Uncovering the tacit: a qualitative study of obstetric nurses' risk recognition and decision-making in perinatal care.

ABSTRACT:

Aim

This study explored how obstetric nurses identify and manage clinical risks under high-pressure and uncertain conditions, with emphasis on the tacit cognitive processes shaping their judgment.

Design

A qualitative descriptive study was conducted using a phenomenological approach, based on Tanner's Clinical Judgment Model.

Methods

Semi-structured, in-depth interviews were conducted with 25 obstetric nurses from three tertiary hospitals in western China. Data were analyzed using reflexive thematic analysis following Braun and Clarke's six-phase approach. The interview guide was developed and refined according to Tanner's four phases-noticing, interpreting, responding, and reflecting-to capture the multidimensional nature of clinical judgment.

Results

A total

SUBMITTER: Zhang S 

PROVIDER: S-EPMC12758021 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature