The exploration of critical care nurses' use of accumulated knowledge and information-seeking for non-routine tasks

Background Nurses complete tasks during patient care to promote the recovery, or to maintain the health, of patients. These tasks can be routine or non-routine to the nurse. Non-routine tasks are characterized by unfamiliarity, requiring nurses to seek additional information from a variety of sources to effectively complete the tasks. Nurses’ perception of their problem-solving skills, as characterized by the attributes of personal control, problem-solving confidence, and avoidance-approach style, influences how information is sought.;Objectives/Research Questions Guided by the information-seeking behaviour model, this study was designed to: (1) examine how the non-routineness of the task affects nurses’ information-seeking behaviour and the use of accumulated knowledge; and, (2) explore nurses’ perception of their problem-solving abilities.;Methods An exploratory cross-sectional survey design was used. A random sample of critical care nurses who worked in a hospital setting were selected from the College of Nurses of Ontario (CNO) research participant database. Multiple regression analysis was used to examine the proposed relationships.;Results Avoidance-approach style and, problem-solving confidence did not have a significant relationship with nurses’ information-seeking behaviour. None of the variables explained use of accumulated knowledge (F = 0.902, p > 0.05). Previous training (p = 0.008), Non-routineness of the task (p = 0.018), and Personal control (p = 0.040) had a positive relationship with information-seeking behaviour (Adjusted R2 = 0.136).;Implications The study results provide evidence that problem-solving ability, and in particular the attribute of personal control, influences nurses’ information-seeking behaviour during the completion of nursing tasks. They reveal how information is sought from resources, and what specific information resources are necessary to promote access to, and use of, evidence-based information. The results also help direct efforts towards training nurses in issues related to problem-solving and information-seeking by targeting the development of personal control and retrieving evidence-based information.