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Nursing Essay 代写:临床决策是一个内在的组成部分

Nursing Essay 代写:临床决策是一个内在的组成部分

护理的临床决策涉及应用关键思维技能,选择最佳的可用的基于证据的选项来控制风险,并解决患者的需求,提供高品质的护理,护士负责。站,M(2011)
护士对他们的临床决策的质量、安全和有效性负责。我们对我们所欠照顾的病人、客户和服务使用者负责。根据站,M.(2011),在决策问责制是对患者、公众、雇主、NMC和法律对我们行为的后果,要解释、辩解,并捍卫我们的决定。
护理与助产委员会(NMC,2008)指出,护士在实践,因此他们必须能够证明自己的决定时,自己的行为负责。在作出决定之前,护士必须先平衡一些因素,但是病人的最佳利益是他们的主要优先事项。
决策涉及评估可用的选项和它们的有效性。它适用于判断我们做或不做事情的原因。作为护士,我们使用不同的信息来源,以支持我们的判断和决策。
护理是在提供护理的临床判断中使用,使人们能够改善,保持或恢复健康,以应付健康问题,并达到最佳的生活质量无论他们的疾病或残疾,直到死亡。皇家护理学院(皇家护理学院,2003)
决策需要思考技能,以行使判断在评估可用的选项的好处,并选择一个首选的选项,然后采取行动。判断不是决策,而是密切相关的。决策链接判断的做法,通过作用在它选择从可用的选项。在护理中有不同的决策模型,以帮助护士对护理的各个方面作出决定,我决定把重点放在风险分析和管理和基于证据的决策。
临床实践往往关注风险降低,随着医疗保健诉讼的发展趋势,对患者和医护人员的风险管理是一个很大的重视。临床风险管理将从根本上发生通过商定的个人护理计划的解释和应用。一个全面的、个性化的护理计划的发展将涉及的范围广泛的有效的治疗方法,提供了在目前的临床知识水平的康复及支援服务(摩根,S.,1998)。

 

Nursing Essay 代写:临床决策是一个内在的组成部分

Clinical decision making in nursing involves applying critical thinking skills to select the best available evidence based option to control risks and address patients’ needs in the provision of high quality care that nurses are accountable for. – Standing, M. (2011)

Nurses are accountable for the quality, safety and effectiveness of their clinical decision making. We are accountable to the patients, clients and service users to whom we owe a duty of care. According to Standing, M. (2011), accountability in decision making is being answerable to patients, the public, employers, NMC and the law for the consequences of our actions and having to explain, justify, and defend our decisions.

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. Nurses have to balance a number of elements before they make a decision, however the patient’s best interest is their main priority.

Decision making involves assessing available options and their effectiveness. It applies judgement regarding our reasons for doing or not doing things. As nurses, we use different information sources to support our judgement and decision making.

Nursing is the use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life whatever their disease or disability, until death. (Royal College of Nursing, 2003)

Decision making requires thinking skills to exercise judgement in assessing the benefits of available options and choosing a preferred option that is then acted upon. Judgement is not decision making but is closely related. Decision making links judgement to practice by acting on it in choosing from the options available. There are different models of decision making in nursing developed to help nurses make their decision on all aspects of nursing care and I decided to focus on risk analysis and management and evidence based decision making.

Clinical practice is often concerned with risk reduction and with the developing trend in healthcare litigation, there is a big emphasis on risk management for both the patients and health care staffs. Clinical risk management will fundamentally happen through the interpretation and application of agreed individual care plans. The development of a comprehensive and individualised care plan will relate to the broad range of effective treatment, rehabilitation and support services provided at the current level of clinical knowledge (Morgan, S., 1998).

 

 

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