There are different models of decision making in nursing developed to help nurses make their decision on all aspects of nursing care and I decided to focus on risk analysis and management and evidence based decision making. One method that supports the clinical decision-making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment. A key factor that may hinder accurate PEWS scoring could be due to the fact the child is scared when it comes to checking their vital signs, also very young children can be unwilling or fidgety Kyle (2008), this is where the nurse would have to use their knowledge to overcome such problems. the patient’s heart rate, respiratory rate, temperature, oxygen saturations and systolic blood pressure. Underlying both the clinical decision-making process and the nursing process is the skill of critical thinking. Carberry (2002) identifies that the purpose of EWS is to provide nursing and medical staff with a physiological score generated from recordings of vital signs. Physiological signs that should be monitored and recorded are heart rate, blood pressure, respiratory rate, oxygen saturation, temperature and level of consciousness. A pressure ulcer is an area of localised damage to the skin and underlying tissue caused by pressure, shear, friction or a combination of these EPUAP (1998). Also, studies by McGuinty and Anderson (2008) and Williams (2004) showed that evidence based practice has reduced healthcare costs and geographic variation in delivery of care. I have been made aware of potential risk factors that may arise while using both tools in all fields of nursing and what could be done to prevent them. Al., 1999). This review indicates that naturalistic decision making may be applicable to decision‐making nursing research. The use of early warning score (EWS) is the best practice for clinical observations (Department of Health, 2000), and this is backed up by NCEPOD (2005) who emphasised that every in-patient should have a EWS recorded. Decision making requires thinking skills to exercise judgement in assessing the benefits of available options and choosing a preferred option that is then acted upon. Study for free with our range of university lectures! Nurses should always be aware of any potential risk factors that may worsen or add to the development of pressure ulcers when using any pressure risk assessment tool. This involves moving the patient into a different position to remove or redistribute pressure from a part of the body Walsh and Dempsey (2010). The formulation should ideally reflect aspects of each individual, context and systems that may influence the potential for risks. Abstract—Clinical judgment and decision-making is a required component of professional nursing. The primary aim of pressure ulcer risk assessment tool is to help nurses identify individuals at risk of pressure ulcers and determine the degree of risk (Shakespeare 1994).Formal pressure ulcer risk assessment involves the use of a tool that assists in identifying those patients likely to develop a pressure ulcer. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. Increasingly, however, they are being cast in the role of active decision makers in healthcare by policy makers and other members of the healthcare team. A number of research papers, in recent times, have thus mentioned that leadership in nursing is also a crucial part for the reason that nurses are now considered as the single largest healthcare discipline (Cope and Murray, 2017; Cummings et al., 2018). Copyright © 2003 - 2020 - UKEssays is a trading name of All Answers Ltd, a company registered in England and Wales. Nurses have to make important clinical decisions in their everyday practice. Making the wrong clinical decision is not only harmful to patients but can also damage a nurse’s career. The key issue in examining risk assessment tools is how good they are at distinguishing those at risk from those who are not and if they are better or more accurate than simply relying on professional judgement (Thompson, C. & Dowding, D., 2002). • Define the decision – Decision-making can only occur when there is a choice between actual alternatives. In the UK, for example, the Chief Nursing Officer recently outlined 10 key tasks for nurses as part of the National Health Services modernisation agenda and the breaking down of artificia… It helps us to identify the ethical issues and evaluate the values of identified issues (Kerridge, Lowe & Stewart 2009, p.92). … The … What does evaluate mean in an essay question Essay on digital india for aatmanirbhar bharat opportunities on covid 19 and beyond in english what are the essay formats . It is imperative that nurses use suitable risk assessment tools as a guide to enable them to make effective decisions. It requires nurses to have a high level of critical thinking. “Integrating research evidence into decision making involves forming a focused clinical question in response to a recognised information need, searching for the most appropriate evidence to meet that need, critically appraising the retrieved evidence, incorporating the evidence into a strategy for action, and evaluating the effects of any decisions and actions taken.” – Thompson et al (2004). M. (1996). According to NICE (2007), nurses caring for patients in acute hospital settings should be skilled in monitoring, measuring, and interpreting data and have prompt response to the acutely ill patient and they should be assessed in order to demonstrate their competency. This evidence plays only a minor role in the child, explain the equipment and what they are to! Use their resources cost effectively by ensuring that resources and equipment are used correctly by the patient when making about! 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