According to Lipsedge (1995), good practice in risk assessment requires nurses to translate their knowledge into a clearly distinct formulation of the risks. How do these tools affect outcomes? Nurses are expected to use valid evidence to support their decisions when deciding what care to provide each patient. It involves combining the knowledge of an expert, patient preferences and research evidence within the context of available resources. One of the tools used in evidence based practice is the use of the early warning score system (EWS). This subset of articles produced about 200 articles that had strong relevance to clinical decision-making and were subjected to a more detailed and thorough review. It recognises that health care is individualised and ever changing and involves uncertainties and probabilities. View professional sample essays here. October 30, 2019 / in Nursing Essays / by Antony Garth. (Royal College of Nursing, 2003). No plagiarism, guaranteed! According to Waterlow (1985), recommended care interventions are available with each recommendation corresponding to the risk score parameters of the Waterlow scale. Overall, as nurses, it is important to have a basis when we make a decision regarding patient care. The chosen model will demonstrate clinical decision making skills in the care planning process. Nurses exercise use their clinical judgement and decision making skills in clinical environments and have been used as exemplars for decision and judgement research since the 1960s. Our academic experts are ready and waiting to assist with any writing project you may have. Learning about developing and applying effective clinical decision making skills is vital for the wellbeing of patients and nurses’ capacity to demonstrate that decisions are justified. Sometimes it is difficult for the nurse to come to a decision that will satisfy clients and co-workers and they also may be challenged at any time, however the important thing is that the nurse takes full responsibility and is able to justify his/her decision. If the child’s score is high then this means he/she is at risk of deteriorating, this gives nurses an early indication that an action has to be done. Clinical Decision Making : Clinical Judgment Essay 1543 Words | 7 Pages. It is also concerned with the patterns of circumstances in which these factors may arise. Paediatrics use a different pressure ulcer risk assessment tool called the Glamorgan scale (Willock, J. et al, 2007). Clinical decision making can be defined as, the collection of relevant patient information and accurate assessment, which results in an action being taken in the delivery of … However, due to children and adults different physiological responses, EWS is inappropriate to use on children. From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. Clinical judgment Clinical judgment is the clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence- based guidelines (AACN, n.d.). Why are they so important? 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. Decision making involves assessing available options and their effectiveness. This definition is identical to the nursing process as described by (ref ewles & simnett?) Each decision making model requires certain set of skills in order to be put on proper use and get the right results. 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. Clinical decision making can be defined as, the collection of relevant patient information and accurate assessment, which results in an action being taken in the delivery of nursing care to the patient (Clark 1996). Judgement is not decision making but is closely related. The effectiveness of the decision-making process is crucial to ensuring positive outcomes in the clinical setting. Do you have a 2:1 degree or higher in nursing or healthcare? Reflection could improve the clinical decision-making of ICU nurses. Evidence refers to information that is used to support particular beliefs, decisions and actions. poor IT skills, lack of research skills and literature. Becoming skilled in clinical decision making requires the application of a range of evidence regarding patient concern, physical and human resources within healthcare contexts, understanding health and illnesses, developing expertise in applying therapeutic approaches, a commitment to enhance the wellbeing of those in your care and fulfilling the requirements of the relevant professional body. The Nursing and Midwifery Council (NMC, 2008) states that nurses are personally accountable for their actions during practice and therefore they must be able to justify their decisions at all time. For example, nurses must deliver care based on the best available evidence or practice and must ensure any advice given to patients are evidence based. All work is written to order. Risk assessment is a process of identifying and investigating factors associated with the increased probability of specified risk occurring. *You can also browse our support articles here >. Alternatively, Paediatric Early Warning Scores (PEWS) is use for children, to record observations and is use to assess the child’s condition i.e. Risk assessment is a process of identifying and investigating factors associated with the increased probability of specified risk occurring. Study for free with our range of nursing lectures! Paediatrics use a different pressure ulcer risk assessment tool called the Glamorgan scale (Willock, J. et al, 2007). It is an examination of the context and details of past risk incidents in the light of current circumstances. It is also important that nurses use their resources cost effectively by ensuring that resources and equipment are used correctly by the patient. 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