Evidence map›Paper›PMID 41622434›Full record

ArticleNursing in critical care2026

New Graduate Nurses' Experiences of Decision-Making Uncertainty in Intensive Care: An Interpretive Description.

Maude Crétaz, Patrick Lavoie

Abstract read
In one paragraph

Article in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

2 authors.

Maude CrétazFaculty of Nursing, Université de Montréal, Montreal, Quebec, Canada.ORCID https://orcid.org/0009-0005-4282-2867
Patrick LavoieFaculty of Nursing, Université de Montréal, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0001-8244-6484

Funding

Canada Research Chair in Decision-Making and Nursing Education CRC-2024-00029CIHRFaculty of Nursing, University of MontrealFUTUR Team (Fonds de recherche du Québec)Graduate and Postdoctoral Studies, University of MontrealMinistry of Higher Education, QuebecQuebec Nursing Intervention Research Network
6 · The paper itself

Abstract

backgroundNew graduate nurses entering intensive care units (ICUs) directly after graduation often face challenges in clinical decision-making, contributing to a sense of uncertainty-the inability to predict the outcome of a patient situation. Although uncertainty has been studied in other healthcare contexts, it remains underexplored among new graduate nurses in the ICU.

aimTo explore the experience of uncertainty among new graduate nurses working in ICUs. STUDY

designThis qualitative interpretive descriptive study was guided by a theory of uncertainty, which examines its conditions, causes, manifestations, remediation strategies and consequences. Semi-structured interviews were conducted with new graduate nurses with < 2 years of ICU experience, and data were analysed using a constant comparative method.

findingsParticipants' experiences of uncertainty formed part of an iterative, experiential learning process. Uncertainty arose primarily from unfamiliar or critical patient situations and was exacerbated by the nursing team's scrutiny. In response, new graduate nurses engaged in self-questioning about both clinical situations and their own competence. To mitigate uncertainty, they relied on personal knowledge, team expertise and available resources.

conclusionsUncertainty among new graduate nurses in the ICU is shaped not only by clinical complexity but also by interpersonal dynamics. The nursing team plays a significant role in both supporting and intensifying feelings of uncertainty. New graduate nurses question the trajectory of patient care and their role and legitimacy within the ICU environment. RELEVANCE TO CLINICAL PRACTICE: This study highlights the multifaceted nature of uncertainty among new graduate nurses in intensive care. Targeted support strategies-such as mentorship, structured feedback and reflective learning opportunities-are essential to foster confidence, clinical competence and professional integration.

Indexed as

Clinical Decision-MakingCritical CareCritical Care NursingDecision MakingNursing Staff, HospitalAdultAttitude of Health PersonnelClinical CompetenceFemaleHumansIntensive Care UnitsInterviews as TopicMaleQualitative ResearchUncertaintyclinical decision‐makingcritical care nursingnew graduatenursesuncertainty

Identifiers

PMID41622434
PMCPMC12862112

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.