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This paper will discuss three theories of decision-making that can be adopted in nursing practice, additionally how decision-making theories are able to be implemented and used. Decision-making in nursing is adopted through the critical thinking process that provides each nurse a model to make the best choices, solve problems and to meet goals in clinical practice (Berman & Kozier 2018, pp. 199-200; Levett-Jones & Hoffman 2013, pp. 4-5). Effective decision-making in nursing is a vital component and part of the role of a registered nurse; each year a substantial number of patients die due to medical errors and poor decision-making (Levett-Jones & Hoffman 2013, pp. 4-5; Nibbelink & Brewer 2017, p. 3). Through the use of effective decision making …show more content…
412-3). Intuition has been found to be an important skill for knowledge development in nursing practice; it enables an individual to unconsciously establish information quickly to make connections and hypothesises to an event through past experiences (Chilcote 2017, p. 63). In another sense intuition is “a feeling that guides a person to act a certain way without fully understanding why” (Robert, Tilley & Petersen 2014, p. 343). In nursing practice, the theory of intuition plays a great part on patient care, especially during assessments as intuition can lead to clinical interventions through a nurse’s perception to a patient’s condition (Robert, Tilley & Petersen 2014, p. 344). Intuition is a theory that is slowly shifting focus to be replaced by evidence-based practice where all decisions made by healthcare professionals are backed by evidential factors and evidence but still has its part in current practice (Hassani, Parkhide, Abdi & Jalali 2016, p.
Making a clinical decision is a skill that needs to be acquired, and nurses are accountable for any decision that is made, so they need to understand how they make decisions (Nursing and Midwifery Council (NMC), 2015). A greater understanding of how nurses make decision is essential to follow research and development of decision making skills (Clark et al, 2009) . A first step to a decision making process may entail understanding a framework or model. Baumann and Deber (1986) define decision making as situations in which a choice is made among a number of possible alternatives often involving values given to different outcomes”.
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
A nurse’s role in decision making is minimal depending on the place of work residence. Authors Shoni Davis, Vivian Schrader, and Marcia J. Belcheir’s opinion on Ethical decision making in nursing is “a process that involves making an ethical consideration of a patient care situation” (738-749). It seems like nurses can just cite immediately or take a hunch of what is wrong with a patient, but doctors are the ones that actually do the direct diagnosing. There have been many decision making processes and theories. Each has its own unique concepts and terminology, but all have similar components. It identifies good nur...
Welch, R. (2011). Making Decisions and Solving Problems. In P.S. Yoder-Wise (Ed.), Leading and Managing in Nursing (98-115). St. Louis, MO: Elsevier.
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
Since ethical dilemmas are not always easily answered through the use of The Code of Ethics, ethical decision-making models are effective tools that can assist nurses in dealing with ethical issues. Ethical decision-making models provide a framework for working through difficult choices. They seek to define the limits of what is morally acceptable and help clarify the guidelines for making those difficult decisions. Ethical decision making models assist nurses in analyzing situations by focusing on understanding the patient needs, need for responsiveness to circumstantial considerations, and recognizing the uniqueness of each situation.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
582). Ethical decision making is defined as “The process of choosing between actions based on a system of beliefs and values” (Black, 2014, p. 347). The nurse handling the ethical problem must first identify that there is in fact a problem. The second step is to acquire all of the required information related to the current situation. The third step is to come up with multiple choices and options to solve the ethical problem. The fourth step is to actually pick one of the choices utilizing sound ethical judgement. The fifth step would be to enact the made decision. The final step in the process is to reassess your decision and look for effectiveness and
Facione, Facione & Sanchez, 2010. How do nurses view the patients and the kinds of problems that the nurses manage in practice while they engage in patient care? They need to be certain, precise and just in front of the patient. Their reasoning is sufficient for their intended purpose. All reasoning can be assessed considering these standards, plus as nurses reflect upon the quality of their thinking, they begin to detect when they are being imprecise, unclear, inaccurate or vague.
The theory of uncertainty of illness by Mishel can be used in practice to provide direction for nurse to support patients in understanding and coping with uncertainty in illness (Masters, 2015). If all nurses understand the theory of uncertainty in illness, they can better assist their patients to have the best outcome. Nurses should be educated on this theory to be able to use it in practice. The theory has been used to educate clinicians of all areas on the understanding of patients as a whole and their situations during times of uncertainty (Mishel, 2014).
This requires us to self-reflect on our own values, beliefs, and ideas of power. “Nurses must also surrender their need for control, developing instead attitudes of collaboration and mutual participation in decision making.” (Burkhardt & Nathaniel, 2014, p. 517) We must understand that patients have the right to make their own decisions even if they differ from our own. Mutual respect for their thoughts, feelings, and decisions creates a trusting relationship.
Rose Aguilar Welch (Ed.)Making Decision and Solving Problems. In P. S. Yoder-Wise(Ed.), Leading and managing in nursing (4th edition), (pp 92-93). Evolve: Mosby Elsvier.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
Decision-making is the process requiring critical thinking and forecasting ability to assist a person in selecting a logical choice from the available number of options. (Tiffen, Corbridge & Slimmer, 2014). Studies show that nurses make a health care decision every 30 seconds so it becomes an involuntary process for nurses to make clinical decisions. From admission itself, the plan regarding the patient’s bed occupancy, care and treatment will be decided. In geriatric nursing along with many other clinical care decisions nurse need to make decisions on long term care plan like selection of end of life care (EOL) and discharge planning.
Malik, M., Hall, C. & Howard, D. (2004) Nursing Knowledge and Practice: a foundation for decision making. 2nd edn. Edinburgh: Bailliere Tindall.