Thinking Processes Used by Nurses in Clinical Decision Making

2002 ◽  
Vol 41 (4) ◽  
pp. 145-153 ◽  
Author(s):  
Kathryn A Smith Higuchi ◽  
Janet G Donald
Diagnosis ◽  
2014 ◽  
Vol 1 (1) ◽  
pp. 99-102 ◽  
Author(s):  
David Allan Watters ◽  
Spencer Wynyard Beasley ◽  
Wendy Crebbin

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.


2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann

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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