scholarly journals Margaret Archer, Modes of Reflexivity: The structured agency of nursing action.

2017 ◽  
Author(s):  
Benny Goodman
Keyword(s):  
Social Sciences ◽  
Decision Making ◽  
Social Structure ◽  
Clinical Decision Making ◽  
Theoretical Work ◽  
Clinical Decision ◽  
Structure And Agency ◽  
Course Of Action ◽  
Starting Point ◽  
The Social

Margaret Archer was a professor of sociology at Warwick University for 30 years. Her theoretical work is devoted to an important problem in the social sciences: the problem of structure and agency. To what degree are we free agents in deciding a course of action? To what degree does the social structure constrain or enable action? This is a key question to consider when we try to understand why nurses do or do not act to uphold standards in certain contexts. If we wish to understand the limits of agency or the effects of structure upon clinical decision making, Archer’s ‘modes of reflexivity’ could be a very useful starting point. Stenhouse et al (2016) in a recent paper on the ‘compassion deficit’, illustrate the relevance of the discussion.

Bringing social structure back into clinical decision making

1991 ◽  
Vol 32 (8) ◽  
pp. 853-866 ◽  
Author(s):  
Jack A. Clark ◽  
Deborah A. Potter ◽  
John B. McKinlay
Keyword(s):  
Decision Making ◽  
Social Structure ◽  
Clinical Decision Making ◽  
Clinical Decision

Dental Case, a serious game to support decision making in the dental clinic: A case study (Preprint)

2021 ◽  
Author(s):  
Camila Huanca ◽  
Deise Garrido ◽  
Mario Meireles ◽  
Paola Trindade ◽  
Ana Emilia Oliveira ◽  
...  
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Mobile App ◽  
Point Of View ◽  
Serious Game ◽  
Dental Clinic ◽  
Conceptual Approach ◽  
The Social

BACKGROUND Games are present in society, representing the most diverse activities. A brief conceptual approach to gaming is necessary to the broadening of its understanding within the social and educational context. With the use of digital games in education, known as serious game, the education of dentistry students and dentists may include new complementary approaches. OBJECTIVE To report the project and the development criteria of a serious game in clinical decision-making cases, in the sphere of Dentistry, as a complementary teaching tool. METHODS Case study of the development of the content and narrative of a serious game decision-making process in the dental clinic. In Dental Case, players assume the role of a dentist in consultation, whose mission goes through the stages of Medical history, clinical examination, complementary examination, diagnosis, and treatment. The situations presented in the game were designed to be similar to situations of decision making in the dental clinic in the context of primary health care. The content developed was reviewed and validated by specialists, both from a technical and pedagogical point of view, to be later inserted into the game software by the IT team. RESULTS We developed Dental Case, a serious game with a set of clinical cases for professionals and Dentistry students to support teaching in decision making at different stages of the clinic. The game is available for free on the web and in the Play Store and Apple Store mobile app stores. CONCLUSIONS New complementary pedagogical approaches in the field of Dentistry are necessary. The resources provided by Dental Case are presented as a potential tool in educational technologies aimed at Dentistry and may contribute to expanding the scale and scope of educational activities. Subsequent to this, learning effectiveness tests will be carried out.

scholarly journals Free Will, Determinism and the “Problem” of Structure and Agency in the Social Sciences

2018 ◽  
Vol 49 (1) ◽  
pp. 3-30 ◽  
Author(s):  
Nigel Pleasants
Keyword(s):  
Social Sciences ◽  
Social Structure ◽  
Free Will ◽  
Philosophical Problem ◽  
Individual Agency ◽  
Structure And Agency ◽  
The Social ◽  
The Holocaust

The so-called “problem” of structure and agency is clearly related to the philosophical problem of free will and determinism, yet the central philosophical issues are not well understood by theorists of structure and agency in the social sciences. In this article I draw a map of the available stances on the metaphysics of free will and determinism. With the aid of this map the problem of structure and agency will be seen to dissolve. The problem of structure and agency is sustained by a failure to distinguish between metaphysical and empirical senses of the relation between social structure and individual agency. The ramifications of this distinction are illustrated via a case study of competing explanations of perpetrator behavior in Christopher Browning’s and Daniel Goldhagen’s studies of the German Order Police in the Holocaust.

scholarly journals Nurses' barriers when using research information in clinical decision making

2018 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Safaa Mohamed ◽  
Mona Thabet
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Research Utilization ◽  
Clinical Decision ◽  
Complex Nature ◽  
University Hospitals ◽  
Research Information ◽  
Starting Point ◽  
Apply Research ◽  
Cooperative Process

Recently, there has been more emphasis on clinical decision making to be a cooperative process, which encompasses shared and parallel decision making with patients and health care teams. For this, nurses’ clinical decision-making is a complicated process with a possibility to affect the provided quality of care and. Therefore, affect patient condition progress. Thus, it is the critical point to study the nurses' barriers to research to identify the starting point of how do nurses currently view, and apply research based information in their decision. The aim of the study is to evaluate the nurses' barriers when using research information in clinical decision making. A descriptive correlation research design was utilized. The sample was consisted of of 140 nurse participants at Minia University hospitals. One tool was used as Barriers to using research information in clinical decision making. This study revealed that the nurse participants agree on the research barriers such as lack of time, lack of organization support to use and implement insufficient nurse skills to use research, and complex nature of research. Thus it was concluded that nurses appraise the value of research utilization, but there were many factors hinder and become the barrier to them to implement research.

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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