Evidence map›Paper›PMID 40561503›Full record

ArticleAsian/Pacific Island nursing journal2025

Exploring Clinical Decision-Making Competencies of Emergency Nurses in Trauma Care in Indonesia: Qualitative Study.

Saharuddin Saharuddin, Elly Nurachmah, Masfuri Masfuri, Dewi Gayatri, Amelia Kimin, Muhammad Sakti, Sanisah Binti Saidi, Sri Yona

Abstract read
In one paragraph

Article in Asian/Pacific Island nursing journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Saharuddin SaharuddinFaculty of Nursing, Universitas Indonesia, Gedung Pascasarjana FIK UI & Laboratorium, Jl. Prof. Dr. Bahder Djohan, Kampus UI Depok, Depok, 16424, Indonesia, 62 85399772768, 62 217864124.ORCID http://orcid.org/0000-0003-0258-0793
Elly NurachmahFaculty of Nursing, Universitas Indonesia, Gedung Pascasarjana FIK UI & Laboratorium, Jl. Prof. Dr. Bahder Djohan, Kampus UI Depok, Depok, 16424, Indonesia, 62 85399772768, 62 217864124.ORCID http://orcid.org/0000-0002-2253-6880
Masfuri MasfuriFaculty of Nursing, Universitas Indonesia, Gedung Pascasarjana FIK UI & Laboratorium, Jl. Prof. Dr. Bahder Djohan, Kampus UI Depok, Depok, 16424, Indonesia, 62 85399772768, 62 217864124.ORCID http://orcid.org/0000-0001-7533-5073
Dewi GayatriFaculty of Nursing, Universitas Indonesia, Gedung Pascasarjana FIK UI & Laboratorium, Jl. Prof. Dr. Bahder Djohan, Kampus UI Depok, Depok, 16424, Indonesia, 62 85399772768, 62 217864124.ORCID http://orcid.org/0000-0003-1477-0033
Amelia KiminFaculty of Nursing, Universitas Indonesia, Gedung Pascasarjana FIK UI & Laboratorium, Jl. Prof. Dr. Bahder Djohan, Kampus UI Depok, Depok, 16424, Indonesia, 62 85399772768, 62 217864124.ORCID http://orcid.org/0000-0001-9454-1091
Muhammad SaktiFaculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia.ORCID http://orcid.org/0009-0005-4540-5153
Sanisah Binti SaidiFaculty of Nursing, International Islamic University Malaysia, Kuantan, Malaysia.ORCID http://orcid.org/0000-0003-3984-9725
Sri YonaFaculty of Nursing, Universitas Indonesia, Gedung Pascasarjana FIK UI & Laboratorium, Jl. Prof. Dr. Bahder Djohan, Kampus UI Depok, Depok, 16424, Indonesia, 62 85399772768, 62 217864124.ORCID http://orcid.org/0000-0001-9766-8880

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Clinical decision-making is vital for emergency nurses, especially in trauma care that requires swift, accurate actions. In Indonesia, where resources are limited, little is known about how nurses manage such challenges. Objective: This study aimed to explore the clinical decision-making competencies of emergency nurses in trauma care, focusing on challenges, strategies, and influencing factors. Methods: This was a qualitative study using semi-structured interviews with 16 emergency nurses, complemented by observations and document analyses. Data were analyzed thematically, with triangulation, thereby ensuring validity. Results: Six key themes emerged: (1) recognize cues; (2) analyze cues; (3) prioritize hypothesis; (4) generate solutions; (5) take actions; and (6) evaluate outcomes. These highlight the adaptive and multidimensional nature of decision-making in emergencies. Conclusions: The decision-making of emergency nurses integrates analysis, prioritization, collaboration, and reflection. Enhanced training, such as simulation-based learning, and addressing systemic barriers can improve competencies. Policymakers should provide adequate resources and robust standards to support nurses under pressure.

Indexed as

clinical decision-makingemergency nurseemergency nursingIndonesiatrauma care

Identifiers

PMID40561503
PMCPMC12242856

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.