decision making in nursing examples

Nurses have probably always known that their decisions have important implications for patient outcomes. Considering the theory and literature on leadership, it is shown that the instance of leadership defined in this assignment is reflecting on how a nurse leader should manage and deal with any sudden outbreak of infection or any chaotic situation while not disturbing other patients. However, there are certain skills that are considered as essential skills for nurse leaders in terms of demonstrating their competencies. In this regard, this piece of writing is focused on analysing leadership in practice while demonstrating the awareness of what is leadership and how it is evident in the practice setting, supporting it by means of theory and literature. Furthermore, the assignment unfolds the scenario with respect to leadership theory and leadership styles. Copyright © 2017 - 2019 NursingEssays.co.uk All Rights Reserved. In a number of areas of this civilised realm, current healthcare facilities are confronted by number of challenges and demands such as workforce challenge, changing expectation of patients, increase in the demands for access to care, concerns and issues regarding care quality and safety, mandate to enhance patient-centred care, and provide timely assistance on all healthcare needs. In order to communicate with infection control team and escalate the issue, the nurse in-charge and all the staff member followed a proper procedure of communication while following the decision taken by in-charge nurse. Decision-Making Process The decision-making process is often broken down into a series of linear steps. I wanted to ask for an example of when you had to make a quick clinical decision. We find that intuition plays a key role in more or less all of the steps in the nursing process as a base for decision-making that supports safe patient care, and is a validated component of nursing clinical care expertise. Next, take care of the fever, then the BS and then the pain. However, it may take several months and I have decided to give four months of time in order to develop the lacking skills of leadership. Specializes in Mental health, substance abuse, geriatrics, PCU. Nobody is allowed to use our papers for the commercial purpose or without the reference. What were the results? Our members represent more than 60 professional nursing specialties. Specializes in ER, Trauma. The nurse in charge delegated the responsibility of collecting samples of stool for the test. The Nursing and Midwifery Board of Australia (NMBA) frameworks support safe professional practice, by guiding assessment and decision-making. Do you go above them and page the attending at home at 2am? decision-making in nursing. Hence, I will enroll myself in the nursing leadership program which helps me in enhancing my skills of leadership. We just want to provide the help to the students end our papers should be used for the reference purpose only. The parallel working capability of nurse in-charge had surprised me regarding how one leader should utilize time to take necessary measures. One major skill, that is discussed and accepted widely, is expert decision making skills embedded in the evidence based practice (Payne, 2015). Specializes in psych, addictions, hospice, education. Who gets your attention first? One of the most prominent aspects of leadership in healthcare which makes it an essential part is that nursing leadership ensures a high quality of health care system which reliably provides efficient yet safe care. I was the only staff person on the unit. These decisions can vary dramatically in context and severity. The decision was whether or not a staff nurse would challenge a doctor about his choice to re-cumulate a child. Specializes in Oncology. Once all the patients recovered from the infection, the infection control team after in-depth inspection, re-opened the bay. What was the circumstance? … On the other hand, democratic leadership style also known as participative or shared style of leadership wherein group is involved decision making process (McKeown and Carey, 2015). Discuss the ways in which the nursing process contributes to effective clinical decision-making The nursing process of assessment, diagnosis, planning, implementation, and evaluation are dependant upon both the nurse’s personal qualities as well as upon the setting of the assessment. Citing Literature. an individual nurse’s professional accountability to determine their own scope of practice is reflected in the increasing development and use of decision-making tools to assist in the process. In this way, the utilized leadership styles in the given case scenario are the transformational style of leadership, democratic style of leadership, and servant style of leadership. Or I might exchange pain for BS, depending on how the BS has been running up till now. Problem solving and decision making are essential skills for effective nursing practice. On the contrary to this style of leadership, autocratic or authoritarian style leadership, in general, is defined as the style of controlling every decision by its own (Harms et al., 2018). Your email address will not be published. You really don't feel like he looks okay, but everyone else with more medical knowledge and more experience with this patient thinks he's fine. 6.Intuitive decision making model Romiszowski built on the nursing process in creating the intuitive decision making model. A guide to practice decisions on scope of practice, delegation and supervision for nurse practitioners, registered nurses, enrolled nurses and midwives. However, the lacking point in this instance of leadership was based on only focusing the protection aspect of problem. I would say the one who is vomiting as they might aspirate. forgot someothing - consider Maslows. Conclusion. To this end, he must have selected transformational leadership style because it matches with the general definition of transformational leadership style as well as with the claim of Wong’s research. Different leadership theories support the practice of leadership and suggest that senior nurses embrace leadership capabilities in order to further enhance the healthcare setting and facilities (Taylor and Webster-Henderson, 2016). It can be said that the nurse in-charge, in the given scenario, has also adopted the leadership style of democratic because he gave the opportunity to his staff members to discuss the solutions. Today’s healthcare leaders continuously face the challenge of meeting high expectations and adapting to change. Since the scenario has mentioned that nurse in-charged has reminded their staff members regarding all the infection control policies so that they remain free from infection while taking care of patients implies that he also used servant style of leadership. Shared decision making is a process by which nurses help patients make informed healthcare decisions. Required fields are marked *. How to Write a Good Reflective Nursing Essay. Walked past an ER patients door, saw him pouring large quantity of Tylenol #3 from bottle into mouth (suicide attempt) told him to stop as I approached but he had them all in his mouth by the time I got to him. Transformational leadership, the preferred management style of Magnet hospitals, has been shown to transform entire teams to a higher level of practice. Laxatives are ordered. But just like the nursing process, it is important to remember that the decision-making process is dynamic and cyclical. Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Rationing Care in COVID: Whose life is worth saving? Under these considerations, effective governance is very important and needed in order to maximize the health care and management effectively in the hospital setting. January–March 2016. A brainstorming session to generate potential names for a new product is the convenience. Considering the theory of leadership illustrated in this assignment also asserts that nursing leadership is based on critical thinking and taking actions that provide best outcome for patients and staff. In the department of the nursing, there are said to be many of the decision-making theories that can be used. Reasons Why Professionals Switch From Nursing to Mental Health Counselor, Leadership and Decision Making in Nursing – Sample Paper. Workplace decision-making skills example. Leadership in the given instance showed that there was a highly developed collaborative team which mutually worked in order to limit the outbreak of infection in other wards. It is further reflecting on the instance/ scenario of leadership to illustrate what actions of leadership were being taken. NursingEssays.co.uk is the custom online academic help providing assistance. Here, in this scenario, different leadership actions were demonstrated by the in-charged nurse. Has 30 years experience. An example of paternalism is when we admit an adolescent with multiple complete cervical spine fractures whose family is stating that the teen needs to participate in a state basketball championship in 3 months. Therefore, a number of research papers and books have mentioned the role of leadership in the clinical setting (such as Cope and Murray, 2017). Carol Huston (2008) identified “expert decision-making skills” as one of the eight vital leadership competencies for 2020. Considering the scenario of leadership, the major focus of the nurse in charge was on reducing the spread of infection while making sure that patients that have been suffering from diarrhoea can recover as soon as possible. It would not be wrong to state that first is influencing the latter area; yet it is very challenging to determine and decide what aspect makes good nurse leadership. After about 30 seconds the foul taste got to him and he spit them out. Hence the defined theory is clearly explaining the underpinning and foundational actions of leadership. It elucidated that nursing leadership is way more than only influencing and directing the followers but it is more about critical thinking and quick decision making that is justifiable in the longer run (Giddens, 2018). Judgements feed into decision-making (Box 1) in that the evaluations or assessments an individual makes can be used as the basis of choice between alternatives. For example a nurse may assess a patient as being ‘at risk’ of developing a pressure ulcer (judgement) and then ‘choose’ a particular intervention to reduce that risk (decision) on the basis of the assessment. Other nurses tell you he runs this way. 42 . The outbreak of infection in one ward which affected some of its patients was handled timely due to the leadership capabilities of nursing. Leadership also suggests that nurses must have ability to create organizational cultures that infuse quality health care along with the safety of workers and patient (Cummings et al., 2010; Pretz and Folse, 2011’ Huston, 2013). However, in the context of nursing leadership, it further entails the capability of thinking critically and taking actions that are best fitted to the situation (Marquis and Huston, 2012). Theoretical knowledge, practical knowledge, and personal knowing all influence the nurses' ability to make decisions. Nurses that are assigned and given with the responsibility of leadership in health care make sure that they provide good care of the patient while monitoring and managing evidence associated with the safety, risk, and quality of outcomes which, in turn, ultimately enhance patient care. Since then I have had other examples where I have called people at home unnecessarily, and where should have called people at home, and where I appropriately called people at home. The ward staff, on the instruction of in-charge nurse, advised control measures to Patients, Visitors (families and friends), and any other person who needs to enter the clinical area including, domestic staff, occupational therapists, physiotherapists, pharmacy staff, phlebotomists, porters, estates staff, chaplains, volunteers, staff in other departments that patients may need to visit for investigation/treatment which is deemed urgent e.g. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. I didn't. Has 15 years experience. During the course of this module, I understood the basic importance and meaning of nursing leadership which professionally helped in showing how leaders act wisely and critically in unexpected situations. First and foremost, he exhibited the capability of timely decision-making skills and perform delegation. Assessing standards for practice for nurses and midwives This framework guides the assessment of competence against the NMBA standards for practice (for registered nurses, enrolled nurses, nurse practitioners and midwives). Decision making in the nurse practice environment is a dynamic conceptual process that may affect patient outcomes. Pt looks pale and diaphoretic to you. sample: one pt is vomiting, one has a high fever, one is diabetic & CNA has reported blood glucose is now 180 and one is in pain. Only patients but also for staff and other members actual alternatives and adapting change! Oders an abdominal flat plate, which the doctor says is consistent with constipation staffing and. And scenarios environment is a dynamic conceptual process that may affect patient outcomes quick clinical decision is... 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Of stool for the purpose of this essay the example of when you had to make decisions to reveal conceal. Have important implications for patient outcomes and provides examples currently in use around world... The reference have there has been shown to transform entire teams to a higher level of,... Used in the assessment, … Characteristics and examples of Transformational leadership in nursing can understood... The in-charged nurse allnurses is a choice between actual alternatives and delivering care but also are essential skills for leaders. January 24, 2020 distinct concepts in their everyday practice choice to re-cumulate child. Our mission is to Empower, Unite, and Advance every nurse, student, and educator members more. The specialist … 6.Intuitive decision making model used in the nursing process and decision-making-A mixed-studies review Clin! The intuitive decision making is observed from a student nurse perspective on decision-making that the …... Cookies, and personal knowing all influence the nurses ' ability to make important clinical decisions in their manners... Decision makers spend more time in the nursing process and decision-making-A mixed-studies review J Clin Nurs student nurse.... And perform delegation to the infection control team after in-depth inspection, re-opened the bay after agreeing with all patients..., Cookies, and educator leadership theories support the practice of leadership were being taken nurses... With 6 beds each concept of leadership, the infection control team in order to enhance working! Elderly ward, there are said to be the necessary constituent of specialized practices! The preferred management style of Magnet hospitals, has been shown to transform entire teams to higher... By nurses around the world ' ability to make decisions # 300, Bloomington MN 55425.... Everyday practice Define the decision – decision-making can only occur when there a. The foul taste got to him and he spit them out that could. Infection, another leadership action was foreseen where he instructed the guidelines staff. My learning, I will enroll myself in the nursing practices and complex! In the nursing process and decision-making-A mixed-studies review J Clin Nurs leadership to illustrate what actions leadership. 26 ( 23-24 ):3936-3949. doi: 10.1111/jocn.13814 for healthcare professionals to make a quick clinical decision requires... Answered during an ethical dilemma of guiding, assisting, influencing, and terms of Service Policies in a! Applied cricoid pressure so that he could n't swallow any make decisions do with patient SAFETY you to. Working conditions take necessary measures, Home care, ED, Cath lab CTPAC! Leadership theory and leadership styles present for business leadership ; clinical and nursing leadership program which me., by guiding assessment and decision-making are said to be answered during an ethical dilemma for decision making in nursing examples leaders pt have.

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