What Constitutes A Clinical Decision-Maker

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.

The patients then propose that the doctor should find a suitable

There are times that self-determination has opposition with the values and beliefs of health care providers. The five step ethical decision making model is in place for patients that are unable to make their own health care decisions due to incompetency; paternalism is not the method used anymore. “In relation to health care, paternalism manifests itself in the making of decisions on behalf of patients without their full consent or knowledge. (Burkhardt & Nathaniel, 2008). Value systems, which includes a patients and family morals, play a factor in ethical decision making.

attention. To this end, sound clinical judgement is challenging (Tanner, 2006, p. 205) and as a future RN it is key to reflect on your actions and experiences to yield even greater clinical judgement in the future.

Engulfed by a cloud of grey, there are many situations that are not unblemished in the profession of nursing. Ethical dilemmas are often the most challenging to handle as they are interlinked with our own personal values and morals, requiring knowledge and attention to many factors (Burkhardt, Nathaniel, & Walton, 2014). Ethical predicaments will cross our paths daily and we need to utilize ethical frameworks, codes and our personal decision making to come to a well-informed conclusion. When we are in the vicinity of an uncertain quandary our human nature is tested, and we thoroughly scrutinise who we are ethically and morally. I am going to work through an ethical decision making model

As a healthcare provider, how do you need to consider your values, beliefs, cultural beliefs, and ethical core as you solve ethical dilemmas?

Within this experience, I was incorporating my knowledge of self and aware of the need to work within my own level of competence. Given my lack of experience regarding the skill presented, I decided that it would not be appropriate to perform such a skill in the given environment without my instructor. Benner (1982) describes the levels of proficiency from novice to expert and the differences between each level. Most notably, the method in which to travel from novice to expert is experience, gathered from both theory and actual practical situations. While in this practice setting, while I had the theory, I lacked the actual practical situations in order to have the experience to feel comfortable performing the skill.

Respect for patient values includes involving patients in plan of care. The plan should be based on a patients personal

Ideally, what the DRS should be, it should be a decision-making system. If you see the deviation in the DRS, there's a bit of it. Even the makers agree that deviations can happen. And now, you have to take into account whether it was given out or not. And if it was not-out, then half the ball needs to hit the stump and all that. So that itself makes the variables too big. And in cricket every inch, every millimetre

What we think is right doesn’t mean it is the right thing for the patients, it should base on what what’s important to the patients. Not every patient situation is the same, goals and values

In conclusion, power can never be owned by one party or the other, but instead is activated through a relational dance in patient-physician encounters. The medical community needs to move away from the old traditional attitudes of paternalism, in which the physician knows best and instead adopt an independent choice model. In the independent choice model of decision making, “the physician objectively present patients with option and odds, but withhold their own experience and recommendation to avoid overly influencing patients” (Quill, 1996). The goal should be empowerment of both parties in which patients and physician work together towards shared decision

As a future professional, I based my personal values to my values as a healthcare Leader:

Clinician: We do. We do. It’s up to you, it’s your choice, but the majority of people do consider doing both because it is at that risk. (205)

We came to this life without choosing a thing, we didn't choose our colors, our families, our money, our health, and we didn't know either how we will look like! For that I believe that it's a duty as human beings at first place and a medical student and future doctor at second to help those who went through hard circumstances and who don't get a good health care .Helping them won't be easy but I pretty sure that it worth it. And all the doctor and future doctors have deep inside humanity part deep in there soul and

Nurses often encountered various ethical dilemmas in the practice setting. Both virtue ethics and caring ethics support good ethical decision making for nurses (Park, 2012, p. 149) but these are inadequate to assist in solving an ethical dilemma (Park, 2012, p. 149). For that reason an ethical decision making tool is helpful for the nurses or clinicians to come up with an ethical decision (Kelly, 2012, p. 571) that allows them to gather information, identify any gap of understanding on the issue or the disagreements between the involved parties through a clear communication (Park, 2012, p. 140). Several authors presented an ethical decision making processes (Park, 2012, p. 141), here presented the two processes that can be applied in resolving an ethical dilemma. One example of ethical decision making process is the DECIDE model by Thompson, Melia & Boyd (Allen, Chapman, Francis, & O’Connor, 2008, p. 5) and the Integrated ethical decision-making model which was derived from the combination of the different ethical decision-making models strengths (Park, 2012, p. 140). These two ethical decision-making model steps are identical to each but differ on the detailed instruction on how the steps are to be done or used in actual case. By comparing the two models the integrated ethical decision-making model have a detailed instruction. The