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Carnaveli’s Decision Making Model
Pages 12 (3012 words)
Doris Carnevali’s model of clinical judgment and decision making postulates that an integration of critical thinking is important for effective diagnostic reasoning (Carnevali, 2003, p. 45).
The effectiveness of a nurse’s role is achieved through the assessment of the social, physical, mental, and spiritual and health factors which define the needs of the patient. This paper is based on a clinical case study where the roles of nurses in assessment of the patient and related factors and decision making and practice are discussed. The discussion is based on Carnevali’s model of clinical judgment and decision making which evaluated in terms of its effectiveness and impact on the execution of nursing roles in patient assessment and decision making. The assessment of Jack’s physical, social, mental, spiritual and health care needs will be based on an integration of critical thinking and observation. Wolf (2012, p. 20) explains that the ability of a nurse to identify the needs of the patient during the assessment process is effectively achieved through keen observation and application of higher cognitive processes of thought. Kearney and Penque (2012, p. 32) adds that the legal and ethical standards of nursing and evidence based practice should also be included in trying to identify the needs of the patient. In Jack’s case, his symptoms are used to assess his health care needs. ...
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