Clinical Decision Making Paper

Standing (2011), defines clinical decision-making as a complex process that involves observation, gathering information, critical thinking, evaluating evidence, applying necessary knowledge, reflection and problem-solving skills. Every day nurses make important clinical decisions and these decisions have important implications for patient outcomes and deserve serious consideration. Therefore, it is important for nurses to have a better insight of the decision-making process, be able to deliver holistic care and meet essential and complex physical and mental health needs of the patient.

When considering a change in practice we need to firstly understand why we need to make a change? Secondly when making a change, we need to justify a decision. This can be achieved by exploring the components which encompass decision making within nursing practice. Cullum et al (2007) identifies four requirements:-Clinical experience, valid researched evidence, available resources and lastly but no less important the patient

Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice. According to Jasper (2007, p117) theories of decision making in medicine tend to favour logical, precise analytical models which are held to be testable, unambiguous and repeatable, therefore satisfying scientific principles. These represent important ideas of certainty and rationality that are intended to provide a sense of security and reliability. When used correctly a nursing model should give direction to nurses working in a particular area, as it should help them understand more fully the logic behind their actions. It should also act as a guide in decision-making and so reduce conflict within the team of nurses as a whole. This in turn should lead to continuity and consistency of the nursing care received by patients according to Pearson et al (1999,p ).

Identify key features related to their use of the CDSS in terms of: the type of CDSS they use (knowledge based, or analytics, or a combination of both), its usability (ease of use), utility (perceived usefulness), how they incorporate it into their own workflow, what are some of its features, its overall impact on any patient outcomes and any challenges they have experienced while using the CDSS.

Decision making is a very important skill within the overall context of health organization. Decision making is of particular importance when an immediate or urgent decision is needed. The health care profession is constantly inundated with

The psychiatric clinical rotation at Clinch Mountain House was a very prodigious experience. This facility is unique because of the role it plays in the community; it serves to provide daily recreation for the members of the community who suffer from mental illnesses. This facility focuses on providing essential social skills to this community and accomplishes this goal by providing social interaction, a structured schedule, and daily assignments for each member.

Complete an analysis of your concept map. Based on your analysis, what is (are) the priority patient problem(s)?

Clinical decision support is a system designed with capabilities to enhance physician and other health care provider in the clinical decision task. It enable the physician to have more knowledge of the patient that they are provided with care, more advance knowledge of the type of illness that the patient is going through so that appropriate clinical decision would be included in the patient treatment plan (PTP) ("What is Clinical Decision Support (CDS)? | Policy Researchers & Implementers | HealthIT.gov," 2013)

Within the practice of nursing, situations often arise where nurses are forced to make decisions regardless of their level of experience in the profession. Providing care and following the physician’s orders historically were the nurse’s sole responsibilities. However, social change, changes in health care finances, increasing international perspectives, and demographic population changes, have resulted in a significant evolution of the roles and responsibilities emplaced on today’s nurses (The National Association of Clinical Nurse Specialists (NACNS), 2007). Kelly and Crawford (2013) believe budget cuts, higher client acuity and clients with complex needs, mergers of hospital corporations as well as a general shortage of qualified nurses has made it necessary for nurses to play a role in decision making. Decision making is defined as “cognitive process leading to the selection of a course of action among alternatives” (Kelly & Crawford, 2013, p. 352).

In the medical office, there are several types of occurrences that may require immediate invention by the medical assistant. A few examples include:

Patient is a nineteen-year-old college student working as a CNA. Patient’s has multiple chronic conditions such as Celiac Disease, Spina Bifida, Sjogren, Malabsorptive Disorder, Gluten Intolerant, Anemia, MTHFR Gene Mutation, deafness on right side, and Protein S deficient. Patient also has PTSD which contributed to depression, anxiety, and binge eating. Patient also complained of tiredness and being lethargic for 4-5 years and was put on Zoloft for depression. Patient is allergic to nickel and aloe vera. Patient is also at risk for breast cancer due to family history. Patient’s medications are Sertraline, Oxybutynin, Magnesium, Vitamin D, Vitamin E, Iron, and Vitamin B.

3.2. Evidence based nursing practice indicates making decisions about a patient’s care on the basis of current best

Information technology(IT) in the 21st century has brought in several innovative changes in the physician practice and hospital system.There are several new possibilities and opportunities for information use and communication, at the same time there are new ethical, clinical, and legal concerns that have arisen with the use of information technology.As healthcare is growing complex, the majority of the studies focuses on new modalities of diagnosis and treatment.Conversely, no effort is targeted on improving operational systems.Although IT has brought in a mass customization, it poses threat to the medical safety ( Jorgenson, Notman, Benedek, & Malmquist, 2011). Recently, privacy and security concerns

How medical decision making aides the health care professional and the patient regarding the patient’s treatment, medical cost and autonomy.

Clinical decision making is a contextual, continuous, and evolving process, where data are gathered, interpreted, and evaluated in order to select an evidence-based choice of action. An Effective Practitioner is tasked with making clinical decisions with patients and clients many times during their health and care journey. Factors that affect decision making There are many factors involved in clinical decision making and each of the core skills has the potential to impact effective decision making. 1.Knowing the evidence – Any clinical decision maker should rely on a knowledge base which contains a wide array of literature review. Thanks to the digital advancements and technology, we can embed a wide variety of information in the form of E-books, articles, journals, reference materials related to the current practice, so that we as a clinical decision makers can rely on them for decision making process or even patients if they want information about the disease or treatment protocols, can utilise to research the evidence base, many of the physicians as well are simply referring them a bunch of latest treatment articles or their website link in their portals to justify their