Clinical decision-making in restorative dentistry. Content-analysis of diagnostic thinking processes and concurrent concepts used in an educational environment

2000 ◽  
Vol 4 (4) ◽  
pp. 143-152 ◽  
Author(s):  
Gerardo Maupomé ◽  
Aubrey Sheiham
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Educational Environment ◽  
Restorative Dentistry ◽  
Thinking Processes ◽  
Diagnostic Thinking

scholarly journals Reframing Perceptions in Restorative Dentistry: Evidence-Based Dentistry and Clinical Decision-Making

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Ayah A Al-Asmar ◽  
Ahmad S Al-Hiyasat ◽  
Motasum Abu-Awwad ◽  
Hakam N Mousa ◽  
Nesreen A Salim ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Root Canal ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Root Canal Treatment ◽  
Evidence Based ◽  
Dental Practice ◽  
Restorative Dentistry ◽  
Evidence Based Dentistry

Objectives. The worldwide interest of both dentists and patients in esthetic dentistry has affected decision-making in dental practice. The aim of this study was to investigate contemporary dental practice in restorative dentistry and the relationship between evidence-based dentistry in caries research and decision-making in clinical practice in restorative dentistry. Methods. The study was conducted through a structured questionnaire distributed randomly at the Jordanian Dental Association registered dentists in Jordan. The questionnaire aimed to clarify the degree of knowledge and practice of evidence-based dentistry in caries research the dentists hold regarding clinical decision-making in restorative dentistry. Results. The majority of the surveyed dentists (77%) treat teeth with irreversible pulpitis with root canal treatment rather than vital pulp therapy. 13.8% routinely insert a post and 23% routinely crown the tooth after root canal treatment regardless of the remaining tooth structure. Badly damaged teeth are treated with full crowns in 72% of the cases. Regarding Hollywood smile or smile makeover, the majority of dentists choose conservative approaches, and implants were the first choice to replace missing teeth for 93.8% of the surveyed dentists. Conclusion. A higher degree of implementation of evidence-based dentistry in clinical decision-making was found in Prosthetic Dentistry than in Endodontics. Yet, the gap between evidence-based data and clinical practice needs bridging. More emphasis on communicating these data to educators to integrate them into the dental curriculum is a must.

Diagnostic conversations: Clinical Decision Making in surgery – Part 1

Diagnosis ◽  
2014 ◽  
Vol 1 (1) ◽  
pp. 99-102 ◽  
Author(s):  
David Allan Watters ◽  
Spencer Wynyard Beasley ◽  
Wendy Crebbin
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Learning Opportunities ◽  
Clinical Scenario ◽  
Decision Making Processes ◽  
Expert Surgeon ◽  
Thinking Processes ◽  
Royal Australasian College ◽  
Case Based

AbstractSound and efficient decision making are hallmarks of an expert surgeon. Unfortunately, those experts are often unable to explain their thinking processes, or to teach their trainees and colleagues how they do it. Surgeons and staff of the Royal Australasian College of Surgeons worked together to develop a model to explain the processes around clinical decision making and used this understanding and knowledge to devise a Clinical Decision Making (CDM) training course. The surgical faculty ensure the model is applicable to specific surgical cases, as well as presenting a framework of how clinical decisions are made. Wendy targets the specific decision making processes that are occurring with each clinical scenario, and highlights some of the learning opportunities that they provide. The conversation in this paper models the kinds of case-based interactions which occur in the development and teaching of the CDM course.

scholarly journals Major challenges and barriers in clinical decision-making as perceived by emergency medical services personnel: a qualitative content analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mostafa Bijani ◽  
Saeed Abedi ◽  
Shahnaz Karimi ◽  
Banafsheh Tehranineshat
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Emergency Care ◽  
Clinical Decision Making ◽  
Qualitative Content Analysis ◽  
Organizational Management ◽  
Clinical Decision ◽  
Critical Conditions ◽  
Clinical Decisions

Abstract Background Having to work in unpredictable and critical conditions, emergency care services (EMS) personnel experience complicated situations at the scene of accidents which, inevitably, influence their clinical decisions. There is a lack of research into the challenges which these professionals encounter. Accordingly, the present study aims to explore the major challenges and barriers which affect clinical decision-making from the perspective of EMS personnel. Methods The present study is a qualitative work with a content analysis approach. Selected via purposeful sampling, the subjects were 25 members of the EMS personnel in Iran who met the inclusion criteria. The study lasted from December 2019 to July 2020. Sampling was maintained to the point of data saturation. Data were collected using semi-structured, in-depth, individual interviews. The collected data were analyzed via qualitative content analysis. Results The results of data analysis were categorized into four themes and eight categories. The main themes were professional capabilities, occupational and environmental factors, inefficient organizational management, and ethical issues. Conclusion The results of the present study show that clinical knowledge, experience, and skills contribute to emergency care personnel’s professional capabilities in making clinical decisions. Good teamwork skills and time management can prevent feelings of confusion when the number of the injured to be attended to is large. Effective clinical decision-making skills can not only help the personnel make the right decision, but enhances their resilience and enables them to adapt to hard and unpredictable conditions. Professional factors, organizational management, and ethical matters constitute the other major factors which influence the clinical decision-making of emergency care personnel at the scene of accidents and determine the quality of their clinical performance. Thus, it is essential that pre-hospital emergency care managers improve the quality of EMS personnel’s clinical decision-making skill.

scholarly journals Major Challenges and Barriers in Clinical Decision-making as Perceived by Emergency Medical Services Personnel: A Qualitative Content Analysis

2020 ◽  
Author(s):  
Mostafa bijani ◽  
Saeed Abedi ◽  
Shahnaz Karimi ◽  
Banafsheh Tehranineshat
Keyword(s):  
Decision Making ◽  
Content Analysis ◽  
Emergency Care ◽  
Clinical Decision Making ◽  
Ethical Issues ◽  
Qualitative Content Analysis ◽  
Organizational Management ◽  
Clinical Decision ◽  
Critical Conditions ◽  
The Right

Abstract Background: Having to work in unpredictable and critical conditions, emergency care services (EMS) personnel experience complicated situations at the scene of accidents which, inevitably, influence their clinical decisions. There is a lack of research into the challenges which these professionals encounter. Accordingly, the present study aims to explore the major challenges and barriers which affect clinical decision-making from the perspective of EMS personnel. Methods: The present study is a qualitative work with a content analysis approach. Selected via purposeful sampling, the subjects were 25 members of the EMC personnel in Iran who met the inclusion criteria. The study lasted from December 2019 to July 2020. Sampling was maintained to the point of data saturation. Data were collected using semi-structured, in-depth, individual interviews. The collected data were analyzed via qualitative content analysis. Results: 4 main categories—professional capabilities, occupational and environmental factors, inefficient organizational management, and ethical issues—and 23 subcategories were extracted from the findings of the study. Conclusion: The results of the present study show that personal and occupational factors, organizational management, and ethical issues are the most significant sources of challenge which affect the clinical decision-making and, consequently, the performance of EMC personnel at the scene of accidents. Thus, it is essential that pre-hospital emergency care managers improve the quality of EMC personnel’s clinical decision-making skills and the reliability of care provided by them by creating the right professional and organizational settings, free of occupational distress.

scholarly journals Diagnostic thinking and information used in clinical decision-making: a qualitative study of expert and student dental clinicians

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Gerardo Maupomé ◽  
Stuart Schrader ◽  
Saurabh Mannan ◽  
Lawrence Garetto ◽  
Hafsteinn Eggertsson
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Diagnostic Thinking

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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