ConclusionDespite 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.

Publisher

Wiley

Subject

General Nursing

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