These tools collect data regarding various factors thought to be associated with the development of pressure sores. Nurses rely on sound decision making skills to maintain positive outcomes and up to date care. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. It applies judgement regarding our reasons for doing or not doing things. Risk assessment is a continuous process in which nurses gather information from multiple sources and other health care professionals with the focus of identifying the factors that is associated with the increased probability of risk happening. It is also important that nurses use their resources cost effectively by ensuring that resources and equipment are used correctly by the patient. Clinical decision-making is considered synonymous with clinical judgement (Manetti, 2019).Clinical reasoning and decision-making are the thinking processes and strategies we use to understand data and choose between alternatives with regard to identifying patient problems in preparation for making nursing diagnoses and selecting nursing outcomes and interventions. This definition is identical to the nursing process as described by (ref less & sentiment? ) The formulation should ideally reflect aspects of each individual, context and systems that may influence the potential for risks. Decision making links judgement to practice by acting on it in choosing from the options available. Sometimes it is difficult for the nurse to come to a decision that will satisfy clients and co-workers and they also may be challenged at any time, however the important thing is that the nurse takes full responsibility and is able to justify his/her decision. VAT Registration No: 842417633. However, due to children and adults different physiological responses, EWS is inappropriate to use on children. Nurses are trained to make critical decisions that can often save a life. No risk assessment tool can be 100% accurate. Introduction: Clinical decision making is a complex process that is central to everyday nursing practice, education and research. It is also important that nurses use their resources cost effectively by ensuring that resources and equipment are used correctly by the patient. Info: 2167 words (9 pages) Nursing Essay “Integrating research evidence into decision making involves forming a focused clinical question in response to a recognised information need, searching for the most appropriate evidence to meet that need, critically appraising the retrieved evidence, incorporating the evidence into a strategy for action, and evaluating the effects of any decisions and actions taken.” – Thompson et al (2004). According to NICE (2007), nurses caring for patients in acute hospital settings should be skilled in monitoring, measuring, and interpreting data and have prompt response to the acutely ill patient and they should be assessed in order to demonstrate their competency. Each decision making model requires certain set of skills in order to be put on proper use and get the right results. Nurses have to balance a number of elements before they make a decision, however the patient’s best interest is their main priority. clinical decision making essay; clinical decision making essay. “Evidence based practice is an approach to health care wherein health professionals use the best evidence possible, i.e. According to NICE (2007), nurses caring for patients in acute hospital settings should be skilled in monitoring, measuring, and interpreting data and have prompt response to the acutely ill patient and they should be assessed in order to demonstrate their competency. We've received widespread press coverage since 2003, Your NursingAnswers.net purchase is secure and we're rated 4.4/5 on reviews.co.uk. Early intervention can help prevent patient’s condition from deteriorating which then helps avoid the need to transfer the patient to a higher level of care. There are different models of decision making in nursing developed to help nurses make their decision on all aspects of nursing care and I decided to focus on risk analysis and management and evidence based decision making. Copyright © 2003 - 2021 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. Company Registration No: 4964706. Most nurses are familiar with the use of pressure sore risk assessment tools such as the Braden or Waterlow scales. If you need assistance with writing your essay, our professional essay writing service is here to help! Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. “Evidence based practice is an approach to health care wherein health professionals use the best evidence possible, i.e. Is not designed to develop nursing practice standards or nursing science. Free resources to assist you with your university studies! It involves combining the knowledge of an expert, patient preferences and research evidence within the context of available resources. People often get patient rights and patient responsibilities confused. No risk assessment tool can be 100% accurate. As nurses, we use different information sources to support our judgement and decision making. They determine how their patients are treated. Internal and external variables such as the nurse's personal experience, knowledge, creative thinking ability, education, self concept, as meshed with the nurses' working environment, and situational stressors all can work to enhance or inhibit effective clinical decision making for a nurse. There is normally some form of scoring system which shows the probability of the pressure sore occurring. Do you have a 2:1 degree or higher? The key issue in examining risk assessment tools is how good they are at distinguishing those at risk from those who are not and if they are better or more accurate than simply relying on professional judgement (Thompson, C. & Dowding, D., 2002). Also, studies by McGuinty and Anderson (2008) and Williams (2004) showed that evidence based practice has reduced healthcare costs and geographic variation in delivery of care. Clinical decision making can be explained as the procedure through which informed judgment can be made regarding the treatment … It can also be used with hospitalised mental health and learning disability patients. However, the authors Hardy & Smith further suggest being careful regarding their interchangeability when others are making use of the same activity. According to Lipsedge (1995), good practice in risk assessment requires nurses to translate their knowledge into a clearly distinct formulation of the risks. Good decision-making requires a good foundation of scientific knowledge. It is an examination of the context and details of past risk incidents in the light of current circumstances. Evidence-based decision making is a prescriptive approach to making choices based on ideas of how research and theory can be used to improve decision making in regards to delivery and quality of patient care. View professional sample essays here. According to Guy, H. (2007), risk assessment on pressure ulcer requires multifactorial consideration. It is based on physiological parameters taken when recording patient observation e.g. We're here to answer any questions you have about our services. the most appropriate information available to make clinical decisions for individual patients. The use of early warning score (EWS) is the best practice for clinical observations (Department of Health, 2000), and this is backed up by NCEPOD (2005) who emphasised that every in-patient should have a EWS recorded. For example, nurses must deliver care based on the best available evidence or practice and must ensure any advice given to patients are evidence based. Reference this Share this: Facebook Twitter Reddit LinkedIn WhatsApp This assignment was written by a Community Matron working in a Primary Care setting for a local GP surgery. According to Reigle, Steven, Belcher et al (2008) and Talsma, Grady, Feetham, et al (2008), the reason why evidence based practice is consistently implemented is because it leads to the highest quality of care and best patient outcomes. Clinical practice is often concerned with risk reduction and with the developing trend in healthcare litigation, there is a big emphasis on risk management for both the patients and health care staffs. “Integrating research evidence into decision making involves forming a focused clinical question in response to a recognised information need, searching for the most appropriate evidence to meet that need, critically appraising the retrieved evidence, incorporating the evidence into a strategy for action, and evaluating the effects of any decisions and actions taken.” – Thompson et al (2004). Nurses are accountable for the quality, safety and effectiveness of their clinical decision making. Accurate and timely observations and adherence to EWS is essential in order to recognise patients who are at risk of deterioration. It recognises that health care is individualised and ever changing and involves uncertainties and probabilities. According to Nursing and Midwifery Council (2008a, p.7), nurses are now required to use evidence based practice. Registered Data Controller No: Z1821391. Orme and Maggs (1993) identified that decision-making is an essential and integral aspect of clinical practice. Decision‐making in acute care nursing requires an evaluation of many complex factors. Nurses exercise use their clinical judgement and decision making skills in clinical environments and have been used as exemplars for decision and judgement research since the 1960s. The EWS is designed for adults and can also be use with mental health and learning disability patients. Clinical Decision making and the Nursing Process Sample Essay. This definition is identical to the nursing process as described by (ref ewles & simnett?) Decision making involves assessing available options and their effectiveness. however, this has been disparaged by some for not being critical in its stages (assesment, planning, … It is important to carry out a care plan once the patient is identified to be at risk of developing a pressure sore so that occurrence of pressure damage can be prevented. We are accountable to the patients, clients and service users to whom we owe a duty of care. Nurses are expected to use valid evidence to support their decisions when deciding what care to provide each patient. Clinical decision making in nursing involves applying critical thinking skills to select the best available evidence based option to control risks and address patients’ needs in the provision of high quality care that nurses are accountable for. According to Waterlow (1985), recommended care interventions are available with each recommendation corresponding to the risk score parameters of the Waterlow scale. If the child’s score is high then this means he/she is at risk of deteriorating, this gives nurses an early indication that an action has to be done. Risk assessment is a continuous process in which nurses gather information from multiple sources and other health care professionals with the focus of identifying the factors that is associated with the increased probability of risk happening. The nursing … Please refer to an authoritative source if you require up-to-date information on any health or medical issue. The effectiveness of the decision-making process is crucial to ensuring positive outcomes in the clinical setting. According to Standing, M. (2011), accountability in decision making is being answerable to patients, the public, employers, NMC and the law for the consequences of our actions and having to explain, justify, and defend our decisions. Most nurses are familiar with the use of pressure sore risk assessment tools such as the Braden or Waterlow scales. As nurses, we use different information sources to support our judgement and decision making. The development of a comprehensive and individualised care plan will relate to the broad range of effective treatment, rehabilitation and support services provided at the current level of clinical knowledge (Morgan, S., 1998). Disclaimer: This essay has been written by a student and not our expert nursing writers. The formulation should ideally reflect aspects of each individual, context and systems that may influence the potential for risks. The primary aim of pressure ulcer risk assessment tool is to help nurses identify individuals at risk of pressure ulcers and determine the degree of risk (Shakespeare 1994).Formal pressure ulcer risk assessment involves the use of a tool that assists in identifying those patients likely to develop a pressure ulcer. For example, if a patient scores 15 or over on the Waterlow scale, the individual may be considered at risk of developing pressure sores and therefore the nurses will have to maintain a pressure ulcer prevention (PUP) bundle in order to keep track of the patient’s condition. (O’Reilly, 1993) Clinical decision-making is defined as the ability to sift and synthesize information, make decisions, and appropriately implement those decisions within a clinical setting. NURS Clinical Sentence Making Essay Assignment Tractates. Making Clinical In Decision Essay Nursing. (O'Reilly, 1993) Clinical decision-making is defined as the ability to sift and synthesize information, make decisions, and appropriately implement those decisions within a clinical setting. Practicing nurses must effectively identify and solve the problems of patient diagnosis and treatment by using such a model. Judgement is not decision making but is closely related. Nursing is the use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life whatever their disease or disability, until death. Disclaimer: This essay has been written and submitted by students and is not an example of our work. It applies judgement regarding our reasons for doing or not doing things. Nursing Research is defined as: Question 3 options: a) A problem solving approach to clinical decision making that incorporates a search for the best and latest evidence, clinical expertise and assessment, and patient preference values within a context of caring. Risk is integral to nursing and the assessment of risk is one of the most common judgements nurses make. Orme and Maggs (1993) identified that decision-making is an essential and integral aspect of clinical practice. Clinical decision-making (CDM) is a dynamic activity in which the nurse builds a case in which hypotheses are accepted or rejected based on collected data, better defined by Barrows & Pickell (cited in Robinson 2002, p. 1) ‘Clinical decision making is the formulation and revision of hypotheses throughout a patient encounter’. If the child’s score is high then this means he/she is at risk of deteriorating, this gives nurses an early indication that an action has to be done. Clinical risk management will fundamentally happen through the interpretation and application of agreed individual care plans. Decision-making and judgement play a significant role as performed by different healthcare professionals. Essays; Nursing; Case Study of clinical decision making in practice. Clinical risk management will fundamentally happen through the interpretation and application of agreed individual care plans. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! Clinical Decision Making Skills Nursing Essay. How do these tools affect outcomes? Experienced nurses bring a broad range of previous patient encounters to their practice influencing their intuitive, unconscious processes which facilitates decision‐making. Relevance to clinical practice. Info: 3738 words (15 pages) Essay Published: 1st Jan 1970 in Nursing. However, despite the good outcome of using evidence based practice in decision making with regards to patient care, there are issues such as nurses do not always make their decision based on available evidence due to lack of skills i.e. 1) 'Clinical decision making is the formulation and revision of hypotheses throughout a patient encounter' The aim of this essay is to discuss and assess a given case scenario where, the chosen patient admitted with acute headache and vomiting with intermittent confusion. It involves complex and conscientious decision making based not only on the available evidence but also on patient characteristics, situations and preferences. We're here to answer any questions you have about our services. Essay on Nursing Process and Clinical Decision Making 1535 Words7 Pages Nursing Process and Clinical Decision-Making The nursing professional faces a myriad of decisions on a daily basis. No plagiarism, guaranteed! McKibbon (1998) recognises the importance of the patient when making decisions about their own care. Please click this link to view samples of our professional work witten by our professional essay writers. The effectiveness of the decision-making process is crucial to ensuring positive outcomes in the clinical setting. According to Lipsedge (1995), good practice in risk assessment requires nurses to translate their knowledge into a clearly distinct formulation of the risks. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you! In nursing practice decision-making is pivotal to delivery of quality patient care. *You can also browse our support articles here >. Importance And Importance Of Patient Rights 923 Words | 4 Pages. 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