Nursing care assessment Essay: Nursing care assessment This assignment will discuss and analyse the nursing care given to an 85 year old female patient, during a four week hospital practice placement. In order to fully comply with the Nursing and Midwifery Council NMC Code of Conductfull consent has been verbally granted by the patient to utilise personal clinical information for the purpose of this case study.
Download powerpoint The cognitive continuum. Reproduced with permission from Hamm RM. Clinical intuition and clinical analysis: In Dowie J, Elstein A, editors. Cambridge University Press, Complexity of the task: An example of a task that is more likely to induce rational processing and draw on knowledge derived from research is the assessment and treatment of chronic venous leg ulcers.
Nurses assessing and treating leg ulcers identified the helpful role of the UK Royal College of Nursing Guidelines 21 in collecting the information required for a good assessment and decision, and the design of training, audit, and feedback around the guidelines and decision making in leg ulcer care.
Form of task presentation: The relative balance in the mixture of intuition- and rationality-inducing task elements predicts the end of the continuum to which cognition is drawn.
Preference for humans as information sources Both primary and acute care nurses were characterised by reliance on human sources of information as the primary means of informing situations in which they were uncertain.
Notable exceptions were local protocols and guidelines in acute care particularly in areas such as coronary care and sources of drug related information, such as the British National Formulary, drug information sheets, and pharmacists in primary care. Even when textual information was seen as accessible, human sources of information were highly rated in terms of their accessibility.
We also found that simple demographic or biographical variables, such as clinical experience, educational attainment, or role on the primary care team, were weak predictors of perspectives of accessible information sources.
The scale of the relative lack of engagement with information sources can be gleaned from our observational data. During 90 hours of observing district nurses in practice, we found that use of an information source while actually making a decision in the presence of a patient occurred only once, in the form of a telephone call to another clinician.
Rather, nurses chose not to use the systematic search-appraise-implement cycle of evidence-based decision making in real-time for real clinical decisions with rapid implied response times.
Nurses described contact with research based information sources in the context of continuing professional development and formal education or training. Other influences included being involved in the production of local protocols and guidelines and having to make sense of research such as clinical trials, or using research evidence to help resolve conflict between colleagues.
Perceptions about the relative accessibility of human sources of information were mirrored when we asked nurses about the usefulness of different sources of information for clinical decision making. Useful information sources are grounded in clinical reality As with accessibility, we identified several important perspectives on the relative usefulness of different sources of information for clinical decision making.
Each of these perspectives stressed the usefulness of sources that were based on experience rather than research. Colleagues, other members of the primary care team, or senior members of the clinical team were viewed as the most useful and accessible information sources. In acute care, the most useful source of information across all perspectives was the CNS, who seemed to embody the characteristics of useful information sources:Nursing Process and Clinical Decision-Making The nursing professional faces a myriad of decisions on a daily basis.
The effectiveness of the decision-making process is crucial to ensuring positive outcomes in the clinical setting. 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.
ut school of nursing bookstore Clinical Decision Making In Nursing Essay nursing essay writing personal statements examples for nursing/10(). Applying Clinical Decision Making In Adult Nursing AhhN This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice.
Pearson () clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. ). It is the ability to blend information and make decisions that will later be implemented in the situation.
Evidence-based decision making involves choosing from a variety of. clinical decision making in nursing essay This is an author produced version of Clinical decision making in nursing: theoretical perspectives and their relevance to practice – a response to Jean heartoftexashop.comied nurse during a clinical placement/10().