In most examples provided by the NGNs in this study, that level of interaction and knowing the patient had not been achieved and could not be transferred to decision making. These nursing competencies are intended to reflect the core skills found at the heart of critical thinking, as identified by nursing industry experts. A nursing case study is a detailed study of an individual patient, which allows you to gain more information about the symptoms and the medical history of a patient and provide the proper diagnoses of the patient’s illness based on the symptoms he or she experienced and other affecting factors. Pearson (2013) clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. 214). Method A clinical decision-making questionnaire (CDMQ) consisting of 15 statements was developed. It recognises that health care is individualised and ever changing and involves uncertainties and probabilities. This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. Judgement is not decision making but is closely related. Â. Living alone, isolated from family with his neighbour only discovering him after time had elapsed, as well as the death of his wife; reveals Mr. Hay’s isolation and possible loneliness. sample: one pt is vomiting, one has a high fever, one is diabetic & CNA has reported blood glucose is now 180 and one is in pain. “Integrating research evidence into decision making involves forming a focused clinical question in response to a recognised information need, searching for the most appropriate evidence to meet that need, critically appraising the retrieved evidence, incorporating the evidence into a strategy for action, and evaluating the effects of any decisions and actions taken.” – Thompson et al (2004). According to Reigle, Steven, Belcher et al (2008) and Talsma, Grady, Feetham, et al (2008), the reason why evidence based practice is consistently implemented is because it leads to the highest quality of care and best patient outcomes. Mr. Hay seems capable of self care activities and perhaps this is supported as he did make mention of visiting his doctor, which requires some level of cognitive and physical functioning. The key issue in examining risk assessment tools is how good they are at distinguishing those at risk from those who are not and if they are better or more accurate than simply relying on professional judgement (Thompson, C. & Dowding, D., 2002). Other symptoms can potentially develop during later stages of the disease (Brown & Edwards 2008). These tools collect data regarding various factors thought to be associated with the development of pressure sores. It is also important that nurses use their resources cost effectively by ensuring that resources and equipment are used correctly by the patient. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. Social and clinical factors that factor in the judgment and decision making of the nurses are: socio-economic structure, social beliefs, workplace culture, hands-on training, exposure to critical cases, clinical arrangements of the health sector, the laws of the country also features prominently in the decision making capability of the nurses. It involves complex and conscientious decision making based not only on the available evidence but also on patient characteristics, situations and preferences. In defining CDS, recognize the emphasis is on support, because CDS aims to aid health care decision making, rather than make the clinical decision. The RN also act as a communicator between the patient and those providing elements of the care plan to ensure the appropriate passage of relevant information on progress and developments. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you!