Elements of Clinical Decision Making
Gathering of subjective and objective data about the patient's health status.
What is Assessment (Data collection)?
She emphasized cleanliness, sanitation, and training for nurses during the Crimean War. Know as the founder of Modern Nursing.
Who is Florence Nightingale?
Critical review of the decision-making process and outcomes to identify strengths, weaknesses, and areas for improvement.
What is Reflection and Learning?
She was a nurse and an abolitionist. She was active in the underground railroad movement before joining the Union Army during the Civil War.
Who is Harriet Tubman?
A methodical approach to identifying and managing patient problems by defining the issue, exploring alternatives, implementing solutions, and evaluating results.
What is Problem Solving?
Interpretation and analysis of data to recognize health problems, risks, or strengths.
What is diagnosis/problem identification?
She established the Red Cross in the United States in 1881. Know as the "Angel of the Battlefield."
Who is Clara Barton?
Clinical expertise, evidence-based knowledge, patient values/preferences, and contextual factors (resources, environment, policies).
What are supporting factors?
A Jamaican nurse and pioneer who established a facility to provide medical attention, food, and shelter to sick and wounded soldiers during the Crimean War despite facing facial barriers.
Who is Mary Seacole?
**Double Jeopardy**
A systematic framework for decision making consisting of five steps: assessment, diagnosis, planning, implementation, and evaluation.
What is the Nursing Process?
**Double Jeopardy**
Development of evidence-based goals and strategies to address identified problems.
What is planning?
She served as superintendent of the Female Nurses of the Army during the Civil War. Also a pioneering crusader for the reform of the treatment of the mentally ill.
Who is Dorothea Dix?
A disciplined, purposeful, and self-directed process that guides nurses to make reasoned judgements based on evidence and reasoning rather than assumptions.
What is Critical Thinking?
Author of the first manual of drugs for nurses "Materia Medica"; helped form what is now the ANA (American Nursing Association).
Who is Lavinia Dock?
An understanding or insight that comes from a nurse's experience and pattern recognition; often described as a "gut feeling" informed by prior clinical exposure.
What is Intuition?
Execution of the planned actions or treatments.
What is implementation?
She founded public health nursing.
Who is Lillian Wald?
The cognitive process used to analyze data and make decisions about patient care. It links critical thinking with patient-specific clinical information.
What is Clinical Reasoning?
Leader in nursing education; organized the nursing school at Johns Hopkins Hospital.
Who is Isabel Hampton Robb?
Integrating the best current research evidence with clinical expertise and patient values to make clinical decisions.
What is Evidence-Based Practice (EBP)?
Assessment of the patient's response to interventions and outcomes; determining if goals are met or require modification.
What is Evaluation?
Graduated from the New England Hospital for Women and Children in 1879 as America's first Black nurse.
Who is Mary Elizabeth Mahoney?
The conclusion or decision reached as a result of critical thinking and clinical reasoning. It represents the nurse's interpretation of patient needs and the determination of appropriate actions.
What is Clinical Judgement?
**Double Jeopardy**
She is a part of a team responsible for fostering the growth of nursing students at NWSCC. She leads by example by continuing her education and encouraging her RN/LPN students to continue to learn (even when it gets tough).
Who is Mrs. Cindy Tice?
The active process of reviewing one's actions and decisions to improve future practice and deepen understaing.
What is Reflection?