What Makes A Clinical Decision Making

After forming a clinical judgement, a nurse makes a decision by implementing what should be done and how it should be done. Clinical decision making is process of drawing from various dimensions of knowledge, in which nurses organize data, form conclusions, and act on these conclusions ensuring the best possible outcome for the patient (Gillespie & Paterson, 2009). Nursing process frameworks describe the decision-making process as a set of steps including assessment, identification of a problem, planning, intervention, and evaluation (Gillespie & Paterson, 2009). In terms of evaluating their decisions, nurses consider how effective their decisions were and if there has been a resolution to the initial problem (Gillespie & Paterson, 2009).
A has not had anything for pain in the past 24 hours and she gives Mrs. A. a prescribed medication for pain. Another example of Kathy making a clinical decision is when she decides to check and it results 3.3 mmol/L. Kathy gave Mrs. A. orange juice to increase her blood glucose level. Kathy then consults Mrs. A’s doctor as she believes that the dose of Diabeta might be too high. Kathy evaluates the outcomes of her decisions by assessing Mrs. A's response to the interventions. By the end of her block of shifts, Kathy saw an improvement in Mrs. A's confusion. It shows that the issues were then resolved and do not require Kathy to go back to her initial judgements to revise or to start collecting more information to formulate new judgements (Gillespie & Paterson,
Kathy expressed her fair treatment for all patients, she made sure that she checked on her all other patients and organized her day accordingly. Kathy has also acknowledged patient's family concern empathetically. Justice is also when she smells the urine odor from Mrs. A and made it a priority to wash her. Kathy does not make the assumption that Mrs. A’s confusion was related to her being “demented” but throughout her shift and after speaking with Mrs. A’s daughter she knew the acute confusion is related to delirium. She investigates to uncover the cause of this confusion. She considers addressing her pain, blood sugars, constipation, and foul smell of urine. This principle appears to guide Kathy’s decisions throughout the