Clinical decision making

The "daVinci Anatomy Icon" denotes a link to related gross anatomy pictures. Clinical Decision Making Clinical decision making is the process by which we determine who needs what, when.

Clinical decision making

Epub Mar 1.

Clinical decision making

A review of clinical decision making: The aim of this paper was to review the current literature clinical decision-making models and the educational application of models to clinical practice. This was achieved by exploring the function and related research of the three available models of clinical decision making: Clinical decision making is a unique process that involves the interplay between knowledge of pre-existing pathological conditions, explicit patient information, nursing care and experiential learning.

Historically, two models of clinical decision making are recognized from the literature; the information-processing model and the intuitive-humanist model. The usefulness and application of both models has been examined in relation the provision of nursing care and care related outcomes.

More recently a third model of clinical decision making has been proposed. This new multidimensional model contains elements of the information-processing model but also examines patient specific elements that are necessary for cue and pattern recognition.

The characteristics of the three models of decision making were identified and the related research discussed. Three approaches to clinical decision making were identified, each having its own attributes and uses. The most recent addition to the clinical decision making is a theoretical, multidimensional model which was developed through an evaluation of current literature and the assessment of a limited number of research studies that focused on the clinical decision-making skills of inexperienced nurses in pseudoclinical settings.

The components of this model and the relative merits to clinical practice are discussed. It is proposed that clinical decision making improves as the nurse gains experience of nursing patients within a specific speciality and with experience, nurses gain a sense of saliency in relation to decision making.

Experienced nurses may use all three forms of clinical decision making both independently and concurrently to solve nursing-related problems.

It is suggested that O'Neill's clinical decision-making model could be tested by educators and experienced nurses to assess the efficacy of this hybrid approach to decision making.Clinical Decision Making Clinical decision making is the process by which we determine who needs what, when.

While not exactly arbitrary, this exercise can be quite subjective.

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1 Abstract—Clinical judgment and decision-making is a required component of professional nursing. Expert nurses are known for their efficient and intuitive decision-making processes, while novice nurses are known for more effortful and deliberate.

1 Abstract—Clinical judgment and decision-making is a required component of professional nursing. Expert nurses are known for their efficient and intuitive decision-making processes, while novice nurses are known for more effortful and deliberate.

Clinical decision support (CDS) can significantly impact improvements in quality, safety, efficiency, and effectiveness of health care. The Office of the National Coordinator for Health IT (ONC) supports efforts to develop, adopt, implement, and evaluate the use of CDS to improve health care decision making.

Clinical decision making is a balance of experience, awareness, knowledge and information gathering, using appropriate assessment tools, your colleagues and evidence-based practice to guide you.

Nurses have probably always known that their decisions have important implications for patient outcomes. Increasingly, however, they are being cast in the role of active decision makers in healthcare by policy makers and other members of the healthcare team.

In the UK, for example, the Chief Nursing Officer recently outlined 10 key tasks for nurses as .

A Practical Guide to Clinical Medicine