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Importance of decision making process in nursing
Importance of decision making process in nursing
Importance of decision making process in nursing
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According to Price, Rosenbloom, & Schmahmann (2012) “The importance of this cognitive process is evidenced by the fact that approximately 40% of deaths results from decision-making deficits at the most basic level of self-regulation” (p. 266). Through my chosen articles I found that the Prefrontal Cortex is the major portion of the brain that is responsible for decision-making. To understand the decision-making process better the prefrontal Cortex can be divided into three regions: the Orbitofrontal Cortex, the Anterior Cingulate Cortex, and the Dorsolateral Prefrontal Cortex. Each of these areas contributes to different decision-making sub-processes, which in turn make up the distinctive aspects of the decision-making process. In addition to the anatomical structures involved in decision making there have been recent findings that the neurotransmitter dopamine may play an active role in the decision-making process in its’ association with the Anterior Cingulate Cortex and the Nucleus Accumbens. Through cortico-cortical and cortico-subcortical connections these areas are dependent on each other when making a decision (Price et al., 2012, p. 267)
The Orbitofrontal Cortex is located on the superior portion of the orbit, on top of the ventral surface of the frontal lobes. The Anterior Cingulate Cortex and the Frontal Polar Cortex connect with the Orbitofrontal Cortex to create the Ventromedial Prefrontal Cortex. In the decision-making process the Orbitofrontal Cortex and the Ventromedial Prefrontal Cortex use reward values and affective information to make decisions. Acting as an integration center for emotion and reward processing the Ventromedial Prefrontal Cortex is responsible for the emotional experience associated with the gain...
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...cting options and monitors possible outcome information. As you can see each system contributes uniquely to the many different processes involved in decision-making. Although studies have found that the neurotransmitter dopamine is important in the decision-making process, there are no definite results that prove this theory.
Works Cited
Krawczyk, D. C. (2002) Contributions of the prefrontal Cortex to the neural basis of human decision making. Neuroscience and Biobehavioral Reviews. 26 (2002) 631-664.
Price, B. H., Rosenbloom, M. H., Schmahmann, J. D. (2012). The functional neuroanatomy of decision-making. The Journal of Neuropsychiatry and Clinical Neurosciences. 24 (3), 266-277.
Assadi, S. M., Pantelis, C., Yucel, M. (2009). Dopamine modulates neural networks involved in effort-based decision-making. Neuroscience and Biobehavioral Review. 33 (2009) 383-393
Reyna, V. F., & Brainerd, C. J. (2011). Dual Processes in Decision Making and Developmental Neuroscience: A Fuzzy-Trace Model. Developmental Review, 180-206. doi:10.1016/j.dr.2011.07.004
There is evidence that the orbitofrontal cortex is associated with emotions and decision making and, lesion to this area may cause severe impairments in the process of using emotions to make decisions before carrying out certain tasks. Therefore, patients with orbitofrontal damage may suffer from the inability to make appropriate choices by acting impulsively. Moreover, they may ignore the consequences of their behaviours as they will not be able to understand the thoughts and emotions experienced by other people. Finally, they may engage in disinhibited social behaviours such as obsessive gambling, hypersexuality, drugs and alcohol abuse and excessive swearing.
[11] Blair, R. J. R. (2007). The amygdala and ventromedial prefrontal cortex in morality and psychopathy. Trends in cognitive sciences, 11(9), 387-392.
The left brain or the left cerebral hemisphere is the side of the brain that is logical. It controls speech, language and analyzes all incoming information Cherry (2013). These patients has the ability to recognize people names rather than faces Cherry (2013). The left hemisphere usually has preemptive control over the main stream of the body activity (Newman, Banks, & Baars (2003 pg. 838)). The Left cerebral hemisphere is superior to complex language and expres...
Brain scans of the participants show that contemplating the dilemmas activates the prefrontal cortex and other areas that respond to emotion (Kalat 2004). Sustaining a lesion to the prefrontal cortex produces a wide variety of side effects. The effects range from minor to severe. You can get a lesion by head trauma or stroke (CJ Long 2005). Possible deficits associated with minor lesions of the prefrontal cortex: - Inability to respond quickly to verbal instructions - Speech dysfluency - Disturbances in understanding complex pictures or words - Difficulties with problem-solving - Deficits in complex tasks requiring inhibition of habitual behavior patterns With more extensive lesions the person experiences greater behavior deficits.
Kanske, P., Heissler, J., Schönfelder, S., Forneck, J., & Wessa, M. (2013). Neural correlates of
Lepage, M. & Richer, F. (2000). Frontal brain lesions affect the use of advance information during response planning. Behavioral Neuroscience, 1034-1040.
Raine, A. & Yang,Y. (2006). Neural foundations to moral reasoning and antisocial behavior. Social, Cognitive, and Affective Neuroscience.
In Daniel Goleman’s “Emotional Intelligence,” he dives into the science behind the brain and how emotions can affect a person’s decision making process. The human brain consists of two main parts: the neocortex, or the thinking brain, and the amygdala, the emotional brain. The neocortex is the part of the brain that is responsible for rational thoughts. “It contains the centers that put together and comprehend what the senses perceive” (Goleman 11). Contrasting the neocortex is the amygdala, which “acts as a storehouse of emotional memory; life without the amygdala is a life stripped of personal meanings” (Goleman 15). According to Goleman, one man, whose amygdala was surgically removed, became completely uninterested in people, preferring to sit in isolation with no human contact. “Without an amygdala he seemed to have lost all recognition of feeling, as well as any feeling about feelings” (Goleman 15). The amygdala has its own circuitry attaching it to the pre-frontal cortex, which is the center for the brain for working memory. If this circuitry was cut, a person’s decision making process would be greatly affected. However, if this connection was broken, a person’s score on an IQ test would not be affected at all. This is true because the emotional aspect of the brain, which is used in making decisions, would be affected but the rational thinking portion would not be affected. The amygdala
During the adolescents, stage evidence shows that teens emotions height during this age and therefore they become more emotionally active. This is due to the development of brain centers and signaling molecules of the brain's reward system. This is how the brain encourages or motivates behavior with the feeling of pleasure. “ These age-related changes shape how much different parts of the brain are activated in response to experience and in the terms of behavior, the urgency and intensity of emotional reactions.” As the brain matures throughout the teen years many of them face the challenge of emotional change for the first time. The parts of the brain that deals with emotions and allows for
Finger (2011), Ermer (2012), and Yang (2010) were all interested in how abnormalities in certain areas of the brain (amygdale, orbitalfrontal cortex, etc.) affected or led to certain characteristics in psychopaths. Finger studied the system of decision-making in psychopaths, Ermer researched the link between damage in certain regions of the brain are what causes the traits of psychopathology, and Yang wanted to see if the amount and thickness of certain areas of the brain had anything to do with the psychopaths being able to live among others undetected. All three studies linked certain areas in the brain that are thought to either help in emotional learning or decision-making to their explanation that abnormalities in these area are responsible for psychotic traits.
The brain is the most important organ in the body with our heart. It controls every action, thoughts and regulates our bodily function. It is divided into section, each of them are responsible for various process. Before we can understand dopamine, we must talk about the different parts of the brain. The frontal lobe is the main difference between us and animals. ...
...e argued the conscious delay, was likely due to the activity of a higher level of higher control areas that were in preparation for an upcoming decision way before it moved into conscious awareness.
The reward system controls our behavior towards new experiences by learning and adapting from past experiences (Taber et al. 2012). This is why we grow and evolve to changes in our environment. Many studies have shown that the VTA, NAC and the pre/orbits frontal cortex are used in the DA system and connected with responses to both gains and losses and that activation in these areas are mainly associated with motivational purposes (Helen E. Fisher, Lucy L. Brown, Arthur Aron, Greg Strong, Debra Mashek, 2010).
...., Verbeke, W., Dietvorst, R., van den Berg, W., Bagozzi, R., & De Zeeuw, C. (2012). fMRI activities in the emotional cerebellum: a preference for negative stimuli and goal-directed behavior. Cerebellum (London, England), 11(1), 233-245