Processing Evidence-Based Decision-Making

Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital

Planning is the process of setting goals and creating a plan for meeting those goals. The benefits of planning as seen by the research evidence is firstly, it provides a team with a direction for future actions. For example, in my team we did not have a direction on how to proceed thorough each stage, if it was better to move up or down, which made our team members losing interest. Furthermore, planning helps when there is a problem, because if we had a plan we can proactively address problems and their impact on the project or goal is reduced. For instance, a problem in our Everest simulation was when of our team members health was critical or if someone wanted to complete an individual goal, we spent a lot of time discussing on what to do

Decision-making in the workforce is a process of responsibilities used by upper management to implement, enforce rules, regulations, and maintain a successful environment. Decision-making implemented more effectively by making a plan, thinking it through, accepting more than one opinion and determining what is best. However, decision-making often utilized more effectively by opening doors of opportunities for a suggestion, question, discussion, and feedback. Although, more involvement helps improve understanding, utilize behavior skills and present opportunities for better communication. Everyday life consists of decision-making, the right decision may not always be applied, but ensure room for improvement and opportunity. Individuals approached decision-making in many different ways. As stated by (Jones, Graham, & Bateman, 2006) decision making is a procedure used to recognize a problem, weigh the alternatives and evaluate a solution in which, certain situations will require different approaches to become effective.

In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.

Most decisions are made with analysis, but some are judgment calls not susceptible to analysis due to time or information constraints. Please write about a judgment call you’ve made recently that couldn’t be analyzed. It can be a big or small one, but should focus on a business issue. What was the situation, the alternatives you considered and evaluated, and your decision making process? Be sure to explain why you chose the alternative you did relative to others considered.

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.

Evidence base practice is essential in nursing practice. It incorporates 3 key components which are clinical expertise, patient values, and best research evidence in order to provide the most effective and safe decision making for patient care. Neglecting a key component can affect the accuracy and efficiency of a research. Clinical expertise is based on a clinician’s experience, skill, education level and understanding in a certain area of nursing practice. Patient values can impact evidence base practice depending on their needs, preferences, expectations, values, understanding, and concerns. Best research evidence can be obtained from clinical research with supporting evidence base literature and sound methodologies. Each component will be discussed in further detail and how it links to clinical decision making by registered nurses in order to achieve the best evidence-based practice available.

The incorporation of evidenced-based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,

Venous thromboembolism refers to the formation of a blood clot in a blood vessel. While clots can form in an artery or a vein, this article focuses only on clots that occur in a vein ("," 2015). Critically ill patients are at an increased risk of a venous thromboembolism (VTE) due to VTE can manifest as a deep venous thrombosis (DVT) or a pulmonary embolism (PE). Risk factors include venous stasis, vascular injury, and hypercoagulable disorders. A majority of ICU patients carry at least one risk factor for VTE; additional risk factors are considered to have a cumulative effect…it is impossible to predict which patients will experience a

The peer reviewed journal article, A Decision Tree Model for Postoperative pain Management, is an article describing postoperative pain management regimens using evidence-based practice. This article’s author has created a guide for prescribers who are managing postoperative pain levels for patients. This article is using evidence-based practice to help future patients have adequate pain relief, but not have the serious ramifications that can occur from the wrong dose or wrong medication for said patient.

when they need it. This process is subjectively done by the healthcare provider. Clinical decision

Data is very important and critical to any organisation, so is in the telecommunication industries. Information that can be easily used must be available so that the decisions makers within an industry can make informed decisions based on visible facts projected by the data available. If this is not the case, decision-making processes can become extremely challenging and, in some cases, impossible. The flow of information within an organization is critical to the success of that organization (Davenport & Prusak, 1998). Organizations struggle in collecting data, retrieving information and making decisions based on the extracted information. A decision making process consists of making judgments based on the qualitative data.

Decision making is the cognitive process leading to the selection of a course of action among alternatives (Kelly &Crawford). Nurses’ decision, particularly focuses on clinical scenarios. Clinical Decision making is by deciding what information to gather, which tests to order, how to interpret and integrate this information to draw diagnostic conclusions, and which treatments to give (Douglas L, 2015). The nurse’s decision is judgments as to whether it will be helpful to the client/patient or it will harm. I noticed that the patient’s life or health are placed in our care which before we make the conclusion of our decision, nurses must access or weigh the positives and negative impact and other considerable alternatives before we conclude our

The rational decision-making model describes a series of steps that decision makers should consider if their goal is to maximize the quality of their outcome. In other words, if you want to make sure that you make the best choice, going through the formal steps of the rational decision-making model may make sense. The following are the steps taken to come to a rational decision: 1. Identify the problem, 2. Establish decision criteria, 3. Weigh decision criteria, 4. Generate alternatives, 5. Evaluate the alternative, 6. Choose the best alternative, 7. Implement the decision, 8. Evaluate the decision.

The above analysis is using the expected value approach for decision making. However, to gain a complete picture of the situation, we should also look at the risk associated with each of the decision. For recommendation (1), although it shows an expected profit of $0.05 million, the risk associated with such a profit is also high as reflected in the standard deviation of $0.1 million. The risk per unit return is 2, and this shows that the decision of bidding when no research is available is quite risky. For recommendation (2), the standard deviation is $0.46 million, and the risk per unit return is still 2. This proves that even when there is market research to improve the expected value of the payoff, there