Clinical Decision Making Process

Improved Essays
Clinical decision-making is a complex and continuous process that includes dynamic interacting elements and critical thinking. This process involves both intuitive and analytic cognitive modes, which is defined in term of dual-process theory. Intuitive or non-analytical process relies on tacit knowledge and affection that depends on learners’ previous experience and pattern recognition (Marcum, 2012). It is an automatic response, low awareness less effort so it can be prone to error in decision making (Dawson, 1993; Croskerry, 2005; Evans, 2008). In contrast, analytical process requires a specific body of knowledge and logical thinking (Marcum, 2012). It is a deliberate action, high awareness and considerable effort (Dawson, 1993; Croskerry, …show more content…
This construct of self-evaluation is known as metacognition. Thus, metacognition can be defined as the ability of individuals in a situation to understand, aware and regulate their own knowledge, thoughts and performance on tasks (Flavell, 1979; Garner & Alexander, 1989). In other words, metacognition focuses on one’s own cognitive process in order to take conscious control of planning, analysing, monitoring and evaluating strategies to achieve its purpose effectively (Flavell, 1979; Kincannon et al., 1999; Dunlop, 2005).

There are two main components of metacognition: metacognitive knowledge and metacognitive regulation (Flavell, 1987). Metacognitive knowledge includes an individual’s knowledge, demand of the task and potentially effective learning strategies whist metacognitive regulation concerns mental acts of a person to study in order to plan, monitor and evaluate learning strategies. Therefore, metacognitive strategies involve both cognitive and emotional skills that are crucial for the development of students’ high-order thought processes in a variety of domains (Eichbaum,
…show more content…
Some studies have demonstrated that students with good metacognitive skills can better assess their own knowledge and perform in their studies that optimise their learning success (Flavell, 1979; Sternberg, 1985; Brown, 1994; Kuiper, 2002; Ku & Ho, 2010; Edelbring, 2012). Students should have effectively utilised evidence that they are knowledgeable and aware of what is needed to meet their learning goals (Thomas, 2003). Moreover, metacognition can help learners to become more adaptable and flexible to deal with ambiguities and changes of information (Hong, Vadivelu, Daniel, & Sim, 2015). In healthcare education, metacognition can support learners’ thinking in complexity and uncertainty of clinical practice (Kuiper, 2002; Zulkilply et al., 2008). Students can improve their critical thinking (Mango, 2010), problem solving (Kuiper, 2002) and decision making skills (Ewell-Kumar, 1998; Zimmerman & Schunk,

Related Documents

  • Improved Essays

    Introduction Most simply, clinical decision making may be defined as the process of choosing between alternatives or options (Thompson & Stapley, 2011) more accurately, clinical decision making is a highly complex process where data is gathered and evaluated, and then a decision, judgment, or intervention is formulated (Pirret, 2007), it comprises of cognitive, intuitive and experiential processes (Pugh, 2002). This essay will discuss commonly used decision making models and their stages as defined by Elstein et al (1978) and their application to clinical decision making processes. Furthermore, the importance of clinical decision making for healthcare practitioners and paramedics will be explored. Decision Making Models and Their Application…

    • 1864 Words
    • 8 Pages
    Improved Essays
  • Great Essays

    Clinical Decision Making Pathophysiology: Cerebrovascular Accident (CVA) A cerebral vascular accident (CVA) is defined as “a sudden loss of brain functioning from a disruption of blood supply to a part of the brain causing temporary or permanent loss of movement, thought, memory, speech, or sensation”(Belleza, 2016, p. 1). CVA is categorized as ischemic or hemorrhagic.…

    • 1301 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Clinical decision making is described as a process by which a clinician determines the conclusion of a clinical situation after consideration of the necessary indications, evidences, and incorporating options to end doubt (Tanner, 2006). Clinical reasoning examines the clinician’s ability to solve problems by recognizing patterns, creating schemas, and applying scientific evidence (Bickley, 2013). While clinical decision making is the outcome of the clinician’s ability to use clinical reasoning (critically think, process information both subjective and objective, test out a hypothesis, and reach to a conclusion). The Concept of Clinical Reasoning in Advanced Physical…

    • 893 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Over the last 20 years an increasing development of the understanding of how physicians combine medical knowledge and clinical skills in the clinical judgement process. This process, the creation of a problem representation referring to what the physician thinks occurring with the patient based on the synthesis and integration of two key elements. The first element includes the information collected from the patient through an accurate and the complete medical history. The second element includes a focused physical examination, and the physician’s working medical knowledge.…

    • 159 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Nt1310 Unit 2 Study Guide

    • 1179 Words
    • 5 Pages

    5. The commitment to group procedures (e.g. participating, taking responsibility). 6. The amount of contribution (e.g. gathering and researching information, preparing written reflections). 7.…

    • 1179 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    During the class assignments or learning activities, the trainer was able to identify those students, who need follow despite having completed training. Also, the instructor had the opportunity to identify those students with leadership qualities, as well as assess students understanding level, problem solving, teamwork, and critical thinking skills. Through group dynamics, students were able to demonstrate their understanding level, self-assessments and peer-assessments skills. The observation was present throughout the training; allowing the instructor verifies and assesses each student comprehension, application, analysis, synthesis, and evaluation skills regarding to the…

    • 692 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    In a guided self-assessment of study habits and strategies, ED 3100 students have been challenged to embark on a journey of self-exploration in an effort to better understand our own learning processes, as well as determine how different methods of studying and learning may affect our overall success. Dr. Demars (2015) explains that exploration and knowledge of our own techniques and learning strategies will then empower us, as future educators, to facilitate the same attributes in our students. She emphasizes that the better we (as teachers) understand our own learning processes, the better we can understand those of our students, and consequently help them self-assess to achieve a better understanding of their own learning. Although this exploration has raised many questions for me, there were key themes that stood out amongst others. By constructing an unbiased system of measurement, I am experimenting with deliberate and strategic changes to my study habits that are explicitly designed to address and correct weaknesses in my current study habits that I will track over a period of four weeks.…

    • 1643 Words
    • 7 Pages
    Great Essays
  • Great Essays

    Crash: Character Analyses in Regard to Metacognition The movie Crash is based on the dynamics of racial stereotypical behaviors. There are a slew of characters in the movie; however, six of them stand out as examples of topics related to metacognition. In viewing the movie, the six various characters interact in connecting subplots that portray realistic issues which arise in society every day. Regardless of possible lack of appreciation towards its overall connotation, the movie delves into true-life situations that cannot be ignored.…

    • 1778 Words
    • 8 Pages
    Great Essays
  • Superior Essays

    21). The purpose of critical thinking in nursing arises from the complex nature of client care; often the client is unable to articulate the underlying reason of their condition, which will require the nurse to provide a solution with limited information (Coutts, 2014). The rise in patient complexities presents increasing pressure and accountability for nurses to make informed decisions (Coutts, 2014; Lauri & Salantera, 1995). Due to the ambiguous nature of nursing and complex client diagnoses, nurses must apply insightful reasoning, intuition, theoretical knowledge, and previous experiences as their guide to making a decision (Banning, 2008; Blum, 2010; Coutts, 2014; Gillespie & Paterson, 2009; Lauri & Salantera, 1995; Payne, 2015; Tanner,…

    • 1764 Words
    • 8 Pages
    Superior Essays
  • Superior Essays

    Self Regulated Learning

    • 1014 Words
    • 5 Pages

    Self-Regulated Learning Ericka Farrell Keiser University Dr. Diana Martin Psychological Basis of Education (EDU520) 6/14/2015 Self-regulated learning (SRL) implies the notion of metacognition (self-critical assessment of one's personal inner need to be educated), strategic action (arranging, observing, and assessing individual advancement against a standard), and inspiration to learn. "Self-regulated" portrays a procedure of controlling and assessing one's own particular learning and world outlook. Self-regulated learning accentuates independence and control by the person who screens, coordinates,…

    • 1014 Words
    • 5 Pages
    Superior Essays
  • Superior Essays

    The New Nurse Graduate

    • 1286 Words
    • 6 Pages

    Introduction The paper reviews the difficulties that the new nurse graduate go through at the beginning of the career, and its possible outcomes and implementations. The clinical problem describes how the new nurse graduate could learn to identify priorities to prevent common mistakes. The PICO format is used to identify and define an evidence-based question. The search is conducted at three major databases.…

    • 1286 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    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”…

    • 716 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Critical thinking is a tool used every day by nurses and other healthcare professionals. It is vital to the successful care of patients in all healthcare units, and it was evident in the Complex Continuing Care Unit. The nurses use critical thinking on a daily basis to ensure the care of their patients is done correctly and to limit the number of incidents that could occur. Critical thinking is needed in every aspect of patient care, to ensure the safety of the patient and the healthcare professionals. This was seen on the Complex Continuing Care Unit, throughout all of the shifts I was there.…

    • 764 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Clinical reasoning is a process and term used regularly by health care professionals that includes nursing. It consists of expert skills that are learnt through knowledge, cognitive thinking and experience. Clinical reasoning is essential to nursing care as it shows the thinking process of the nurse and that the nurse can competently and safely deliver care to diverse patients (Harmon & Thompson, 2014). In conjunction with clinical reasoning, the terminology critical thinking, clinical judgement and clinical decision making are used collaboratively. There are many resources about clinical reasoning and studies used on nursing students, graduate nurses and postgraduate nurses.…

    • 1532 Words
    • 7 Pages
    Improved Essays
  • Great Essays

    The Australian Nursing and Midwifery Council defines the enrolled nurse (EN) as, an associate to the registered nurse who demonstrates competence in the provision of patient-centred care as specified by the registering authority’s license to practice, educational preparation and context of care (Monash, 2013). As the enrolled nursing is on an on-going learning career, critical thinking, reflection and analysis are vital criteria that a nurse should concern during her duties and studies. Mainly these three points are significant to deliver a quality patient-centred care. Because some nurses that have been learnt these criteria are not applying in their clinical practice. Critical thinking helps ENs to make judgments related to client’s human…

    • 1570 Words
    • 7 Pages
    Great Essays