Nurses' Clinical Decision Making
This work includes a foreword by Carl Thompson, Senior Research Fellow, Department of Health Sciences, University of York. This inspiring text offers guidance and innovative ideas for teaching and learning. It explains how nurses make clinical decisions through the development of narratives, and how, using narratives, nurses gain a far more intimate knowledge of the patient than doctors can. The book considers service delivery around patients, renegotiation of professional roles of medical staff and their boundaries of responsibility and authority. "Nurses' Clinical Decision Making" will appeal to all undergraduate and postgraduate students of nursing, registered nurses and nurse managers. Nurse educators, hospital managers, doctors and healthcare risk managers will also find the information contained here invaluable. 'If nurses are decision-makers how can their role and practice be explained? Can decision-making be taught and are there different levels of decision-making skill? If so, how can expert decision-makers be recognised? These are just some of the pertinent questions that need to be asked if we are to recognise and understand the centrality of clinical decision-making in nursing practice. Clinical work is complex and takes place in a complex environment that centres around individuals who themselves are physically, socially and spiritually complex. Clinical work also involves multiple participants (nurses, doctors, patients, physiotherapists, occupational therapists, pharmacists to name a few) who in the course of a days work can make scores of decisions.' - Russell Gurbutt, in the Preface.
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admission narrative analysis assessment challenge clinical area clinical decision clinical landscape clinical practice context continuum contribution decision outcomes Decision-making enquiry decision-making expertise decision-making skill described diagnosis discussion Examine example existing expert decision maker expert nurse explained factors focus global judgement healthcare team identify implied included inexperienced nurse influence informal records information processing information seeking intellectual capital intervention involved JAdv Nurs knowing patients knowing the patient learning unit legitimate scope management and medical medical assistant medical decision medical staff narrative categories narrative development narrative model narrative scope narratives known non-nursing decisions note sheets nurse decision Nurse Educ Today nurse—doctor game nurse's role nursing assessment nursing diagnosis Nursing models nursing practice nursing process nursing record organisational participants patient is known pre-admission account problem professional propositional knowledge recognised record keeping record system reference scope of practice shaped staff nurse Stop and think trajectory treatment plan verbal narrative ward team