StudentShare solutions
Triangle menu

Clinical Decision Making - Essay Example

Nobody downloaded yet
Fever frequently affects patients with haematological malignancies such as leukaemias, either as a part of the disease process itself or because of the chemotherapeutic drugs used in the treatment. To diagnose the cause, blood culture is mostly required for identification of causative bacteria or fungus. A nurse caring for a patient with acute leukaemia is many a time confronted with the clinical scenarios where he or she is required to make clinical decision to take blood culture from a febrile patient. The nurse may herself make the decision to obtain a blood sample for culture on suspicion of an infection or may act on the orders of a physician. In an autonomous decision, the complexity and the nature of the decision task affect the approach taken towards problem solving (Thompson, Kirkness & Mitchell 2007). The decision taken by the nurse can be analysed for the application of evidence based medicine in routine clinical situations. Analysis and clinical reasoning of the decision Decision analysis allows to share a decision with seniors and colleagues and to evaluate its advantages and disadvantages (Bucknall 2003). Nurse uses the domains of prior knowledge about the patient and his circumstances, ethical knowledge and specific knowledge. This knowledge is accessed and applied by the means of pattern recognition and heuristics (Bohinc & Gradisar 2003). First of all, the component of problem recognition requires the nurse to identify the ‘cues’ or clinical symptoms such as fever in this case. The recall of these cues leads to formulation of a hypothesis of a problem (Jenks 1993). Once the problem has been recognised, the decision maker proceeds on to the next step of assessment in which the data is gathered, assimilated and analysed (Klein 2005). The nurse records the temperature, maintains a temperature chart and records associated symptoms such as chills, sweating, cough and pattern of fever etc. as a part of data collection. To be able to form a judgement, it is imperative to evaluate and make a choice (Higgs et al 2008; Connolly, Arkes & Hammond 2000). The nurse evaluates the data and infers about what should be done (Thompson & Dowding 2004). The judgement can be of a bacteremia as the cause of fever. To make an operational decision, in the scenario of management of a febrile patient with acute leukaemia, the nurse compares the requirement of a blood sample for blood culture with the alternative of not taking a sample using a clinical decision analysis. To be able to reach a decision, nurse has to explore and compare the advantages and disadvantages of this diagnostic tool in this patient (Standing 2009). Decision making is the process whereby knowledge is converted into action. The more accurate the knowledge, the more relevant and accurate a decision is likely to be (Randall et al 2009). This impacts the clinical practice of the nurse. The knowledge base about the complex associations between infections, signs and symptoms of infection such as fever, scenario of an immunocompromised and/or neutropenic patient, is acquired as a part of nursing training, with the experience of dealing with such patients and the usual protocols and guidelines followed in a setup. Clinical reasoning in this case, is most likely a combination of knowledge base, experience and intuition (Tanner et al, 1987). Also, if the nurse’s actions are analysed using a rational model, the objective of the decision is to find out whether ...Show more
Cite this document
  • APA
  • MLA
(“Clinical Decision Making Essay Example | Topics and Well Written Essays - 1500 words”, n.d.)
Retrieved from
(Clinical Decision Making Essay Example | Topics and Well Written Essays - 1500 Words)
“Clinical Decision Making Essay Example | Topics and Well Written Essays - 1500 Words”, n.d.
  • Cited: 0 times


Name of the of the Professor Nursing 3 June, 2012 Clinical decision making Introduction: Decision to take blood culture from patient with acute leukaemia In a hypothetical case scenario, a nurse encounters a patient of acute leukaemia with fever…
Clinical Decision Making
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the essay on your topic
"Clinical Decision Making"
with a personal 20% discount.
Grab the best paper

Check these samples - they also fit your topic

Clinical Decision-making in complex care i.e Identify a clinicaL decision that you have been involved in
He also felt that it was time to decide on stopping her support systems and symptomatic treatment for palliative sedation and thereby raise the quality of her remaining life and allow her to go smoothly and comfortably. The decision was to be made by the family as the patient was slipping into unconsciousness.
6 pages (1500 words) Essay
Clinical Epidemiology and Decision Making Case Study
One such health problem is Mold which is a special type of fungus. Although molds are present in the environment as microscopic cells, they need moisture to grow which essentially means that these organisms thrive in the presence of excess moisture at the onset of a flood.
5 pages (1250 words) Essay
Clinical Judgement and Decision Making
The ultimate aim of this context is to examine the aspect of clinical judgment and decision-making. This is done by identifying a clinical judgment and decision-making in a clinical environment. It also examines a theoretical framework and associated concepts that has been studied and that is considered relevant in judgment and decision-making.
10 pages (2500 words) Essay
Clinical Decision Making
They usually have to take into account the fact that the patient may have extra symptoms of distress that are less obvious or whose identity can only be revealed by more sophisticated medical equipment. In such cases, the paramedics have to use deeper reflection to consider all the possibilities (Pelaccia, Tardif, Triby and Charlin 2011).
4 pages (1000 words) Essay
This is considered critical because it is through this assessment that a medical professional can ascertain the historical details of a patient, crucial for determining subsequent way of treatment and progress of the a patient. Arnold (2006, pg. 502) further elaborates that proper assessment of a patient, therefore, requires an examination of the state of the art.
4 pages (1000 words) Essay
Chronic diseases account for nearly 35 million people worldwide. This number has mainly been aggravated by a number of reasons that have consequently affected the provision of health care services, especially in pre-hospital settings. To begin with, the World health Organization (WHO) presents that chronic health conditions have become rather difficult to handle due to a wide societal perception that low and middle income earners within the society tend to lay more emphasis on controlling infectious diseases prior to tackling chronic diseases (Dalal 2011, pg.
6 pages (1500 words) Essay
Clinical Decision Making - Mass Casualty Incidents and Disasters
In the event of an earthquake in Papua Guinea’s capital Party Moresby, a declaration of a state of disaster would be deemed fit taking into consideration of a wide range of health issues and the possible mass casualty incidents that would subsequently call for making of critical clinical decisions to avert the problem.
5 pages (1250 words) Essay
Clinical Decision Making
Joan John who is Tobias’ wife of 50 years meets Dr. Smith at the hospital’s gate and frantically tries to explain the condition of his husband. She explains that her husband’s condition worsened and she was forced to call the ambulance to rush him to the hospital.
4 pages (1000 words) Essay
Making decession
95). Pattern recognition is another decision making strategy most commonly used by experienced nurses and focuses on assessing patient specific elements from a multidimensional approach (Banning, 2008). In order to discuss the clinical decision making
2 pages (500 words) Essay
Clinical decision making (not to take blood cultures from a febrile patient)
Fever frequently affects patients with haematological malignancies such as leukaemias, either as a part of the disease process
6 pages (1500 words) Essay
Comments (0)
Click to create a comment
Let us find you another Essay on topic Clinical Decision Making for FREE!
Contact us:
Contact Us Now
FREE Mobile Apps:
  • About StudentShare
  • Testimonials
  • FAQ
  • Blog
  • Free Essays
  • New Essays
  • Essays
  • The Newest Essay Topics
  • Index samples by all dates
Join us:
Contact Us