Essential Decision-Making Models Used in Nursing Practice
Question:
Discuss about the Accuracy of Intuition in Clinical Decision.
Implementing clinical decision and judgments making is an essential element of professional nursing practice. The effectiveness of decision making under crisis can help to evaluate upon the quality of nursing and health care service that is being provided to the clients. The quality of the decision making totally depends on the ability to gather maximum volume of information from the medical background of the patient (Boyko, Carter and Bryant?Lukosius 2016). It is highly important for a professional nurse to evaluate the situation before implementing any final decision properly. Professional nurse also needs to be aware of the consequence of every clinical decision that is being applied.
The current study will analyze essential decision making models that are used in the nursing practice. The focus will be mainly on three theories including information processing theory, social judgments theory and intuition. The above mentioned theories will be implemented depending on the situation within the nursing practices. It will also help the professional nurses to make most use of the given situation. All the above mentioned three theories focus upon acting according to the demand of the situation. The decision making process is being involved within the nurse uses a certain frameworks that is implemented on the basis of the patient situation (Boyko, Carter and Bryant?Lukosius 2016).
The professional nurses are more often regarded as the key decision maker within the Healthcare team. This is due to the fact that they are able to utilize among their experience in Healthcare service to provide the best evidence practice. The intuitive ability is being used by the nurse in order to generate the decision making process (Bradshaw and Hultquist 2016).
As mentioned by Ford (2017), advanced levels of information are highly crucial in the context of making essential nursing decisions. The information processing theory in nursing decision making determines the pattern of how the nurses responds under certain situation in clinical care. As the nurse is better able to interpret any given situation, by detailed information gathering, it is possible to establish better communication with the patient. The steps in the information processing involve the ways that are needed in the cognitive process of decision making (Moyle et al. 2015). The nurse is therefore able to act according to the existing social situation and background of the patients. According to Ronquillo et al. (2016), it is also essential for the professional nurses to gather detailed information about the cultural background of a patient. This process can help in establishing effective relationship with the patient.
Moyle et al. (2015) have added that useful implementing information processing theory can help in developing mental ability of an individual and thereby help them to deal with Complex situations. In case of a professional nurse, using advanced information theory can help them to implement Swift action during the emergency period of Healthcare service. Advanced forms of technology are needed to make advanced usages of the information processing techniques. The information communication technology is being used in the given process to store and interpret the advanced forms of nursing information. This can be used for future reference purpose, where the professional nurses are able to quickly interpret any given critical situation (Mishra et al. 2015). It is also ensure that the nurses are aware about any given critical situation, in advanced and therefore are able to take swift decisions.
Information Processing Theory in Nursing Decision Making
Gardner, Boyer and Gray (2015), have argued upon the fact that through information processing it may not be possible to gain knowledge about the exact situation of clinical experience. This is mainly because of the fact that it in certain situations the patient may not be able to communicate properly with the attending nurse, thereby resulting in false information being provided to the medical practitioners. On the other hand, the evidence supplied by Josephsen (2015), has suggested that information processing theory framework can help to develop the cognitive skills of a professional nurse. As the cognitive skills are developed, the nurses are better able to make use of any given situation. As the nurses are better able to gather and interpret detailed information, it is possible to reduce the risks of errors that occur due to improper decision making process (Tiffen et al 2014).
As clinical information is gathered by professional nurse, the ultimate ability to take an effective decision depends upon their judgmental capability. According to Shaban (2015), the social judgments theory implementation process involves using a fixed framework. The ability to generate essential knowledge about the medical background of a patient depends upon the quality of Information and judgmental capability applied by a professional nurse.
Johansen and O’brien (2016) have added that using of social judgments theory of nursing practice is considered to be an essential element of legal medical practice. For medical practitioners, assessing the condition of the community is highly essential in order to make the optimized use of medical resources along with the information that is being gained. The wide variation in the process of clinical practice is entirely dependent upon the outcome of social judgmental theories. As practical evidence has been generated, it is possible to conclude up on the importance of social judgmental capability. It is also important to note that the Diagnostic judgments need to be highly accurate from the professional nurse in order to provide better quality of Healthcare service. According to Logan (2015), it is essential for the professional nurse to take and process proper statistical information about the medical record of an individual. The ability to make use of advanced information as a part of the cognitive skills is needed to understand the importance of judgmental capability of the nurse.
There are some forms of clinical information that are misinterpreted thereby leading to the risk of inaccurate judgmental decisions. The quality of the decision making also determines the ability to judge the people according to their capability. There are advanced forms of decision makings that involves taking proper consent from the patients in the form of their feedbacks (Thompson et al. 2005).The real time information that are collected from the patients can help in identifying the strengths and weakness of the particular patients. The advanced forms of information gathered from the patients are needed to understand their life course perspective. This perspective can be used in the development of the frameworks that is implemented as a part of the social judgmental theory (Dowding et al. 2016).
Social Judgments Theory and Its Importance in Clinical Practice
Thompson et al. (2005) have mentioned about the importance of combining elements of cognitive sense along with clinical judgmental state that is needed to increase the accuracy of the clinical Decision Process. Additionally, essential clues also need to be included in the given elements that can minimize the risk factor that is involved in every advanced medical treatment process. The accuracy of every clinical judgment, therefore, depends upon their ability to process cognitive and physical information that is gathered from Medical record of a patient. There are also high chances of disagreement between the judgments implemented by professional nurse, along with that of the choice of clients. With effective nursing communication and implementation of social judgments, it is possible to resolve the minor disagreements that can occur in a given situation.
Matney, Avant and Staggers (2016), have mentioned that one of the major drawbacks of the social judgments theory is related to the ethical issues that are frequently encountered by the professional nurses. From the practical evidence cases it is clear that in many places, the nurses are not able to properly inform the client party about the treatment procedures that are being implemented within the patient.
Nevertheless, the importance of medical judgments can be mentioned in the given context, which is implemented in situations of uncertainty that are caused due to errors in medical information. With the help of the element in social judgments theory in nursing practice it is possible for the medical practitioners to collect detailed information about the latest Medical Research. This can later be used in developing Healthcare tools for further critical cases. The diagnostic judgments capability of the medical practitioner will also be enhanced due to the fact that most of the cases they will be able to deal with wide range of medical information. This can significantly help to reduce the risk of inaccurate clinical judgmental decisions. With high level of accuracy in clinical judgments, it will be possible to enhance the quality of the nursing decision making process.
According to Standing (2017), it is essential to understand the elements and framework of social judgments theory that needs to be incorporated into the nursing practice. This Framework Highway need to be included in the educational system of nursing training practice as it can help in developing the cognitive skills that are required by professional nurse. The contemporary system of nursing education practice highly focuses on implementing effective decisions during emergency situation of Healthcare service. It is also important for a professional Healthcare service provider to properly assess each intervention cases. This can be quite useful to deal with new challenges that arise in the Healthcare sector. The ethical issues also needed to be addressed depending on the ability of the nurse to understand the negative consequences of the given situation and the judgment that are passed according to the same (Lewin et al. 2015).
Additional benefits of the social judgments theory in nursing practice include effective measurement of the recovery time and process. This measurement can help to enhance the nursing educational intervention process. Nevertheless, additional research processes are required in order to collect more data related to social judgments theory and the intervention process applied for the same. Proper validation approach also needs to be implemented by the nursing educator, which will help in enhancing the overall nursing education system (Lewin et al. 2015).
The Importance of Nursing Judgment and Advanced Technology
As information is being collected from every clinical situation to pass on the social judgments and clinical decision making process, it is up to the intuition capability of every individual, which can help them in providing the best Healthcare services. According to Price et al. (2017), the overall quality of a professional nurse can be determined by the ability to immediately respond to a situation mostly depending on their intuition ability. It is important for every professional experience nurse to have the intuitive ability that is developed through critical thinking process and applied in daily health care service practice. This will help them to implement essential decisions of the nurses with minimal information on the given situation. The ability of the same depends on the intuitive capability of the nurse that is their capability to better understand the future of the patient care condition (Holm and Severinsson 2016).
It is important to note that different elements of professional nursing practice have been inherited from other professional domains that focus mainly upon swift decision making process using psychological thinking process. According to Hams (2000), one of the major advantages of using intuition capability of a professional nurse is their ability to take extra initiative for patient and providing quality Healthcare service to the society. This is due to the fact that optimized utilization of the available information is done. With new form of challenges that are faced by the Healthcare community due to increasing number of chronic diseases, it has been a major challenge for all Healthcare workers to meet up with the demand of the society. In most cases the patients are not able to receive proper timely Healthcare facility due to lack of professional capability of the Healthcare workers. Nevertheless, with the help of intuition capability it is possible for all professional nurses and Healthcare workers to properly diagnose the exact condition of a patient. However, it is also important to consider the fact that rational decision making that need to be the major outcome of the intuitive ability of every clinical nurse. This can be enhanced by including the intuition element within the nursing education system. It will therefore be possible to develop upon the precognitive psychological improvement of a nurse (Roberts 2015).
In many cases of evidence based nursing practice the element of intuition has been eliminated due to the risk of ethical issues that can arise due to poor judgmental capability (Sadler-Smith 2016). According to Robert, Tilley and Petersen (2014), there are several travel studies that have been conducted in clinical situation to understand the importance of intuitive decision making ability of a professional nurse.
The major drawback that can be considered as a part of the intuitive decision making capability of a nurse is mainly due to the complex nature. There are several multi dimensional abstract concepts that are associated with intuitive decision making capability of a professional nurse. The quantitative areas of clinical nursing practice often include high level of challenges. The ultimate goal of intuition capability of nursing practice includes assessing the situation and implementing effective decision that are mainly aimed to Rapid improvement of a patient condition (Holm and Severinsson 2016).
Advanced Technological Solutions for Improved Decision Making
There are additional negative aspects of intuitive nursing decision making system that include implementing judgments without properly assessing the exact situation. This can therefore increase the risk of medical errors that can worsen the situation of an individual patient (Holm and Severinsson 2016). Nevertheless, several items are being made in order to reinforcing the element of intuition in nursing education practice. Most of the initiative include providing advanced level of information in junior nursing practice, enable them to swiftly adapt with the high level of challenges that are encountered in professional Health Care Centre. It is also essential for every professional nurse to collaborate with stakeholders of psychological education that can help them to overcome the complexities of cognitive skill behavior. It will enable them to minimize the chance of human errors that can often occur during emergency crisis situation of health care services (Melin?Johansson, Palmqvist and Rönnberg 2017).
All the three above mentioned theories that have been described consist of issues that are directly related with that of the nursing decision making capability. The professional capability of a nurse is highly dependent on the components that they use in the process of professional decision making. As per mentioned in the work of Banning (2008), detailed medical information are the primary components that are required for the purpose of decision making. The quality of clinical judgment is highly dependent upon the level of information that is being processed (Majid et al. 2011). The situation is suppose to provide the best possible solution that needs to judged in the context of the quality of healthcare service available to the community. With the help of this evidence, it is possible to directly link the elements of information processing theory with that of the social judgmental theory.
The elaborate levels of methodology is required to deal with the issues related with that of the difficult levels of issues that are required for the decision making purpose. It is also important to mention that effective clinical decisions and judgment is highly dependent upon the quality of information that is being used. Additionally, the quality of information that is generated is dependent of the intuitive ability of the individual nurse. This is however, one of the acquired skills that are generated with higher levels of professional nursing experience.
Hence, the intuition ability of the nurse forms the primary component of the nursing decision making (Cork 2014). The intuition ability of the nurse can strongly influence upon the decision making process. According to Shaban (2015), the hypothesis of the decision making process is considered as one of the crucial components that can help to process the advanced levels of data. This can thereby help the nurses to deal with new forms of challenges that require unique approaching forms. Communication is also one of the major contemporary issues within the nursing practice. Nevertheless, with the help of the components of intuition, it is possible to gain advanced forms of practical information. This can help the professional nurse to gain high confidence levels that are needed to gain the trust of the client groups. Effective observation capability can be regarded as one of the major skills of the professional nurse. This can only be enhanced with the assistance of their intuitive capability.
Pros and Cons of Using Information Processing Theory in Nursing
Conclusion
In the concluding note of the study, it can be said that the skills and level of expertise of a professional nurse can be determined by their ability to make effective decisions. This can help in the matters of extracting advanced levels of information from the evidence based practice in different clinical set ups. The study has focused upon three major theories all of them have focused on the components of gathering essential information.
The primary element of gathering essential information is dependent on the ability to interpret the same that is needed to incorporate the intuition capability of a nurse. It is also important to note that the ability to process information and implement judgment is highly dependent upon the intuitive capability of nurse. The advanced level of information that is used as a part of the nursing practice needs to be evaluated and processes. This can be used by the clinical nurses to understand the medical background of a patient. The communication capability of a nurse has high levels of impact upon the level of information that is extracted.
The social judgmental capability of the professional nurse is dependent upon their capability to determine the future clinical condition after each essential decision is being implemented. This theory is directly linked with the components of medical judgments that are being implemented depending upon a given situation. The implementation of the social judgment is also the ability of the nurse to enhance their cognitive skills.
The major drawback that is related with most of the decision making ability of the professional nurse is directly linked with the ethical issues. As complex levels of information are being used, there are high chances of medical errors, thereby compromising the quality of medical services. As three of the theories are compared, the intuition is believed to be the main elements of decision making.
Reference
Banning, M., 2008. A review of clinical decision making: models and current research. Journal of clinical nursing, 17(2), pp.187-195.
Boyko, J.A., Carter, N. and& Bryant?Lukosius, D., 2016. Assessing the spread and uptake of a framework for introducing and evaluating advanced practice nursing roles. Worldviews on Evidence?Based Nursing, 13(4), pp.277-284.
Bradshaw, M. and Hultquist, B.L., 2016. Innovative teaching strategies in nursing and related health professions. Jones & Bartlett Publishers.
Cork, L.L., 2014. Nursing intuition as an assessment tool in predicting severity of injury in trauma patients. Journal of Trauma Nursing, 21(5), pp.244-252.
Dowding, D., Lichtner, V., Allcock, N., Briggs, M., James, K., Keady, J., Lasrado, R., Sampson, E.L., Swarbrick, C. and Closs, S.J., 2016. Using sense-making theory to aid understanding of the recognition, assessment and management of pain in patients with dementia in acute hospital settings. International journal of nursing studies, 53, pp.152-162.
Ford, J.D., 2017. Treatment implications of altered affect regulation and information processing following child maltreatment. Psychiatric Annals, 35(5), pp.410-419.
Gardner, J.W., Boyer, K.K. and Gray, J.V., 2015. Operational and strategic information processing: Complementing healthcare IT infrastructure. Journal of Operations Management, 33, pp.123-139.
Hams, S.P., 2000. A gut feeling? Intuition and critical care nursing. Intensive and Critical Care Nursing, 16(5), pp.310-318.
The Relevance of Gathering Information About Cultural Background of a Patient
Holm, A.L. and Severinsson, E., 2016. A Systematic Review of Intuition—A Way of Knowing in Clinical Nursing?. Open Journal of Nursing, 6(05), p.412.
Johansen, M.L. and O’brien, J.L., 2016, January. Decision making in nursing practice: a concept analysis. In Nursing forum (Vol. 51, No. 1, pp. 40-48).
Josephsen, J., 2015. Cognitive load theory and nursing simulation: An integrative review. Clinical Simulation in Nursing, 11(5), pp.259-267.
Lewin, S., Glenton, C., Munthe-Kaas, H., Carlsen, B., Colvin, C.J., Gülmezoglu, M., Noyes, J., Booth, A., Garside, R. and Rashidian, A., 2015. Using qualitative evidence in decision making for health and social interventions: an approach to assess confidence in findings from qualitative evidence syntheses (GRADE-CERQual). PLoS Medicine, 12(10), p.e1001895.
Logan, G., 2015. Clinical judgment and decision-making in wound assessment and management: is experience enough?. British journal of community nursing, 20(Sup3), pp.S21-S28.
Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y.L., Chang, Y.K. and Mokhtar, I.A., 2011. Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association: JMLA, 99(3), p.229.
Matney, S.A., Avant, K. and Staggers, N., 2016. Toward an understanding of wisdom in nursing. The Online Journal of Issues in Nursing, 21(1).
Melin?Johansson, C., Palmqvist, R. and Rönnberg, L., 2017. Clinical intuition in the nursing process and decision?making–A mixed studies review. Journal of clinical nursing.
Mishra, J., Allen, D. and Pearman, A., 2015. Information seeking, use, and decision making. Journal of the Association for Information Science and Technology, 66(4), pp.662-673.
Moyle, W., Rickard, C.M., Chambers, S.K. and Chaboyer, W., 2015, April. The partnering with patients model of nursing interventions: A first step to a practice theory. In Healthcare (Vol. 3, No. 2, pp. 252-262). Multidisciplinary Digital Publishing Institute.
Price, A., Zulkosky, K., White, K. and Pretz, J., 2017. Accuracy of intuition in clinical decision?making among novice clinicians. Journal of advanced nursing, 73(5), pp.1147-1157.
Robert, R.R., Tilley, D.S. and Petersen, S., 2014. A power in clinical nursing practice: concept analysis on nursing intuition. Medsurg Nursing, 23(5), pp.343-350.
Roberts, W., 2015. Clinical intuition: how paramedics make decisions, is experience always best? A case presentation. Journal of Paramedic Practice, 7(1), pp.38-41.
Ronquillo, C., Currie, L.M. and Rodney, P., 2016. The evolution of data-information-knowledge-wisdom in nursing informatics. Advances in nursing science, 39(1), pp.E1-E18.
Sadler-Smith, E., 2016. The role of intuition in entrepreneurship and business venturing decisions. European Journal of Work and Organizational Psychology, 25(2), pp.212-225.
Shaban, R., 2015. Theories of clinical judgment and decision-making: a review of the theoretical literature. Australasian Journal of Paramedicine, 3(1).
Shaban, R., 2015. Theories of clinical judgment and decision-making: a review of the theoretical literature. Australasian Journal of Paramedicine, 3(1).
Standing, M., 2017. Clinical Judgement and Decision Making in Nursing. Learning Matters.
Thompson, C.A., Foster, A., Cole, I. and Dowding, D.W., 2005. Using social judgement theory to model nurses’ use of clinical information in critical care education. Nurse Education Today, 25(1), pp.68-77.
Tiffen, J., Corbridge, S.J. and Slimmer, L., 2014. Enhancing clinical decision making: development of a contiguous definition and conceptual framework. Journal of Professional Nursing, 30(5), pp.399-405.