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Essay about clinical decision making
Clinical decision making goodman
Clinical decision making evaluation
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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... ... middle of paper ... ...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
Hockenberry, M., Wilson, D., Wong, D. (2013). Essentials of Pediatric Nursing. St. Louis, MO: Elsevier/Mosby.
Aside from the firm decision, being familiar of the concept in paediatrics and its set-up must also be considered. Previous exposures to paediatric wards as well as acute care units can sharpen the skills of a nurse practitioner. Most part of the work involves taking into consideration the growth and development of children and how the nurse should manage to intervene when alterations occur such as hospitalization, procedures and operations to the child. This external factor does not only influence the child...
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
Critical incidents are snapshots of something that happens to a patient, their family or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. The practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work. In this way we develop self-awareness and skills in critical thinking and problem solving (Rich & Parker 2001). Critical incidents ???
It takes a while to get to know yourself before you are able to care for another person. Studying oneself is challenging because it allows reflection of one’s inner self, exposing your strengths, weaknesses, vulnerabilities, interests, habits, defenses, and values. On the same note, it allows a person to be more familiar with the challenges he or she faces, how they might respond to certain situations, and offers an opportunity for learning and growth. Throughout this paper, I will discuss the various pieces of myself. I will consider my personal and professional life as a nurse, what I might employ as my mental model, which may limit my frame of thinking, how it has shaped me so far in my education, and how I relate to others.
When I first decided to come to college for nursing after staying in university for three years, I had an argument with my parents because they were not happy with my decision. My parents just wanted me to finish rest of my degree and they thought that it did not make sense to go to college for diploma, and not complete the university degree. However, I just wanted to complete my nursing diploma in the same amount of time that I can finish my degree in the university because I always wanted to be a nurse.
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
Clinical decision making is a vital skill which a nurse will hone over time and experience. There are a number of differing theories on the clinical decision making process; indeed it is an area in which there has been considerable seminal research performed in the past. There is much room for future research possibilities in this area. The ability to make effective nursing decisions is one which begins in the student phase of the nurse’s career, and continues throughout their development post-graduation into competent practitioners.
The job I have been interested in since I was a freshmen in high school was a registered nurse (RN). I decided to choose this career because when I was a freshman in highschool I tore my ACL for the first time. I avidly want to study nursing. I feel like being a daft person will help me get along with patients.The nurses were always there to comfort me and made me feel better about the situation I was in. they helped me through the hardest time in my life. Registered nurses provide patient care, educate patients, and teach the patient and their family how to take care of the problem they are having (“U.S Bureau of labor statistics). ,www.bls.gov/.” .
As long as I can remember, my whole childhood I have known what I wanted a career in. I have always wanted to be some type of nurse, this influence came from my mother, who is a nurse and inspired me to also become one. In ACA I learned this still might be the right step for me. As we have went on in the semester we have learned what our personality type is and what are learning skills are revolved around. Mine deals best with complex communication and problem-solving in times of stress.
I never thought that I would become a nurse one day when I was a kid. When I was very young, every time I caught a cold, I would get a fever. My mother would take me to the hospital to see the doctor immediately. No matter how many times I told the doctor that I don’t want an injection, he would still prescribe it. After I realized I couldn’t change doctor’s mind, I started to fight with the nurse. When the nurse was ready to give me a shot, I started struggling, shaking and screaming. As a result, they had to restrain me in order to finish their job. In my deep heart, a voice was shouting out: “I hate you, nurse!” Whenever I smelled the alcohol, it reminded me of the hospital, and the injection, and the nurse. Nursing was the last career choice I would ever make.
Potter, P., Perry, A., Stockert, P., Hall, A. (2013). Fundamentals of Nursing, (8th Ed.). St. Louis, MO: Elsevier Mosby.
I made the decision to join the health care field based on my own desire, love of the people that live and thrive around me, and to be a role model for my daughter. I feel it is important to have a goal in life, and it is important to me to show my daughter the value of goals, and achieving them as well. I love meeting new people, and being able to lend a helping hand in any way I possibly can. What better way to help the general population then to have a profession in the health care industry.
While entering my last year of high school I was almost certain that I was going to college to become a registered nurse. Which university I wanted to attend was still to be determined. When I started planning my future I first started looking at the schools that had the best nursing programs. My school had a college fair and gave us our transcripts to show the schools. The schools that I looked at told me that on my gpa alone that I was a good candidate but most schools wanted to make sure you met a certain sat score which I didn’t. Throughout the course of my last year I was determined to be a nurse even applied to Shippensburg University to study premedical student. While I was exploring how I was going to pay for college, I started looking
Pharmacology is a vital component in the perioperative practice. Medication use is monitored closely during the perioperative period. Preoperatively, there are certain drugs that must be discontinued prior to a surgery as they increase surgical risk, including anticoagulants, tranquillisers, corticosteroids and diuretics (Laws, 2010b). In fact, these drugs can increase the risk of respiratory depression, infection, fluid and electrolyte imbalance and increased risk of bleeding (Hamlin, 2010). Open communication is important in obtaining a medication history, and in identifying the drugs taken prior to the surgery. If any of these medications has be...