Nursing Clinical Decision-Making
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Decision making essay
Decision making is important to nurses in today 's society, ( Thompson et al 2002) as a number of policy and professional imperatives mean that nurses have to worry about the decisions they make and the way in which they make them. The government has produced several policy initiatives (DOH 1989, 1993a, 1993b 1913c,1994, 1995, 1996a, 1996b,1997, 2000, 2000) which have led to the creation of an evidence based health care culture ( Mulhall & Le May 1999). Thompson et al (2002) believe that poor decision making will no longer be acceptable, the government aim to examine professional performances and the outcome of clinical decision making for the first time. Evidence based practice will no longer be an optional …show more content…
This was aimed specifically at humans involved in medical research, however consent is now applied to nursing clinical procedures (General Medical Council 1988). There is increasing evidence to suggest that well-informed patients manage their health and treatment better, this enables them to feel in control of there illness (Ogden 2001) and have better psychological outcomes (Gibson 2001).
Although Gibson (2001) argues that knowledge alone does not change health outcomes for patients, to allow Jo to give informed consent she would need information that was relevant to her condition and treatment. Jo is an intelligent women and giving her a choice of treatment would have protected her autonomy (Edwards 1996) and individual rights (Caress 2003), however Jo was not offered a choice in treatment, and alternatives were not discussed. The district nurse made a decision and applied the treatment. In doing this the district nurse used his power to manipulate Jo into accepting the treatment the he wanted to give. Giving restricted information the nurse restricted the patient 's choices to secure her compliance (Lukes 1974). The district nurses actions went against advocating the government Expert Patient Policy (DOH 2000), which highlights the need for changes in society that mean individuals expect to have choices, and be involved in decision making (Kenney 2003). Although Jo gave consent for the treatment given, she …show more content…
A. (1996) Compression Bandaging in the treatment of venous leg ulcers. Journal of Wound Care. 5, 9, 415-417.
Nursing Midwifery Council. (2002) Code of Professional conduct London.
Nuremberg Code, (1947) (1949) Trials of War Criminals before the Nuremberg Military Tribunals under Control Council Law. US Government Printing Offices, Washington D.C. no. 10, vol 2.
O 'Conner, H (1993) Bridging the gap? Nursing Times, 89 (32) 63-66
Ogden, J. (2001) Health psychology 2nd edition. Great Britain. Biddles LTD.
Parahoo, A. K. (2002) Nursing Research Principles, Process and Issues. Palgrave Macmillan. London.
Phillips, P (2000) Tissue viability: information for the 21st century. Journal of Tissue Viability. 10, 2, 46-52.
RCN Institute, (1998) Clinical Practice Guidelines. The management of Patients with Venous Leg Ulcers. Manchester: University of Manchester.
Schaefer. (1974) Decision making theory. Sited in Decision making handouts Angela Hudson. University of West of England.
Schon, D. A. (1983) The reflective practitioner: How professionals think in action. Temple Smith, London
Scott, E. (2004) Managing risk in the perioperative environment. Nursing Standard. 18, 30,
Decision making essay
Decision making is important to nurses in today 's society, ( Thompson et al 2002) as a number of policy and professional imperatives mean that nurses have to worry about the decisions they make and the way in which they make them. The government has produced several policy initiatives (DOH 1989, 1993a, 1993b 1913c,1994, 1995, 1996a, 1996b,1997, 2000, 2000) which have led to the creation of an evidence based health care culture ( Mulhall & Le May 1999). Thompson et al (2002) believe that poor decision making will no longer be acceptable, the government aim to examine professional performances and the outcome of clinical decision making for the first time. Evidence based practice will no longer be an optional …show more content…
This was aimed specifically at humans involved in medical research, however consent is now applied to nursing clinical procedures (General Medical Council 1988). There is increasing evidence to suggest that well-informed patients manage their health and treatment better, this enables them to feel in control of there illness (Ogden 2001) and have better psychological outcomes (Gibson 2001).
Although Gibson (2001) argues that knowledge alone does not change health outcomes for patients, to allow Jo to give informed consent she would need information that was relevant to her condition and treatment. Jo is an intelligent women and giving her a choice of treatment would have protected her autonomy (Edwards 1996) and individual rights (Caress 2003), however Jo was not offered a choice in treatment, and alternatives were not discussed. The district nurse made a decision and applied the treatment. In doing this the district nurse used his power to manipulate Jo into accepting the treatment the he wanted to give. Giving restricted information the nurse restricted the patient 's choices to secure her compliance (Lukes 1974). The district nurses actions went against advocating the government Expert Patient Policy (DOH 2000), which highlights the need for changes in society that mean individuals expect to have choices, and be involved in decision making (Kenney 2003). Although Jo gave consent for the treatment given, she …show more content…
A. (1996) Compression Bandaging in the treatment of venous leg ulcers. Journal of Wound Care. 5, 9, 415-417.
Nursing Midwifery Council. (2002) Code of Professional conduct London.
Nuremberg Code, (1947) (1949) Trials of War Criminals before the Nuremberg Military Tribunals under Control Council Law. US Government Printing Offices, Washington D.C. no. 10, vol 2.
O 'Conner, H (1993) Bridging the gap? Nursing Times, 89 (32) 63-66
Ogden, J. (2001) Health psychology 2nd edition. Great Britain. Biddles LTD.
Parahoo, A. K. (2002) Nursing Research Principles, Process and Issues. Palgrave Macmillan. London.
Phillips, P (2000) Tissue viability: information for the 21st century. Journal of Tissue Viability. 10, 2, 46-52.
RCN Institute, (1998) Clinical Practice Guidelines. The management of Patients with Venous Leg Ulcers. Manchester: University of Manchester.
Schaefer. (1974) Decision making theory. Sited in Decision making handouts Angela Hudson. University of West of England.
Schon, D. A. (1983) The reflective practitioner: How professionals think in action. Temple Smith, London
Scott, E. (2004) Managing risk in the perioperative environment. Nursing Standard. 18, 30,