leadership and nursing
care management
Willam joshua
WJ
,Leadership and nursing
care management
Study
Categories of nursing decisions
Clinical and managerial
Decision making
The process of making choices from several
courses of action in order to solve problems
Decision making environment
The context in which decisions are made
Clinical judgment
The interpretation of the information of patient
problems and needs
Clinical reasoning
The process of analyzing and synthesizing both
objective and subjective cues about patients
Clinical decision-making
Involves decisions made at the point of care. The
decisions are made as a result of clinical
reasoning and clinical judgment
Managerial and organizational decision-making
Involves decisions for groups of patients at the
unit, organizational, or health system levels
Decision making models
1) nursing process
2) tanners clinical judgment model
3) Levett- Jones's five steps of clinical reasoning
4) decide model
,5) Vestal's global model
6) Baghbanian's environmental model
The nursing process
Assessment
Diagnosis
Plan
Intervention
Evaluation
Tanners clinical judgment model
Involves noticing patient cues, interpreting those
cues and responding to them, and reflecting on the
course of action chosen so that clinical learning
occurs
Levett- Jones's five steps of clinical reasoning
The right cues, the right patient or setting priorities,
the right time, the right action or clinical decision,
and the right reason
DECIDE model
Define the problem, establish criteria, consider all
choices, identify the best choice, develop an action
plan, evaluate decision
Vestals global model
Ask how one can make the situation better
Brainstorming with the team occurs
Analyze implications and consequences of the
course of action
Choose the best solution
Present a solution and a concise manner
Baghbanian's Environmental model
, Epical criteria, economic criteria, clinical criteria,
and institutional criteria
Basic elements of decision making
1) identify the goal for decision making
2) make the decision
steps of problem-solving
1) Define the problem
2) gather information
3) determine the overall goal or desired outcome
4) develop solutions
5) consider the consequences
6) make a decision
7) implement and evaluate the solution
Examples of Clinical decision making
1) documentation
2) medication administration
3) IV medication delivery
4) triage decisions
5) prioritization
Examples of managerial decision making
Resources including financial ethical and human
Decision making tools
1) shared governance
2) evidence informed decision making
3) pilot projects
4) SBAR
5) simulation
6) Data analytics
7) decision support systems
Strategies for making decisions
care management
Willam joshua
WJ
,Leadership and nursing
care management
Study
Categories of nursing decisions
Clinical and managerial
Decision making
The process of making choices from several
courses of action in order to solve problems
Decision making environment
The context in which decisions are made
Clinical judgment
The interpretation of the information of patient
problems and needs
Clinical reasoning
The process of analyzing and synthesizing both
objective and subjective cues about patients
Clinical decision-making
Involves decisions made at the point of care. The
decisions are made as a result of clinical
reasoning and clinical judgment
Managerial and organizational decision-making
Involves decisions for groups of patients at the
unit, organizational, or health system levels
Decision making models
1) nursing process
2) tanners clinical judgment model
3) Levett- Jones's five steps of clinical reasoning
4) decide model
,5) Vestal's global model
6) Baghbanian's environmental model
The nursing process
Assessment
Diagnosis
Plan
Intervention
Evaluation
Tanners clinical judgment model
Involves noticing patient cues, interpreting those
cues and responding to them, and reflecting on the
course of action chosen so that clinical learning
occurs
Levett- Jones's five steps of clinical reasoning
The right cues, the right patient or setting priorities,
the right time, the right action or clinical decision,
and the right reason
DECIDE model
Define the problem, establish criteria, consider all
choices, identify the best choice, develop an action
plan, evaluate decision
Vestals global model
Ask how one can make the situation better
Brainstorming with the team occurs
Analyze implications and consequences of the
course of action
Choose the best solution
Present a solution and a concise manner
Baghbanian's Environmental model
, Epical criteria, economic criteria, clinical criteria,
and institutional criteria
Basic elements of decision making
1) identify the goal for decision making
2) make the decision
steps of problem-solving
1) Define the problem
2) gather information
3) determine the overall goal or desired outcome
4) develop solutions
5) consider the consequences
6) make a decision
7) implement and evaluate the solution
Examples of Clinical decision making
1) documentation
2) medication administration
3) IV medication delivery
4) triage decisions
5) prioritization
Examples of managerial decision making
Resources including financial ethical and human
Decision making tools
1) shared governance
2) evidence informed decision making
3) pilot projects
4) SBAR
5) simulation
6) Data analytics
7) decision support systems
Strategies for making decisions
