Nursing Decision Making
This nursing essay frequently piques the curiosity of people in many professions and those considering nursing as a career. So let’s explore the nursing decision-making science that professional nursing associates use in their work.
Understanding Nursing Decision Making
Nursing decision-making is a complex process comprising a series of choices that entail gathering subjective and objective information about a patient’s state and evaluating that data to choose the best course of action.
Steps For Taking The Decision
- Calculate your chances
What are the chances of a particular diagnosis occurring? For instance, if a patient exhibits a fever, persistent cough, and decreased appetite, pneumonia, bronchitis, or an upper respiratory infection may be the preliminarily suspected diagnosis.
- Obtain information
Additional history, vital signs, and physical exams are typically necessary to confirm or reject the notion.
- Update the probability you calculated
This includes the likelihood that any examination a nurse might order will be pre-tested. After that, cautiously compiling and concluding additional diagnostic test results. Any list of differential diagnoses must start with the most likely diagnosis at the top.
- If an intervention fits your treatment threshold, consider it
The threshold is lower when the therapeutic benefit exceeds the risk of damage. Consider alternative possibilities, such as acquiring more information or exercising careful observation, if you don’t have enough information to persuade yourself to cross the boundary.
Factors Influencing Nursing Decision-Making
- Experienced nurses can swiftly pinpoint the patient’s requirements by narrowing the potential clinical issues the patient may be experiencing through the comprehensive information-gathering process.
- Professional nurses have a wealth of information that allows them to spot minor patient condition changes and efficiently identify patient care requirements. This expertise comes from their extensive experience managing a variety of patients.
- Experienced nurses know the need to perform an in-depth patient assessment and utilize observational skills to get crucial patient information.
- Nursing professionals with experience understand the value of the patient’s perspective when gathering information regarding their condition. Intentionally or unintentionally, patients and their families frequently divulge clinical information nurses use to assess patients. This information may reveal a patient’s increased illness or a change in health status directly or indirectly.
- Experienced nurses prioritize patient care duties to spend more time in patient rooms. Noting care duties may provide additional time to possibly spend scrutinizing patient status changes, given the significance a nurse places on developing rapport with patients and gathering information through paying attention to information offered by patients and their families.
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