Professional Values and Decision Making

Author(s):  
Ruth Chadwick

This is the first chapter in the part of the book exploring each of the four domains comprising the Nursing and Midwifery Council (NMC) Standards for Pre-Registration Nursing Education (NMC 2010) in which the student nurse in the United Kingdom has to demonstrate attainment of the specific competencies to achieve registration as a nurse. In keeping with the overall aims of the book, the aim of this chapter is to help you to develop your decision-making skills in the domain of ‘professional values’. It will offer real-life case studies to illustrate key issues and how you, as a student, can learn to make effective decisions in your journey to becoming a registered nurse. Because this book is written by registered nurses, many of whom work in education, you will probably not be very surprised to learn that we think your decision to become a nurse could be one of the best decisions that you have made to date—but do you really understand what lies before you? Before you begin to be concerned about the ‘right-ness’ of your decision to become a nurse, it is important to remember that there are many individuals who are there to help you on your professional journey, including your personal tutors, mentors and other practitioners in practice, lecturers, other students, and most importantly the patients and clients for whom you will be caring and with whom you will be working. In addition, you will have friends and family who offer a different kind of support to you, as well as those organizations that can offer professional support to you as a student nurse and subsequently to you as a qualified nurse. This chapter also intends to help you to appreciate the significance of the NMC’s Guidance on Professional Conduct for Nursing and Midwifery Students (NMC 2011) as you embark on your professional and personal journey to become a registered practitioner who is able to demonstrate the required standards of conduct, performance, and ethics, as expressed in The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives (NMC 2008).

2013 ◽  
Vol 21 (2) ◽  
pp. 248-277 ◽  
Author(s):  
Aoife Nolan

Recent years have seen an explosion in methodologies for monitoring children’s economic and social rights (ESR). Key examples include the development of indicators, benchmarks, child rights-based budget analysis and child rights impact assessments. The Committee on the Right of the Child has praised such tools in its work and has actively promoted their usage. Troublingly, however, there are serious shortcomings in the Committee’s approach to the ESR standards enshrined in the UN Convention on the Rights of the Child (CRC), which threaten to impact upon the efficacy of such methodologies. This article argues that the Committee has failed to engage with the substantive obligations imposed by Article 4 and many of the specific ESR guaranteed in the CRC in sufficient depth. As a result, that body has not succeeded in outlining a coherent, comprehensive child rights-specific ESR framework. Using the example of child rights-based budget analysis, the author claims that this omission constitutes a significant obstacle to those seeking to evaluate the extent to which states have met their ESR-related obligations under the CRC. The article thus brings together and addresses key issues that have so far received only very limited critical academic attention, namely, children’s ESR under the CRC, the relationship between budgetary decision-making and the CRC, and child rights-based budget analysis.


Author(s):  
Deborah Roberts

This chapter introduces the underlying principles of decision making. You will be encouraged to consider decision making as a student in university together with decision making as a student nurse (see Chapter 1 ). In 2010, following a review of pre-registration nursing education, the professional body for nursing in the United Kingdom, the Nursing and Midwifery Council (NMC), published new Standards for Pre-Registration Nursing Education , including competencies that all students must achieve to qualify as a registered nurse. These competencies have to be met in four broad areas known as ‘domains’. 1. Professional values 2. Communication and interpersonal skills 3. Nursing practice and decision making 4. Leadership, management, and team working You will find reference to these domains throughout the book, and there will be an opportunity to learn how the competencies in each of these that relate to decision making can be linked to your clinical and university-based learning. There are a number of terms that can be found in the literature that are often used interchangeably; you may see terms such as ‘decision making’, ‘problem solving’, ‘clinical reasoning’ or ‘clinical judgement’, and others used when writers are discussing how and why nurses respond to clinical situations in a particular way (see Chapter 1 for more detail). For example, Levett-Jones et al. (2010: 515) provide a helpful definition of clinical reasoning as ‘the process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process’. They also emphasize that a nurse’s ability to develop these clinical reasoning skills depends on what they term as ‘five rights’—that is, the nurse’s ability ‘to collect the right cues and to take the right action for the right patient at the right time and for the right reason’. In the context of ensuring that any patient receives the best possible care, these ‘five rights’ are very appropriate, and indeed if one were to fail to pick up on the right cues and to take the appropriate actions in many clinical situations, the outcome may have serious repercussions for the nurse and the patient.


Ethnicities ◽  
2020 ◽  
pp. 146879682091341 ◽  
Author(s):  
Tiina Sotkasiira ◽  
Anna Gawlewicz

The European Union membership referendum (i.e. the Brexit referendum) in the United Kingdom in 2016 triggered a process of introspection among non-British European Union citizens with respect to their right to remain in the United Kingdom, including their right to entry, permanent residence, and access to work and social welfare. Drawing on interview data collected from 42 European Union nationals, namely Finnish and Polish migrants living in Scotland, we explore how European Union migrants’ decision-making and strategies for extending their stay in the United Kingdom, or returning to their country of origin, are shaped by and, in turn, shape their belonging and ties to their current place of residence and across state borders. In particular, we draw on the concept of embedding, which is used in migration studies to explain migration trajectories and decision-making. Our key argument is that more attention needs to be paid to the socio-political context within which migrants negotiate their embedding. To this end, we employ the term ‘politics of embedding’ to highlight the ways in which the embedding of non-British European Union citizens has been politicized and hierarchically structured in the United Kingdom after the Brexit referendum. By illustrating how the context of Brexit has changed how people evaluate their social and other attachments, and how their embedding is differentiated into ‘ties that bind’ and ‘ties that count’, we contribute to the emerging work on migration and Brexit, and specifically to the debate on how the politicization of migration shapes the sense of security on the one hand, and belonging, on the other.


2010 ◽  
Vol 17 (1) ◽  
pp. 9-18 ◽  
Author(s):  
Stephen Pattison ◽  
Paul Wainwright

In 2008 the United Kingdom Nursing and Midwifery Council (NMC) published the latest version of its code of conduct (The code: standards of conduct, performance and ethics for nurses and midwives). The new version marked a significant change of style in the Code compared with previous versions. There has been considerable controversy and the accrual of an extensive body of literature over the years in the UK and Europe criticizing nursing codes of ethics and questioning their ethical standing and their usefulness. In this article we review the current NMC Code. We argue that the NMC has been misguided in labelling the Code as a code of ethics, and suggest that the new document falls short in many respects.


2020 ◽  
Vol 8 (02) ◽  
pp. 82-86
Author(s):  
Sulochana Ghimire ◽  
Anuja Kachapati

INTRODUCTION Nursing education consists of the theoretical and practical training provided to nurses with the purpose to prepare them for their duties as nursing care professionals. The scope of nursing practice reflects all the role and responsibilities undertaken by the nurse to address the full range of human experiences and responses to health and illness. The instructional strategies utilized in both didactic and clinical components of nursing education courses are highly influential in determining critical thinking and clinical decision making ability as well as in developing the psychomotor skill performance of new graduates. Simulation provides nursing students with opportunities to practice their clinical and decision-making skills through various real-life situational experiences. Although endorsed in nursing curricula, its effectiveness is largely unknown.  


Author(s):  
C.W. Holsapple

This article develops the notion of decisional episodes as a basis for understanding ways in which decisions can be supported. Grounded in and aligned with knowledge management (KM) theory, the resultant perspective on decision support can guide researchers in the generation of research ideas and designs. It can also contribute to practitioners by suggesting architectures and functionalities to consider in the course of developing decision support systems, and by suggesting key issues to resolve in the course of deploying and evaluating a portfolio of decision support systems. Broadly speaking, knowledge management is concerned with efforts to ensure that the right knowledge is available to the right processors at the right time in the right representations for the right cost in order to foster right relationships, decisions, and actions with respect to an entity’s mission. These efforts unfold in various contexts such as designing, communicating, researching, and decision making. Our focus here is on the latter.


2019 ◽  
Vol 16 (4) ◽  
pp. 907-915
Author(s):  
Gül Şahin ◽  
Tülay Başak

Virtual patients are used as training method to gain professional competencies in nursing education. Virtual patients are real-life interactive computer-based clinical scenarios where students can learn appropriate information and practices to plan and manage patient care, and can be used for health care, training, or evaluation. Virtual patient technology that provides skill in a risk-free environment provides real-time feedback on student activity that can affect decision-making when they contact with the patient. If included in the curriculum appropriately; virtual patient technology can help the student develop numerous skills such as clinical assessment, patient interaction, critical thinking, therapeutic approach and adaptation to a changing environment. It helps students to overcome the limits of clinical practice, develop coping skills, support critical thinking, develop decision-making skills, and quickly adapt to clinical settings. ​Extended English summary is in the end of Full Text PDF (TURKISH) file.   Özet Sanal hastalar, hemşirelik eğitiminde mesleki yeterlikleri kazanmak için eğitim yöntemi olarak kullanılmaktadır. Öğrencilerin hasta bakımını planlamak ve yönetmek için uygun bilgi ve uygulamaları öğrenebilecekleri, sağlık bakımı, eğitim veya değerlendirme amacıyla kullanılabilen gerçek yaşamla etkileşimli bilgisayar tabanlı klinik senaryolardır. Risksiz bir ortamda beceri kazandıran sanal hasta teknolojisi, hasta ile temasa geçtiğinde karar vermeyi etkileyebilecek öğrenci etkinliği hakkında gerçek zamanlı geribildirim sağlar. Müfredata uygun bir şekilde dahil edilirse; sanal hasta teknolojisi öğrenciye klinik değerlendirme, hasta etkileşimi, eleştirel düşünme, terapötik yaklaşım ve değişen bir ortama uyum sağlama gibi çok sayıda becerinin geliştirilmesine yardımcı olabilir. Öğrencilerin klinik uygulamaların sınırlarını aşmalarına, baş etme becerilerini geliştirmelerine, eleştirel düşünceyi desteklemelerine, karar verme becerilerini geliştirmelerine ve klinik ortamlara hızlı bir şekilde adapte olmalarına yardımcı olmaktadır.


SISFORMA ◽  
2014 ◽  
Vol 1 (1) ◽  
pp. 13
Author(s):  
Wati Wulandari ◽  
Bernardinus Harnadi

Pacman game is able to train the child concentration and decision making speed. This Research use respondent children ages 6 up to11 years as a player who will take the data. Every respondent must play Pacman game and then they can answer 10 questions. Resulting data are analyzed with a statistical method; it is product moment" in correlation technique. The result turns out 8 of the 10 children get correlation values above 0.632. From the results of these research demonstrate that children who play the Pacman has the ability to quick in decision making and to have high concentrations. Because playing the game using the right brain or our imagination so that when applied in real life we are trained to improve concentration and have a strategy in solving the problem.Keyword: decision making, respondent children, statistical method, product moment


Author(s):  
Crystal M Volinchak ◽  
Erin M Whitehouse ◽  
Matthew R Yourstowsky ◽  
Robert G Woolley ◽  
Birsen Karpak

In this study, the authors utilized the Analytic Hierarchy Process (AHP) decision-making model to select the optimal market for international expansion for ABC Corporation located in Ohio[1]. The benefits of exporting to nine different countries: Germany, the United Kingdom, Canada, Mexico, Netherlands, China, United Arab Emirates, Australia and Brazil were analyzed. For the sake of more precise and in-depth research, preliminary studies performed on these nine countries were used to determine the top five markets: China, Mexico, Canada, Germany and the United Kingdom. Preliminary research included multiple factors about these nine countries. Market size, market growth rate, market consumption capacity, market intensity, market receptivity, commercial infrastructure, trade barriers, contribution margins, country risk and the growth rate of construction were the qualitative and quantitative criteria specifically considered. The importance of each criteria and sub-criteria were determined with export market experts and company decision makers. The AHP analysis enabled the authors to determine the best possible export market for the company by evaluating the data from China, Mexico, Canada, Germany and the United Kingdom. The robustness of the results was tested using sensitivity analysis. Sensitivity analysis results were then discussed with the decision makers. The best market was selected and alternative markets were presented with degrees of preference. Managerial implications of the study and future research directions will be discussed.   [1] Company name has been disguised for confidentiality reasons.   -This paper received “Best Student Achievement in International Business Award for Graduate Students”, Youngstown State University, Williamson College of Business, April 18, 2018. -Acknowledgement: This project allowed our group to become better researchers, taught us how to use AHP methodology in real - life decision making and allowed us to network with colleagues around the world. This was a fantastic experience for all of us and it will not be forgotten. Being able to represent Youngstown State University at the MCDM, 2017 Conference was an honor. We learned and did things that students cannot learn in the classroom. Working alongside Dr. Karpak allowed us to have a hands - on experience with the project and she was there when questions needed addressed. We feel that our research benefitted ABC and allowed them to gain a better understanding of what market they should export to. We are beyond grateful for this experience and glad that we were selected to go to Ottawa, Canada and to now be submitting our research to the IJAHP journal. The authors also thank the export expert Mr. Mousa Kassis, CGBP, Director, Ohio Small Business Development Center (SBDC) Export Assistance Network, Williamson College of Business Administration of Youngstown State University, for identifying ABC Company and giving his expert judgments on criteria evaluations.    


Author(s):  
Jean Philippe Pierre Décieux

Knowledge co-production is a solution-oriented approach to analysing real-life problems such as making the right decision in a given scenario. The most popular examples come from evidence-based policymaking contexts. Political decisions made in this way rely on specialist expertise co-produced in organisations that can be characterised as Hybrid Fora. However, despite the rise in popularity of Hybrid Fora and evidence-based policymaking processes, there are only a few studies that analyse the influencing factors of knowledge co-production in these contexts. The case study presented here addresses this new area of research through a documentary analysis and 11 expert interviews, both analysed via qualitative content analysis. First, the study reconstructs how knowledge is produced within an Expert Group of the European Commission. Second, it reflects how the produced knowledge is de facto included as “evidence” into the decision-making processes of the relevant policy area. The results of this study show that in this expert group, pragmatic and extra-scientific criteria such as specific stakes and interests as well as the group hierarchy controlled the process of knowledge co-production. Moreover, it also seems that knowledge produced by the interaction of experts within the examined Expert Group has a more symbolic, policy-orientated function, rather than being specifically used as decision-making evidence.


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