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Reflection on My Nursing Decision Essay

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Pearson (2013) clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. 214). It is the ability to blend information and make decisions that will later be implemented in the situation. Evidence-based decision making involves choosing from a variety of possibilities and combining the knowledge through research and the scientific evaluation of one’s practice. The purpose of this paper is to analyze my decision of administering ativan by advocating for the patient and anticipating her change prior to confirming signs; which provided a therapeutic response.
Clinical Decision
During my community placement of the cataract clinic at St. Joseph’s Hospital, one patient I observed looked extremely anxious and when I took a further look and watched her behaviour more closely, I recognized the concepts of stress and vulnerability were playing a key role in how she perceived the upcoming operation. I seized an opportunity to quietly speak with her and she explained that she had not received an adequate amount of rest the night before and the travel down had been exhausting. She also expressed concerns of being fearful about going into the operating room. I overheard a nurse earlier ask the group as a whole if anyone wanted an ativan to ease anxiety and the group consensus was no. I felt that because it was unanimous, she may have been embarrassed if it was only her that requested it. My concern for this patient was for her to remain comfortable and provide any healing initiatives that would reassure her that she was safe. I took it upon myself to advocate for her and asked if she would like an ativan, explaining it would provide a calming effect. She agreed and I asked one of the nurses if I could a...


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...ovice nurses make effective clinical decisions:
The situated clinical decision-making framework. Nursing Education Perspectives, 30 (3), 164-170.
Pearson, H. (2013). Science and intuition: do both have a place in clinical decision
making? British Journal Of Nursing, 22(4), 212-215.
Peto, R. (2008). Why did you do it like that? Examining clinical decisions. Paediatric Nursing,
20(5), 26-28.
Pritchard, M. (2006). Making effective clinical decisions: a framework for nurse
practitioners. British Journal Of Nursing, 15(3), 128-130.
Scanlon, A., & Lee, G. (2007). The use of the term vulnerability in acute care: why does it differ
and what does it mean? Australian Journal Of Advanced Nursing, 24(3), 54-59.
Sellman, D. (2005). Towards an understanding of nursing as a response to human
Vulnerability. Nursing Philosophy, 6 (1), 2-10. doi:10.1111/j.1466-769X.2004.00202.x



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