ARTICLES: PDF OnlyA Decision-Analytic Approach To Clinical NursingPANNIERS, TERESA L.; WALKER, ELIZABETH KELLOGG Author Information TERESA L. PANNERS, PHD, RN, is assistant professor, School of Nursing, University of Maryland at Baltimore, Baltimore, MD. ELEZABETH KEILOGG WALKER, PHD, RN,is dean of nursing, State University of New York, Institute of Technology at Utica/Rome, Ultica, NY. Nursing Research: July 1994 - Volume 43 - Issue 4 - p 245-249 Buy Abstract The purpose of this study was to explore the usefulness of applying decision analysis to nursing decisions about a complex, emergent patient problem. A convenience sample of 31 nurses quantified their intuitive ideas into five mutually exclusive decision alternatives. A decision-analytic process and a preference analysis of each decision alternative were conducted. Nurses' intuitive decision alternatives were compared to the decision alternatives prescribed by the decision-analytic process. Eleven nurses (35%) demonstrated agreement between their first-ranked intuitive choice and the choice prescribed by the decision-analytic model. When the relative ranking of the vector of five treatment choices derived intuitively was compared to the relative ranking prescribed by the decision-analytic model, results showed significant disagreement between nurses' intuitive and quantitative choices. © Lippincott-Raven Publishers.