The aim of this essay is to discuss and assess a given case scenario where, the chosen patient admitted with acute headache and vomiting with intermittent confusion. This essay will define clinical judgement and decision-making; discuss importance of decision-making process in the assessment of patient’s care. It will also mention some of the theories about clinical decision-making in nursing practice and explain Tanner’s 2008 clinical judgement model that will apply in critically reviewing patient’s complex needs and assessing care plan and interventions. Further, this essay will demonstrate how effective sharing decision-making might enhance patient’s recovery, prevent deterioration. There also NHS mantra “no decision about me without me”
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The information-processing model based on cognitive approach (Fonteyn and Ritter 2000), where decision maker store relevant information in their memory. And when that effective decision-making or problem solving occurs, the problem solver retrieves information from both short and long-term memory. A nurse gathers information from patient during interaction or assessment. For instance, information can also collect before a patient encounter through their medical notes. Following this, nurse might generate initial and tentative hypotheses relate to data gathered and cues immediately placed in short-term memory. This then triggers key cues that cause information retrieval from the long-term memory. In contrast, intuition model base on information that triggered from previous similar experience. Benners et al (1984) mention that the ‘expert practitioner, who makes judgement and decision-making task based on their more extensive knowledge base. ‘intuitive’ links between what they observe and what their subsequent response is. As a nurse more they become experienced, they will develop what could be called ‘holistic knowing’ which means, the ability to see the ‘bigger picture’ (Benners etal, 1996). Finally, cognitive continuum model of decision-making represents a spectrum in which intuition decisions are at one end, while information process is at other end (Aston et al, 2010). This theory suggests that the major determinant of whether practitioners use a rational or intuitive approach to decision-making are primarily determined on how decision-making task on a continuum positioned. The appropriate cognitive mode to use for the task depends on three factors: structure of the task, number of information cues and the available time to decide. If a task is poorly structured with a lot of information cues and with
The information-processing model based on cognitive approach (Fonteyn and Ritter 2000), where decision maker store relevant information in their memory. And when that effective decision-making or problem solving occurs, the problem solver retrieves information from both short and long-term memory. A nurse gathers information from patient during interaction or assessment. For instance, information can also collect before a patient encounter through their medical notes. Following this, nurse might generate initial and tentative hypotheses relate to data gathered and cues immediately placed in short-term memory. This then triggers key cues that cause information retrieval from the long-term memory. In contrast, intuition model base on information that triggered from previous similar experience. Benners et al (1984) mention that the ‘expert practitioner, who makes judgement and decision-making task based on their more extensive knowledge base. ‘intuitive’ links between what they observe and what their subsequent response is. As a nurse more they become experienced, they will develop what could be called ‘holistic knowing’ which means, the ability to see the ‘bigger picture’ (Benners etal, 1996). Finally, cognitive continuum model of decision-making represents a spectrum in which intuition decisions are at one end, while information process is at other end (Aston et al, 2010). This theory suggests that the major determinant of whether practitioners use a rational or intuitive approach to decision-making are primarily determined on how decision-making task on a continuum positioned. The appropriate cognitive mode to use for the task depends on three factors: structure of the task, number of information cues and the available time to decide. If a task is poorly structured with a lot of information cues and with