The Importance Of Decision Making In Nursing

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In nursing practice decision-making is pivotal to delivery of quality patient care. Nurses are trained to make critical decisions that can often save a life. The NMC Code 2015 emphasises on decision making skills when it states that” make sure that peoples physical, social and psychological needs are assessed and responded to. The people left in nurse’s care rely and trust that decisions made regarding their care are in their best interests.

Nurses make decisions on a daily basis from the most basic actions to complex and often difficult decision. Decision-making involves critical thinking and critical analysis they are important as they make the nurses into competent management skills Jones (1996). In my practise setting I was given the
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Time taken to make a decision depends on many factors including previous experience and complexity of the problem. The methods to use to come up worth decision are varied and usually depend on the situation at hand. Aston et al. (2010) suggests that nurse use the information-processing model to make decisions. He suggests that after receiving new information it is stored In short term memory and as more related information is leaned the information then becomes stored as long-term memory. This information retrieval is often triggered in new situations. Benner et al (1996) as quoted by Holland et al (2013) suggests that intuition is key in what he called “holistic knowing” he said it developed as the nurse became more experienced. Thompson and Dowding (2002) brought forward the “cognitive continuum model of decision making” where decision-making uses a range of sources to make a decision although protocols are in place governed by the uniqueness of the current …show more content…
“Reflection on practise is often triggered by a breakdown in clinical judgement is critical for the development of clinical knowledge and improvement of clinical reasoning” Tanner (2006). Deciding on the information to elicit in order to make a decision on the plan of care. After completing the risk assessments I was then supposed to make a decision on which risk assessments showed a threat to the well being of the resident and in turn create care plan with a plan of action to prevent or minimise the risk. The resident had a MUST of 1 on admission, which meant that he was at risk of being malnourished. The care plan had to reflect this risk and interventions to prevent deterioration in his condition. I realised that although I had identified the risk the decision making process sometimes need to involve other members of the multidisciplinary team as in this case the general practitioner and dietician as well as the chef. Holland K et al (2013) suggest that systematic reflection is useful as it can present ways to deal with similar situations in the

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