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. 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. Aim: This paper is a report of an evaluation of cognitive continuum theory and identification of revisions required for application to clinical judgement and decision-making in nursing. Utilizing the ethical principles of autonomy, beneficence, nonmaleficence, fidelity, justice, and paternalism as outlined by the American Nurses Association (ANA) provides us with a firm foundation for ethical decision making. Nurses are accountable for their decisions, therefore it is crucial that they are aware of how they make these decisions Muir (2004). *You can also browse our support articles here >. Method A clinical decision-making questionnaire (CDMQ) consisting of 15 statements was developed. The nurse coordinator also monitor the progress of the care plan by collating information from agencies and individuals who provide particular elements of a care plan. No plagiarism, guaranteed! The tumour can spread to other parts of the body, particularly the lymph nodes and the bones. [2] Clinical decision making requires good quality judgment including critical thinking. Contextual factors in clinical decision-making 1. No plagiarism, guaranteed! Mr Robbins has a positive attitude towards his condition. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. This should not be seen as an entirely linear process as one step can inform another, and you may move to jump to another step based on new information that emerges. Introduction Decision-making (DM) in healthcare can be understood as an interactive process addressing decision makers' reasoning as well as their visible behaviour after the decision is made. 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. The Situated Clinical Decision-Making Framework is presented for use by educators and novice nurses to support development of clinical decision-making. Dunger C(1), Schnell MW(1), Bausewein C(2). Coordinated care pathway is structured multidisciplinary care plans which detail essential steps in the care of patients with a specific clinical problem. Reference this. [3] An earlier definition of critical thinking in nursing is: '….. Clinical decision making can be defined as choosing between alternatives, a skill that improves as nurses gain experience, both as a nurse and in a specific specialty. • Define the decision – Decision-making can only occur when there is a choice between actual alternatives. We find that intuition plays a key role in more or less all of the steps in the nursing process as a base for decision-making that supports safe patient care, and is a validated component of nursing clinical care expertise. It provides novice nurses with a … Decision making, like traditional problem solving, has been traditionally thought of as a process with identifiable steps yet influenced by the context and by whether there is an intuitive grasp of the situation. Clinical judgments are more influenced by what nurses bring to the situation than the objective data about the situation at hand. 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