Cognitive Continuum Theory : Can it contribute to the examination of confidentiality and risk-actuated disclosure decisions of nurses practising in mental health?

Journal article


Conlon, Darren, Raeburn, Toby and Wand, Timothy. (2023). Cognitive Continuum Theory : Can it contribute to the examination of confidentiality and risk-actuated disclosure decisions of nurses practising in mental health? Nursing Inquiry. 30(2), pp. 1-10. https://doi.org/10.1111/nin.12520
AuthorsConlon, Darren, Raeburn, Toby and Wand, Timothy
Abstract

Nurses practising in mental health are faced with challenging decisions concerning confidentiality if a patient is deemed a potential risk to self or others, because releasing pertinent information pertaining to the patient may be necessary to circumvent harm. However, decisions to withhold or disclose confidential information that are inappropriately made may lead to adverse outcomes for stakeholders, including nurses and their patients. Nonetheless, there is a dearth of contemporary research literature to advise nurses in these circumstances. Cognitive Continuum Theory presents a single-system intuitive-analytical approach to examining and understanding nurse cognition, analogous to the recommended single-system approach to decision-making in mental health known as structured clinical judgement. Both approaches incorporate cognitive poles of wholly intuition and analysis and a dynamic continuum characterised by a ‘common sense’ blending of intuitive and analytical cognition, whereby cues presented to a decision-maker for judgement tasks are weighed and assessed for relevance. Furthermore, Cognitive Continuum Theory promotes the importance of determining pattern recognition and functional relations strategies, which can be used to understand the operationalisation of nurse cognition.

KeywordsCognitive Continuum Theory; confidentiality; mental health; nursing; psychiatric; quasirationality; risk assessment; structured clinical judgement
Year01 Jan 2023
JournalNursing Inquiry
Journal citation30 (2), pp. 1-10
PublisherJohn Wiley and Sons Ltd (UK)
ISSN1320-7881
Digital Object Identifier (DOI)https://doi.org/10.1111/nin.12520
Web address (URL)https://onlinelibrary.wiley.com/doi/10.1111/nin.12520
Open accessPublished as non-open access
Research or scholarlyResearch
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All rights reserved
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Controlled
Output statusPublished
Publication dates
Online05 Sep 2022
Publication process dates
Accepted12 Aug 2022
Deposited11 Mar 2024
Additional information

© 2022 John Wiley & Sons Ltd.

Place of publicationUnited Kingdom
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