The Clinical-Decision Making Model
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The clinical-decision making model is a guide that explains the procedure followed by clinical practitioners to make clinical decisions impacting their profession. This clinical decision-making model simplifies complex points to smaller points, experimental, validated, and examined. This model is made up of various components.
The first component is the pre-counter data. This is a tool that allows clinicians to anticipate the risks which a patient is experiencing. This tool enables the nurses to rank the risks from the highest to the lowest (Johansen & O’Brien, 2016). The nurse then reduces the risks starting from the highest to the lowest based on evidence-based practice. This pre-counter data is available to the nurses before they meet the patients. Thus the decisions they make regarding reducing risk are based on evidence and research.
The next component is the client and situational modification. This often occurs in a setting where there are many patients, interruptions from colleagues, and the nurses are trying to deliver patient-centered care. There are certain features that determine the quality of the clinical decisions made (Guo, 2020). These include the interactions with the other healthcare providers, the skills of nurses involved in the care of patients, and the number of nurses in the specific facility. Other factors include patient features and psychological and physical processes key to the treatment of the patient. Through identifying the patient characteristics, the nurses can offer evidence-based care with other nurses.
The third component is the hypothesis generation. In the making of a clinical decision, a hypothesis will be tested by the nurse regarding the likely changes in the status of the patient. Assessing various cues of the status of the patient increases the likelihood of making informed and evidence-based clinical decisions. When generating a hypothesis, the nurses observe the symptoms of the patient and the practices which improve the symptoms of the patient.
References
Guo, K. L. (2020). DECIDE: a decision-making model for more effective decision making by health care managers. The health care manager, 39(3), 133-141.
Johansen, M. L., & O’Brien, J. L. (2016, January). Decision making in nursing practice: a concept analysis. In Nursing forum (Vol. 51, No. 1, pp. 40-48).