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management
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,Leadership and nursing car r r r
e management
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Study
Categories of nursing decisions r r r
Clinical and managerial r r
Decision making r
The process of making choices from several co
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urses of action in order to solve problems Deci
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sion making environment
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The context in which decisions are made
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Clinical judgment r
The interpretation of the information of patient proble
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ms and needs
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Clinical reasoning r
The process of analyzing and synthesizing both objec
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tive and subjective cues about patients Clinical decis
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ion-making
Involves decisions made at the point of care. The deci
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sions are made as a result of clinical reasoning and cli
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nical judgment r
Managerial and organizational decision- r r r
making Involves decisions for groups of patients at th
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e unit, organizational, or health system levels Decisio
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n making models
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1) nursing process r
2) tanners clinical judgment model r r r
3) Levett- Jones's five steps of clinical reasoning r r r r r r
4) decide model r
,5) Vestal's global model r r
6) Baghbanian's environmental model r r
The nursing process r r r
Assessment Diagnosi r
s
Plan Interventi r
on Evaluation
r
Tanners clinical judgment model r r r
Involves noticing patient cues, interpreting those cue r r r r r r
s and responding to them, and reflecting on the course
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of action chosen so that clinical learning occurs
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Levett-
Jones's five steps of clinical reasoning The right c
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ues, the right patient or setting priorities, the right time,
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the right action or clinical decision, and the right reaso
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n
DECIDE model r
Define the problem, establish criteria, consider all cho
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ices, identify the best choice, develop an action plan, e
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valuate decision r
Vestals global model r r
Ask how one can make the situation better Brainstorm
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ing with the team occurs
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Analyze implications and consequences of the cours r r r r r r
e of action
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Choose the best solution r r r
Present a solution and a concise manner r r r r r r
Baghbanian's Environmental model r r
, Epical criteria, economic criteria, clinical criteria, and i
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nstitutional criteria r
Basic elements of decision making
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1) identify the goal for decision making r r r r r
2) make the decision r r
steps of problem-solving
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1) Define the problem r r
2) gather information r
3) determine the overall goal or desired outcome r r r r r r
4) develop solutions r
5) consider the consequences r r
6) make a decision r r
7) implement and evaluate the solution r r r r
Examples of Clinical decision making r r r r
1) documentation
2) medication administration r
3) IV medication delivery
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4) triage decisions r
5) prioritization
Examples of managerial decision making Resour r r r r r
ces including financial ethical and human Decision
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making tools r
1) shared governance r
2) evidence informed decision making r r r
3) pilot projects r
4) SBAR
5) simulation
6) Data analytics r
7) decision support systems r r
Strategies for making decisions r r r