CLINICAL DECISION MAKING WITHIN THE NURSING PROCESS AMONG UTAH NURSES By Jan C. Call A thesis submitted to the faculty of The University of Utah in partial fulfillment of the requirements for the degree of Master of Science College of Nursing The University of Utah December 1995 Copyright C Jan C. Call1995 All Rights Reserved THE UNIVERSITY OF UTAH GRADUATE SCHOOL SUPERVISORY COMMITTEE APPROVAL of a thesis submitted by Jan C. Call This thesis has been read by each member of the following
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and informed decisions following advances in clinical intervention and medical complexities due to the ageing population with associate co-commodities (). Decision-making pervades in all clinical care and activities‚ and clinical decisions have profound and direct effect on patient safety‚ care and outcome. Clinical decision-making (CDM) involves healthcare professionals applying clinical judgment to select the optimal evidence-based option to control risks and provide high-quality care for patients
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Clinical Decision Making A complete medical history was obtained from the patient. Following a discussion of her concerns‚ a physical exam‚ including a pelvic and bimanual exam was performed. Swabs of the vaginal area were collected and placed under the microscope. The results were concurrent with the suspected diagnosis of bacterial vaginosis. The physician explained the results of the swab samples and offered the patient different treatment options. Pathophysiology Bacterial Vaginosis (BV) is
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02971588 1 Decision making essay Decision making is important to nurses in today ’s society‚ ( Thompson et al 2002) as a number of policy and professional imperatives mean that nurses have to worry about the decisions they make and the way in which they make them. The government has produced several policy initiatives (DOH 1989‚ 1993a‚ 1993b 1913c‚1994‚ 1995‚ 1996a‚ 1996b‚1997‚ 2000‚ 2000) which have led to the creation of an evidence based health care culture ( Mulhall & Le May 1999). Thompson
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Based on the situation I encountered during my clinical‚ decision making in clinical settings is a judgment to be made on the patient care and as nurses‚ our judgment on patient care must be professional. We also need to be aware of the possibilities of our actions and decision. Clinical decision making does not only rely on the individual‚ but in a health care setting‚ the decision doesn’t just come because looking at my situation‚ I didn’t ask any other nurses about their opinion but I was just
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Clinical decision making can be defined as‚ the collection of relevant patient information and accurate assessment‚ which results in an action being taken in the delivery of nursing care to the patient (Clark 1996). This definition is identical to the nursing process as described by (ref ewles & simnett?) however‚ this has been disparaged by some for not being critical in its stages (assesment‚ planning‚ implementation and evaluation) leading to standardized care plans and the reduction in decision
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the Care that Mr Jones will require in relation to the safe management and promotion of wound healing This essay will focus on the holistic care of Mr Jones‚ with particular attention to the management of his wound. The points that will be discussed and analysed are the role of the skin‚ wound assessment‚ the nutritional status of Mr Jones and the problem of his obesity. Added to this‚ an analytical discussion of the involvement of the multi-disciplinary team‚ the way that Mr Jones’ wound should
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‘Wound care: selecting the right dressings’ Author: Merlin-Manton‚ Elizabeth‚ Tissue viability nurse‚ Worcester acute hospital. Quantitative research‚ Case report; Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. ‘This article discusses the clinical aspects of wound healing the importance of selecting the right dressings for wound. Topics discussed include the two main types of wounds‚ wound closure‚ moisture balance which promotes
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Clinical trials are research studies in which volunteers participate in testing the effectiveness and safeness of new drugs or devices. They are carried out over a period of time to ensure that all parameters are satisfied. The purpose of the research is to obtain the best possible results so that doctors will be educated to improve on prevention or treatment of illnesses like cancer‚ diabetes or hypertension. Strict scientific standards are implicated for a reliable outcome. Children and teenagers
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5 per 1000 patient suffer from wounds. (Vowden et al .2009). Vowden‚K.‚Vowden‚P.and Posnett‚J.(2009). The resource cost of wound care in Bradford & Airdale PCT in the UK. Journal of wound Care 18(3):93-102. 2) Beldon (2010) highlights the lack of knowledge‚ individualised wound assessment and the construction and maintenance of effective management plans by nurses is seriously deficient. Beldon‚ P. (2010). Is wound management training in primary care good enough? British Journal of
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