Process Of Making Appropriate Nursing Decisions

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

The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’

In her charge nurse role, Ms. Cetiner evaluates the daily activities of the unit and delegates care appropriately while promoting autonomy of others. She has the skill to make independent and interdependent decisions regarding patient care, staffing and unit issues. She communicates and collaborates with the interdisciplinary care team for seamless, patient-driven

Shared governance empowers nurses by recognizing that nurses, as front line staff, are in a position to have a unique understanding of the complexities of daily patient care. Utilization of unit-based councils made up of staff nurses to solve problems and evaluate procedures ensures that evidence-based best practices are implemented (Fray, 2011). Shared decision making in nursing units increases the use of best practices through process development, sharing of successes across multi-unit areas and in the development of new nurse leaders. Unit-based councils are often chaired by younger nursing staff and nursing leaders act more as facilitators allowing these young new nurses to be

Delegation in nursing practice will be discussed in this essay. Delegation will be clearly and concisely defined and described as following:

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligations to provide optimum patient care. (Bosek & Savage, 2007, p. 59) The nursing student realized that she wasn’t an expert in pharmacokinetics and requested the help of a pharmacist to provide quality care for her patient. (Bosek & Savage, 2007, p. 59) Delegation is a huge responsibility and should never be taken lightly. The duty of the nurse is to ensure the patient receives quality care. This means delegating responsibilities to others to ensure that care is met. If a nurse feels she is unsure of a certain area of care, that nurse is obligated to find the precise person who can provide that care. The author’s daughter (Bella) was in the hospital for a reoccurring MRSA infection. When the nurse walked in the door they were asked a question regarding infectious disease protocols and how best to handle the situation. Instead of giving an answer they thought might be correct, the nurse requested that an infectious disease doctor be called in to answer all questions concerning the patient.

I believe that the clinical decision making process associated with the actions to be taken in Jack and Jacqueline’s care were quite similar between the Canadian and the Rwandan perspectives. This is because both perspectives took on a holistic view of Jack and Jacqueline’s situation and thereby worked to develop goals that would not only address Jack’s physical health, but also the emotional and mental health of Jack, Jacqueline, and even Charles. These holistic based goals included, but were not limited to the utilization of various community supports to foster Jack’s cognitive development as well as the formation and implementation of diverse coping strategies for Jacqueline and Charles to use during times of stress.

and welfare of the public” (ANA, NCSBN). If the FNP, in her nursing judgment, feels

Under the scope of practice of an RN from the New York State Education Department, an RN can diagnose and treat human responses to actual or potential health problems. To be able to perform those tasks a care plan must be made for each client. An RN manages the health care services such as observing and assessing the health status of clients and implementing/assessing nursing care. This all falls under the initial assessment of a client, which is within the scope of an RN. An RN uses information gathered as part of client assessment, they then have the capacity to assign client care to other members of the nursing team, RNs and LPNs, and assign tasks to other care providers such as nurse’s assistant. Even though there are parts of the nursing process that may be delegated to qualified personnel, the initial assessment is the RNs responsibility. The initial assessment is the basis for safe and appropriate client care, which makes it so vital and why not just anyone can perform it. RNs hold the overall responsibility in the nursing

effectiveness (Cioffi & Ferguson, 2009). Therefore, it is important to ensure that nurses who assume leader roles have the skills to manage and delegate tasks as required. There must be clearly defined roles and responsibilities for each team member that take into account the levels of expertise among the members. It can be troublesome when team members do not carry their share of the work. When this occurs, other team members take on an additional work burden to address the shortfalls in patient care. If the team leader is unable to provide clarity and direction for the team, the model will not be effective.

This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and

When patients are unable to meet their needs independently, they become distressed and encounter feelings of helplessness. Every patient is different and will exhibit needs that are individualized to them personally. This is where the nurse comes in. Their relationship to the patient must be built on trust and they need to know that patient well enough to determine what their needs are (Current Nursing, 2010). Orlando felt that nurses act independently on behalf of their patients. She believed that by using a nursing process, the nurse would be capable of meeting the patient’s immediate needs (Nurse Scribe, 2007).

Delegation occurs on a daily basis in nursing and understanding the parts of delegation I remain accountable and responsible for will be important to ensure I am functioning appropriately as a registered nurse. Accountability also occurs in daily interactions with peer registered nurses. The understanding of accountability in this role is vital given the registered nurse is part of a team and must frequently interact with fellow nurses. Understanding accountability to peers helps with building confidence between peers and strengthens the working relationship. Since I have had very little experience in delegation as well as minimal interactions with peer nurses, other than preceptors, understanding the differences and roles of accountability and responsibility are important.

Thesis Statement Even though delegation is one of the most difficult tasks that registered nurses face in the practice of nursing, registered nurses need to learn how to best delegate to be successful in their roles as leaders. Delegation increases the quality of care, staff productivity, job satisfaction, and can help developing the nurses' leadership skills by gradually maturing their decision-making processes (Curtis & Nicholl, 2004, p. 27) Topic The ability to delegate tasks to others is an essential skill for the registered nurse (Sacommano & Pinto-Zipp 2011, p. 523). Excellent delegation skills are crucial since they increase the quality of care and the ability to work with others effectively and efficiently.

Due to the current worldwide nursing shortage, delegation is an essential aspect of the nursing profession. Delegation provides a way in which professionals can assign other employees tasks both to decrease workload and increase satisfactory patient care. However, many individuals within the healthcare system, including myself, do not fully understand the concept or importance of delegation. After doing my research, I have gained a new perspective of delegation, and some of the issues involved. There are many actions being taking to educate students as well as professionals of the true meaning of delegation and what all it entails.