Decisions are made through a process of information gathering, synthesizing and then validating that information so that it becomes intelligence to be applied to action. Unfortunately, this process is much easier to entertain from behind a desk than in clinical practice. Nurses,…
The more experienced nurse has internal decision making resources provided by past experiences and a better ability to recognize patterns based on those experiences. Additionally, the experienced nurse may not experience the emotional barriers arising from fear of making the wrong decision. Fear prevents creative and clear problem solving abilities.
One way to hasten the pattern recognition skills that are critical in the clinical decision making process of a novice nurse is to create rules that provide a process of intervention through modeling the situation and potential actions that are best suited to accurately resolve health problems. This modeling is based upon a hypothesis and then a listing of rules that lead to a sequence of decisions to be made accordingly. The model and rules naturally also promote the novice nurse to anticipate potential corollary problems and prepare by mentally exploring solutions—proactively avoiding or at least mitigating problems. The best nurse is not the one who is good at ACLS, but rather the nurse who never has had a patient code in the first place.
The perfect ability for computerized information management to use a set of rules to determine errors or inappropriate events makes many of our everyday tasks simpler. For example, if you are entering a medication order for levothyroxine 125mg the computer refers to a set of rules that when translated into English says something like this, “if someone enters an order called levothyroxine 0.125mg or 0.250mg then write this into another box called a MAR. If someone enters an order called levothyroxine anything other than 0.125mg or 0.250mg then create an error message saying that this dosage is not acceptable.” By using this rule the nurse can be alerted to a risk for a poor decision and avoid serious problems that can occur when stressed or not entirely focused on the task at hand. ...
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(Data Rules Summary Essay Example | Topics and Well Written Essays - 250 Words - 1)
“Data Rules Summary Essay Example | Topics and Well Written Essays - 250 Words - 1”, n.d. https://studentshare.net/nursing/444119-data-rules-summary.
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Unfortunately, this process is much easier to entertain from behind a desk than in clinical practice. Nurses, especially novice nurses, often rely upon what they remember from nursing school or the protocols that can be read prior to an intervention. Indecision that arises from critical situations can be compounded by lack of experience, the unavailability of a protocol for reference, an immediacy of need, insecurity, and simply emotional stress and pressure of the moment.
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