Premium Essay

Nursing Process and Clinical Decision Making

In: Science

Submitted By thatjanet
Words 807
Pages 4
Nursing Process and Clinical Decision Making
Janet
NUR/300
Kimberly Tomsai
October 12, 2011

Nursing Process and Clinical Decision Making Not all nurses have the same knowledge and experience therefore nurses need to understand clinical judgment, decision making, and the nursing process to administer the best nursing care regardless of personal skill level. Nurses make clinical decisions based on knowledge and experience. A variety of theories and conceptual frameworks have developed to explain the science of nursing and clinical judgment, one of the most notable is that of Patricia Benner. Benner’s theory presents that nurses operate in five stages of clinical judgment from novice to expert (Bias, Hayes, Kozier, & Erb, 2011). The novice is the student nurse who has very little or no knowledge whose main concern is with rules and guidelines to complete tasks. Next is the advanced beginner or the graduate nurse who understands the concepts of nursing but sees difficult situations as more difficult tasks to complete and more rules to learn and often feels overwhelmed frequently consulting with more experienced nurses. For example a new patient arrives to the unit the nurse has not completed the tasks for the patients she already has becomes overwhelmed with how to prioritize and meet each patient’s needs. At the competent stage the nurse no longer functions entirely within a set of rules. Organizational and technical skills have improved the nurse is adaptive able determine what is important and what is not, and is comfortable with nursing care. For example she has five patients calling for assistance this nurse determines what can be delegated to others and what is a priority for her nursing abilities. A proficient nurse has developed a more intuitive understanding of situations relying less on rules and guidelines able to anticipate what...

Similar Documents

Premium Essay

Nursing Research Sample

...The most striking finding of this study was that 75% of nurses were not involved in decision making process of resolving these problems. Students suggested that nurses at clinics should be much more informed about the patient rights, ethical problems, and professional conduct. Since nurses are the role models for nursing students at practice, the results of this study demonstrate the importance of an in-service education for nurses...

Words: 2617 - Pages: 11

Premium Essay

Discharge Process

...The purpose of this essay is to critically explore and discuss the holistic care and management of a chosen patient from a recent clinical placement. The patient which has been chosen has had an exacerbation of a chronic problem. Management options which are or have been available to the designated nurse will be critically discussed alongside the justification of the plan of care which will or has been implemented. The role of the registered nurse in relation to safe and effective decision making will be explored. A discussion of the decision making process which has been chosen for the patient will be noted and this will be related to known theoretical models of clinical decision making. It will also critically examine the importance of managing risk in health care to enhance the patient care and outcomes and this will be related to the chosen patient and clinical scenario. Finally it will also critically appraise the evidence base that supports the discussion. The chosen patient is a 42 year old male who has been admitted to the current clinical placement, which is the local spinal injuries centre, after numerous complaints of recurrent urinary tract infections. All patient identifiable information has been changed to protect the patients’ identity in accordance with the Nursing and Midwifery (NMC) guidelines regarding confidentiality (NMC, 2004)....

Words: 2515 - Pages: 11

Premium Essay

Evidence Based Practice

...Evidence-based practice is one such technique and is quickly gaining popularity due to its potential to effectively handle clinical issues and provide better patient care (ANA 2003). Implementation of Evidence Based Practice places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources. To effectively apply the Evidence Based Practice process, in addition to the basic skills required to undertake nursing work, a nurse must have the ability to: identify knowledge gaps, formulate relevant questions, conduct an efficient literature search, apply rules of evidence to determine the validity of studies, apply the literature findings appropriately to the patient's problem, and appropriately involve the patient in the clinical decision making. Evidence Based Practice involves reconciling client values with evidence and clinical judgment, which may be particularly difficult for them due to their limited...

Words: 2400 - Pages: 10

Premium Essay

Carper's Pattern of Knowing

...Moreover, knowing the patient was found important for clinical judgement personal involvement, patient advocacy and clinical learning. In order to enhance the ability of nurses to...

Words: 6783 - Pages: 28

Premium Essay

Bsn vs Adn.

...Educational Preparation Shyni Joseph Grand Canyon University 02/17/2013 Nursing is one of the fastest growing occupations in the United States. Quality patient care hinges on having a well educated nursing workforce in the interest of improving patient safety and providing enhanced nursing care. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. Education enhances both clinical competency and care delivery. The overall outlook of healthcare professions has dramatically changed in the past few decades. In nursing, competencies define the duties and skills required for nursing positions and establish the educational requirements needed to qualify for each nursing title....

Words: 1190 - Pages: 5

Premium Essay

Nursing and Ethics

...Virginia Board of Nursing The Use of Simulation in Nursing Education Introduction This document provides information and guidance to schools of nursing (both PN and RN) in Virginia on the use of simulation in lieu of direct client care hours in the fulfillment of the clinical hour requirements for nursing education programs. As of April 2008, all RN nursing education programs approved in Virginia shall provide a minimum of 500 hours of direct client care supervised by qualified faculty, and all PN nursing education programs approved in Virginia shall provide a minimum of 400 hours of direct client care supervised by qualified faculty [18 VAC 90-20-120.E]. This document will outline the essential components and major concepts that are necessary when using simulation in lieu of direct client care. Background in Simulation Technological innovations are advancing practice across all domains of education and industry, and the same is true in nursing education. Simulation is gaining popularity as a means to provide innovative learning experiences and foster a richer understanding of didactic content. As nursing programs prepare to integrate simulation into nursing education, the Virginia Board of Nursing has prepared this outline of major concepts that need to be addressed when preparing and integrating simulation into nursing curricula....

Words: 2175 - Pages: 9

Premium Essay

Evidence Based Nursing

...ed based A Qualitative Study of Nursing Student Experiences of Clinical Practice Farkhondeh Sharif1 & Sara Masoumi2 1Psychiatric Nursing Department, Fatemeh (P.B.U.H) College of Nursing & Midwifery Shiraz University of Medical Sciences, Zand BlvD, Shiraz, Iran 2English Department, Shiraz University, Shiraz, Iran Published 9 November 2005  [pic] Abstract Background Nursing student's experiences of their clinical practice provide greater insight to develop an effective clinical teaching strategy in nursing education. The main objective of this study was to investigate student nurses' experience about their clinical practice. Methods Focus groups were used to obtain students' opinion and experiences about their clinical practice. 90 baccalaureate nursing students at Shiraz University of Medical Sciences (Faculty of Nursing and Midwifery) were selected randomly from two hundred students and were arranged in 9 groups of ten students. To analyze the data the method used to code and categories focus group data were adapted from approaches to qualitative data analysis. Results Four themes emerged from the focus group data. From the students' point of view," initial clinical anxiety", "theory-practice gap"," clinical supervision", professional role", were considered as important factors in clinical experience. Conclusion The result of this study showed that nursing students were not satisfied with the clinical component of their education....

Words: 3585 - Pages: 15

Free Essay

Adn vs Bsn

...These core components help with clinical decision making, continuity of care, leadership, and patient education. In order to meet expected outcomes, the ADN graduate utilizes critical thinking and demonstrates clinical competence and accountability as a resource that is committed to caring for others and valuing the profession of nursing. Baccalalaureate nursing programs encompass all of the course work taught in associate degree and diploma...

Words: 807 - Pages: 4

Free Essay

Discharge Planning

...Support and supervision from managers, who already have a responsibility for assessing competence and continuing professional development of staff can help make this process much easier (Jasper 2001). Reflection is a very personal matter, through our reflections we learn not only about our own feelings and knowledge of the situation reflected upon, but also something about our own personality (Rolfe & Gardner 2006). Unlike most academic work a reflection is...

Words: 6023 - Pages: 25

Free Essay

Evidence

...The careful scientific evaluation of clinical practice became a prominent focus during the second half of the 20th century.1 More recently, attention has been paid to methods of determining which of multiple proven approaches to a healthcare problem works best for which patients.2 Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach. It evolved from evidence-based medicine, which was developed in Canada to teach medical students. “Evidence-based medicine has been defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through its support of “research utilization,” the integration of research into nursing curricula, and the education of nurse scientists....

Words: 1545 - Pages: 7

Premium Essay

Qualtiative Research Analysis

...Citeulike Connotea Del.icio.us Email Facebook Google+ Mendeley Twitter [pic][pic]Research article A qualitative study of nursing student experiences of clinical practice Farkhondeh Sharif1* and Sara Masoumi2 * Corresponding author: Farkhondeh Sharif shariffarkhondeh@hotmail.com Author Affiliations 1 Psychiatric Nursing Department, Fatemeh (P.B.U.H) College of Nursing and Midwifery Shiraz University of Medical Sciences, Zand BlvD, Shiraz, Iran 2 English Department, Shiraz University, Shiraz, Iran For all author emails, please log on. BMC Nursing 2005, 4:6 doi:10.1186/1472-6955-4-6 The...

Words: 5029 - Pages: 21

Premium Essay

Adn vs Bsn

...Running head: DIFFERENCES IN COMPETENCIES BETWEEN ADN VERSUS DIFFERENCES IN COMPETENCIES BETWEEN ADN VERSUS BSN DIFFERENCES IN COMPETENCIES BETWEEN BSN VERSUS ADN The purpose of this work is to explore the differences in competencies between Baccalaureate Degree in Nursing (BSN) and Associate Degree in Nursing (ADN). Registered nurses are only legally allowed to practice on patients and clients, these nurses have to be certified and issued licenses by a licensure council after successfully completing and passing the National Council Licensure Examination (NCLEX). These nurses are either Bachelors of nurses or ADN nursing students. ADN nursing program was first introduced during the World War 11 when there was high demand of clinically skill oriented nurses to meet the rising demand the war prompted. ADN program usually take two years to complete and can be done in city or community colleges in comparison to the BSN program which is done in the university and takes about four years to complete. (Moorhead &Cowen, 2006). ADN program emphasize on the acquisition of clinical skills and does not offer the theoretical and scientific knowledge required for the nursing profession, making the program lack competency of scientific theory and ways of providing health services....

Words: 1040 - Pages: 5

Free Essay

Heritage Health

...Course study in an associate’s degree program usually includes nursing fundamentals and clinical care across the lifespan, but their main educational focus revolves around clinical skills, health assessment, and medication administration. Baccalaureate programs, on the other hand, encompass the entire curriculum taught at the associate’s level with a more detailed study of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities. This added educational preparation gives the new...

Words: 854 - Pages: 4

Premium Essay

Curriculum

...ASN Program Description Mission and Goals Our Mission Trinity College of Nursing and Health Sciences provides a quality higher learning environment preparing competent practitioners for health-care professions. Continuous quality improvement guides the educational process as students prepare to deliver culturally congruent health care, perform as responsible citizens within the global community and seek avenues for life-long learning....

Words: 6617 - Pages: 27

Premium Essay

Application of Nursing Theory

...Title: Application of Cognitive Continuum theory to decision making by nurse managers Student Name: Institutional Affiliation: 10th October, 2014 Introduction Decision making may in this case be expressed as a route of selecting an alternative that is more likely to facilitate the achievement of organizational or individual goals (Bjork & Hamilton, 2011). The nursing practice has moved towards full evidence-based implementation of care which as a result enhanced the call for proper creation of decision within nursing. However, numerous nursing theories have been developed to support increased rational analysis and decision making in the nursing practice. The theory of cognitive continuum is in this case a vivid middle-range theory developed Hammond. The theory basically shows how judgment situations are linked to cognition. Additionally, six of the decision making modes which are based on the cognition and judgment, are described in the theory (Custers, 2013). The cognitive continue part of the theory shifts from suspicion to examination whereas the judgment varies from worse-planned to well-planned (Dhami & Thomson, 2012). Indeed, this study seeks to launch how the theory of cognitive continuum strategy may be useful in helping nurse managers make critical decisions....

Words: 1952 - Pages: 8