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Reflection on decision making by nurses
Reflection on decision making by nurses
Reflection on decision making by nurses
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AUTONOMY: According to Mcdonald & Then (2014) “It is not just providing information about the risks and benefits associated with proposed care and treatment, and the skills and expertise of the midwife or nurse providing care that recognises an individual’s autonomy.” The moral duty of nurse is to provide an information to the client and respect the choice of their decision. The Coroner’s inquest clearly shows that none of the nurses provided information to the client and family and did not perform a frequent assessment in the critical situation. The nurses breached the duty of care by not providing autonomous choice to the
Nurses are faced with ethical dilemmas related to clinical issues, and disease and treatment decisions daily (Kangasniemi,
(Cherry, B. & Jacob, S, 2010) For[b3] a nursing student at the Barry University Nursing is utilizing clinical judgment as a prerequisite of care to facilitate people to get better, sustain, or recuperate health, and to accomplish the promising quality of life, irrespective of disability or
This course hasn’t influenced my career plans, but it has enhanced how I manage my projects and interact with colleagues on a daily basis. Furthermore, this class and all of my future classes will really be useful as I retire and become a self-employed government contractor. Reading about companies like Lincoln Electric, and how well they manage their employees and business inspires me to incorporate many of those techniques into my own company vision and mission. I’m using more critical thinking in my day-to-day activities and decision making. Critical thinking forces me to slow down and make better decisions.
Dr. Sanner and class, the models that would be most important to my nursing role is the Decision Making Models. When we make decisions, we select the best alternative from the available set of alternatives. This 7 step model consist of seven steps which include establishing objectives, classifying and prioritizing objectives, developing alternate actions, evaluating alternatives against objectives, tentative decisions to most appropriate alternatives, evaluating tentative decisions for more consequences, and decisive actions taken and additional actions to prevent consequences. This Rational model consist of a structured four step sequence, which include identifying the problem, generating alternative solutions, selecting a solution, and implementing
Application of information based on the real observation of the patient with the combination of subjective and objective data that lead to conclusion making is regarded as clinical judgement. Its developed through practicing, experience, knowledge and continuous critical analysis.(Kienle & Kiene, 2011). It continuously expand to all medical fields: diagnosis, therapy, communication, and decision making. Clinical judgement is of complex because nurses are needed to have prior training in that he/she can have a better understanding of the subject. This relies on the ability of the nurse to make observation, identify information which is relevant and good reasoning.
Psychodynamic Perspective as it Relates to Decision-Making The psychodynamic perspective would suggest that decision-making is largely influenced by unconscious desires. In some cases, these decisions could be developed through experiences that are a result of the psychosexual stages of development. Examining Freudian terms and mechanisms of the brain further support this perspective on the art of choosing. The Id, Ego, and Superego are all conflicting and compromising components of a human mind, according to Sigmund Freud.
A Systematic Review of the Impact of Sedation Practice in the ICU on Resource Use, Costs and Patient Safety This is a summary of the article “A Systematic Review of the Impact of Sedation Practice in the ICU on Resource Use, Costs and Patient Safety” by Jackson et al. in the Critical Care journal. The article begins by addressing Intensive Care Unit (ICU)’s patients’ tendency to be put under sedation for prolonged durations. The focus of the article is to evaluate the impact of altered or diverse practices for sedation management on economical implications and patient safety consequences.
Tanner (2006) defined clinical judgment is “an interpretation or conclusion about a patient’s needs, concerns or health problem and the decision to take action or not, use or modify standard approaches, or improvise new ones as deemed appropriate by the patient’s response”. And he also suggested that there are various factors that impact on this process such as nurses’ experience and perspective, knowledge of the patients, their preferences and culture of the care environment. This model, clinical judgment viewed as a problem-solving activity and consists of four phases noticing, interpreting, responding and reflection. It begins with assessment of the patient followed by the planning and implementation of nursing interventions and finish with evaluation or reflection of the effectiveness of those nursing actions. Noticing refers to observing, which is very similar to the assessment, gathering information and data.
It also suggests that, “within the hospital team nurses have the right to autonomy of judgement and decision and in conflicted situations, such as the one described here” (109). This means if the parents cannot come up with a definite answer, the nurses have the right to decide what is best for the child. Also, this article explains the conflicts when parents and medical staff disagree. Many problems can be caused by this issue such as, “what extent is it possible to scrutinize the way devoted parents should act” (108). Then, in another scholarly article, “The Role of The Pediatric Nurse in Promoting Pediatric Right to Consent,” gives specific characteristics that nurses should look for in children to determine how capable they are.
There are several contributing factors that impact the RN’s decision to
Should He be Fired? 12-18 Yes, I agree with Toni’s decision to allow Bill to keep his job, but only due to the customer returning the money. Bill is human and mistakes happen, but had Bill abided by written protocol regarding the money counting, he may have avoided the mistake.
Self-Regulation and the New Registered Nurse Introduction self-regulation is Understanding self-regulation is an important In this paper, self-regulation in relation to nursing practice and quality assurance will be explored. Self-regulation of RN Practice As with many other professions, registered nursing is a self-regulated profession. The purpose of regulation is to ensure that professionals practice in a safe, competent and ethical manner (CNO, 2014, pp. 3).
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
Patient’s who had exposed to encouragement from nurses to actively participate in decision making, felt they were given the rights, and their voice was heard. The concept of patient empowerment in nursing is important as nurses are responsible in planning for discharge preparations for patient (Weiss et al. 2007). Nurses got to ensure that patients have the required knowledge and skills before discharge (Collins, 2014). Wagner et al.
