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Theory of decision making in nursing essay
The importance of decision making in nursing
Decision making theory in nursing
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Context 6
This concept is taken from organization, planning and staffing.
Block 1, module 8 entitled decision making Introduction- Decision making is a process of choosing a course of action from alternatives, this process involves understanding the problem, collecting information, developing and evaluating alternative choices of a solution and its evaluation. Decision making is a thought process of selecting a logical choice from available options. When trying to make a good decision, a person must weigh the positives and negatives of each option, and consider all alternatives. For effective decision making, a person must be able to forecast the outcome of each option as well, and based on all these items, determine which option is the
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Societal context- The society believes that as a nurse manager we should be able to choose the best alternative to reach the predetermined goal since decision making implies a choice made between two or more alternatives. Thus decision making is a process of identifying and selecting a course of action to solve specific problem. Nurses must continue to learn more about decision making as well as practicing it.
Application to my job- As a clinical nurse, decision making has helped me both personally and professionally E.G. Whether to work in a hospital or community. Decision making has assisted me to make decision on which clients to assist first when faced with several client needs at the same time. Decision making has enabled me to assist my clients to make decision about the course to treatment to follow. It has helped me to keep client information confidentially.
Current research- The major concern in management has been to understand and improve decision making. Various approaches have been proposed by psychologists, most based on a “divide-and –conquer” strategy. This strategy also labelled “problem decomposition”- involves breaking a large decision problem into smaller parts. The idea is not new; In a “letter to joseph priestly”, Benjamin franklin was one of the first to describe a decomposition
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Whether the setting is inpatient or outpatient, the emphasis is on providing the highest quality care at an affordable price. The nurse manager is a key individual whose leadership can directly influence many environmental functions. These factors begin with the selection of the right person for the right position and having the manager function in the role of coach. As a coach, the nurse manager can assist and encourage employees to perform at their highest levels with an empowered and self-directed manner. The nurse manager also functions to clarify the organization’s mission expectations. Staffing can be defined as selection of qualified person for the right position to meet the needs of the patients.
Social context- The society believe that selection of staff would seem to be a relatively simple process but the manager wants to choose the most qualified individual for the position. Choosing the right individual is the challenge. The individual must “fit” within the organization and within the specific work group.
Personal context- I feel, human beings create the work environment. Clear expectations and positive attitudes by all individuals, both leaders and followers, are essential to deliver quality patient care. Employers who are empowered by a supportive leader and manager have unlimited potential to provide the best care possible for their
Making a clinical decision is a skill that needs to be acquired, and nurses are accountable for any decision that is made, so they need to understand how they make decisions (Nursing and Midwifery Council (NMC), 2015). A greater understanding of how nurses make decision is essential to follow research and development of decision making skills (Clark et al, 2009) . A first step to a decision making process may entail understanding a framework or model. Baumann and Deber (1986) define decision making as situations in which a choice is made among a number of possible alternatives often involving values given to different outcomes”.
A decision is a conclusion or resolution reached after consideration. Everyday, people run into difficult decisions. The choices you make in your life define you as a person. In choice to kill his best friend, in the short story “Honor” The Servant has to choose what lengths he is willing to go to bury his son himself, and in another short story “ Gentlemen, Your Verdict” the commander lieutenant Oram has to make the best decision is when they are faced with a sinking ship and little oxygen left.
The rational decision theory is a method for thoroughly selecting among possible choices that are built on reasoning and facts. With a decision, making process one may employ a series of logical steps to overview relevant facts, observations, and potential outcomes before choosing a specific course of action.
Per Yoder-Weiss, the process of staff selection is getting the most qualified person for the position that fits into the organization; someone with similar values and skill set to do the job. Hiring the right person is critical for success one of the pitfalls in staff selection is selecting the wrong person and be expensive and affect the team negatively. Allowing staff to take part in the selection process not only helps with selecting someone who will fit in but also show that their opinion is valued. (p.
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
This paper will discuss three theories of decision-making that can be adopted in nursing practice, additionally how decision-making theories are able to be implemented and used. Decision-making in nursing is adopted through the critical thinking process that provides each nurse a model to make the best choices, solve problems and to meet goals in clinical practice (Berman & Kozier 2018, pp. 199-200; Levett-Jones & Hoffman 2013, pp. 4-5). Effective decision-making in nursing is a vital component and part of the role of a registered nurse; each year a substantial number of patients die due to medical errors and poor decision-making (Levett-Jones & Hoffman 2013, pp. 4-5; Nibbelink & Brewer 2017, p. 3). Through the use of effective decision making
The relationship between critical thinking and decision-making is much closer than what most people think. Once you look at the meanings of critical thinking and decision-making individually then you can see the relationship between them.
In a code or emergency situation it is very important for the nurse leader to be able to make quick decisions. In this case, there would be little time to make a group decision and it would be appropriate for the leader to step up and be an autocratic leader. An autocratic leader exercises gr...
Nurse staffing ratio is an ongoing issue in healthcare. For some units, it is a temporary problem until more team members are hired. Unfortunately, for others it is an everyday challenge that must be addressed. Nurse staffing ratio is usually based on number of patients a nurse should be responsible for during a shift. Unfortunately, not having enough staff is a safety concern for both the patients and the nurses. Therefore, addressing this topic should be a priority for nurse managers and leaders. According to Vantage Point (2009) a patient has a greater chance of dying while in the hospital when nurses have to care for more patients than recommended. A heavier workload will not result in
Several challenges have faced leadership in the nursing environment. These challenges have been greatly attributed to insubordination, lack of proper communication and many other factors that hinder the establishment of a positive work environment (Stagman-Tyrer, 2014). A positive work environment is that which enables nurses to be involved in decision-making, regards nurses in making healthcare policy, gives an opportunity for each health officer to advance, unites members of the nursing team towards a common goal and provides accessible education on
Decision making, as taken from the Wikipedia (2006) encyclopedia, is defined as "the cognitive process leading to the selection of a course of action among alternatives. Every decision making process produces a final choice called a decision. It can be an action or an opinion. It begins when we need to do something but we do not know what. Therefore, decision-making is a reasoning process which can be rational or irrational, and can be based on explicit assumptions or tacit assumptions." (para.1). Decisions made by using a decision-making model typically result in better decisions. Decisions resulting from the model tend to be more consistent since the same steps are followed each time. Increased thoroughness of decision options considered is another benefit in using a decision-making model, as numerous factors are taken into account.
Problem solving and decision-making are fundamental in all managerial activities. Although these defining characteristics of management can be used interchangeably, current literature makes a comprehensible delineation between the two. Problem solving can be defined as a mental process and is part of a larger process that begins with identifying the problem and ends by assessing the efficiency of the solution. Decision-making is also considered a mental process and identifies several alternative scenarios before making a final selection. For the purpose of this analysis, I will discuss the similarities and differences of problem solving and decision-making. I will also explain the steps of the decision-making process and discuss the different decision-making approaches.
These characteristics of a nurse manager show how their leadership plays a role in their position in the nursing field. Without this position in the nursing structure, it would be very difficult to produce positive results in providing optimal patient ca...
In a moment an unwise choice can completely derail your best developed goals or rather a wise decision can get you out of the murkiest of situations with ease. Now making a choice comes with responsibilities. The choices you make will affect not only you but also the people around you. At a personal level the things which drive our decisions are our emotions, our memories and our reasoning. At an organisational level it is always weighed according to the pros and cons of the decision.
...ransformation. However, the power to improve the current regulatory, business, and organizational conditions does not rest solely with nurses; government, businesses, health care organizations, professional associations, and the insurance industry all must play a role. Working together, these many diverse parties can help ensure that the health care system provides seamless, affordable, quality care that is accessible to all and leads to improved health outcomes. Also, the Nurse leader provides the link between management and the frontline staff who personally interact with the public and patients. They are the interface between management and care delivery, and can only be effective if they have the support, time, authority, and respect necessary to competently and visibly lead their teams on the delivery of high-quality care. (Dawes, M., Davies, P., T., 2006).