Critical Decision Making In Nursing Case Study

Introduction Nurses are faced with critical decisions making daily which can impact patients including those around the patients. According to a study, it discovered that “nurses made decisions on the average of 30 seconds” (Bucknall, 1996). At work in every 30 seconds, nurses are faced with the decision of right or wrong related to life or death, healthiness, sickness, success or calamity. As a student, critical thinking skills is taught in nursing school which is put into practice every day at work. Critical decision making involves examine and predicting the possible consequence of an action. "Key to critical thinking is the ability to see multiple sides of a scenario, rather than responding from emotion or going by the gut"

Mike made a bad decision at the end by going to clock in without waiting to report the spill or wait for it to be cleaned up. The spill resulted in fall that caused patients injury and pain. This is a negligence on the part of mike for leaving the spill and an act of insubordination because the supervisor already accepted for him to stay and he disobeyed by leaving the scene. If Mike had done the right thing by waiting for spill to be cleaned, there would be high probability that this fall would not take place. Mike 's failure to initiate prevention did not only affect the patient, there was the prospect of Mike facing termination that he was avoiding, feeling of guilt, his wife and the baby losing their source of income, and Mike could be seen as someone not dedicated to his job and does not believe in collaborative job because during the scenario, he said the spill was in another work area. Failure to report makes Mike seen as someone that is self-centered by thinking of saving his job and providing for his family while the safety of others was put in line. His consequences of failure to report might lead to

Environmental safety of the patient was threatened. As a result of the fall due to bad decision, the patient would be staying long in the hospital and rehab, with moderate to total patient care. The institution is going to be sued because the patient fell on their property and that is a lot of cost to the company. "Falls and fall-related injuries in the acute care settings add to health and economic burden on patients and organizations” (Nassar, Helou, & Madi, 2014). Mike could be sued as well depending on the situation. The reputation of the institution is ruined, lawsuits bring unwanted negative publicity and damage the reputation of the company which is bad for any business because of its blow to the revenue. State might be involved for investigation and that puts more pressure on the intuition, if find liable, the organization can the tagged or Mikes license tagged. The workload of other hospital department would increase especially the house keeper because of frequent in services on how to reduce risk of patients fall, frequent rounding and