I agree with you that it is impossible for a nurse to know every disease and treatment options. I think it is important for us as nurses to remember this as well and to stop and think before we answer a medical question. Also the medical field is changing all the time and one way of thinking in the past may not be what research says is best now. In chapter three Fain discusses evidence-based nursing stating that it is, “the conscientious, explicit, and judicious use of theory-derived, research-based information in making decisions about care delivery to” patients (Fain, 2013, p47). It is important for us nurses to take the time and do the research so that we can provide the best care.…
Nursing Diagnosis: clinical judgments used to evaluate the response of the whole person to actual or potential health problems…
Nurses should be able to make a decision that is best for their patient. The Nurse should first be able to recognize that there is a problem, then be able to solve the problem in the best possible way for their patient. As the book “Issues and Trends In Nursing Essential Knowledge for Today and Tomorrow” mentions that nursing students have a limited amount of time to make decisions in a clinical setting and some may not even have the opportunity to see decisions being made by experienced nurses. The public does not realize just how important nurses are for making critical decisions for patients in a timely manner.…
These incidents can drastically reduce if healthcare professionals would take the time to fully understand and thoroughly communication between one another. Health care professional must realize they are dealing with people’s lives within a hospital setting. In particular, a significant amount of decisions…
Many people are afraid of guns. Therefore, many people believe that our guns should be taken away. This against the law and it will anger a lot of people. Many people are gun supporters. This could cause a chaotic uprising of gun supporters. Not only are guns in major parts of our history, but they are also used to defend friends, family, and everyday people. people that are trying to take guns away believe they are preventing crime. This, however, is not the case.…
Institute of Medicine has noted several factors that play in misdiagnosis and they are as follows. Rushed visits, time constraints are always a factor in almost all lines of work especially so with health care. According to Rice (2015) time or resources are limited, all people, including physicians rely on mental shortcuts or heuristics, an abbreviated way of thinking. That can lead physicians to make quick assumptions and introduce cognitive bias. This not only increases the likelihood of missing disease warning signs, but leads to poorer quality decisions. Unclear communication with patients, communication is vital, it is easier to make a sound diagnosis with a complete history of a patient. Misread or misplaced x-rays, I have prior experience working in a Radiology Department and I can attest to the sheer volume of cases or they have to see. The Radiologist at a busy hospital reads hundreds of plates a day, eventually, mistakes are bound to happen. Most of these missed findings do not lead to any adverse outcome, however, if one does legal action is almost always a guarantee. Doctors’ unrecognized bias, each doctor has their own mental inclination that sways their decision when making a diagnosis. The issue lies here when doctors unknowingly oppose evidence in favor of their initial disposition. Lastly, is record keeping, this has always been an issue in every healthcare setting. It has evidently gotten better since the usage of electronic records, however mishaps still do happen. Omitted findings from records or missing records itself delays if not changes the…
With the deficiency of physicians around the United States, patients should look more into being seen by an advanced nurse than waiting a few more days or weeks to see their primary care physician.…
In today’s nursing profession, decision making is a common routine. Nursing practitioners are required to come up with logical and concise decisions in situations whereby there exist multiple decisions and not one entirely correct decision. Such scenarios require critical thinking capabilities that will ensure the dissemination of the most appropriate response with regard to the…
Smith, A. (2009). Exploring the legitimacy of intuition as a form of nursing knowledge. Nursing Standard, 23(40), 35-40.…
As I embark on starting a new career, nursing offers me a demanding profession that involves my strength in interpersonal relations coupled with the desire to participate in a challenging career field. The nurse-patient relationship is the most important factor in starting an effective assessment of a the patient. Establishing this relationship is important to gain the trust of the patient as well as a rapid diagnosis in what will become a fiscally-challenged environment of health care.…
This article describes both a literature review and a primary research study. The literature review determined that there is a lack of understanding regarding the role of the nurse practitioner; while others didn’t understand the accountability of the nurse practitioner. In the research study, it was determined that in Canada there were more nurses in research and leadership roles. When ED patients were surveyed it was determined that NP’s were the preferred provider over other professionals. In Australia, there were similar findings in which patients felt that their needs were more likely to be met. However, when healthcare providers were surveyed it was determined that there was little trust in the ability of the NP to diagnose and treat. Overall, the article states that there is a clear need for global clarity of the role of the NP; because the role is so poorly defined it is hard to broaden the scope of the NP within the hospital setting (Hurlock-Chorostecki,, Forchuk, Orchard, Soeren, & Reeves (2014). Fortunately, in the United States the role of the NP is becoming more specific; such as, Acute Care Nurse Practitioner, Pediatric Nurse Practitioner, or Family Practice. This article clearly indicates that there is a need…
If a nurses is not using all her researches in the time available when critical thinking is required then the patient outcomes can be disastrous. Nurses are held to a high standard of patient care and if they neglect following through with complete thought process can be considered unethical. Critical thinking process has many steps for the nurse to go through to come up with the best decision. Must gather information for the assessments (subjective and objective), families, other health care workers, and studies that would benefit the patients. The studies need to be founded on evidence base practices, where there is evidence that it works backing the new treatment or current treatments. Failure to do so can result in legal ramifications against the nurse. Critical thinking will grow as time goes on and nurses need to stride for improving this skill. Nurses are accountable for their own actions and should always want to give their hundred percent every time. Not only is there legal and ethical consequences with failing to use critical thinking, there is also the affects it has on the patient and the family that is irreversible.…
I think this photo shows a group of friends, spending one day on the beach. None of them looking at the camera.…
Competency in a rapidly changing healthcare environment remains a key component of excellent nursing care and the practice of nursing requires critical thinking and clinical reasoning. Indeed reasoning, and judgement can be taught to nurses over time and well organized mentoring that fosters their growth so they can become experts in their practice. Clinical reasoning and judgement are all part of critical thinking that an expect nurse acquired over time with learning experiences, this involves an ability to gather and analyze a patient data, evaluate, and decides on possible nursing actions to improve outcome. “Clinical reasoning also guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect…
Based on several studies it has been found that during nurse’s careers, that they have used their intuition as their guidance to make important decisions on their patients care. Intuition is a basic piece of nursing science that becomes possibly the most important factor when healthcare providers get to oblivious learning without restraint or speculation. One can also assume that intuition is also based on their overall experiences and knowledge acquired during their nursing practices. The purpose of this paper is to discuss the article based upon the concept analysis on nursing intuition towards the description of method used, and the application to practice.…