Decision-making framework for nursing

  • A framework is an abstract, logical structure of meaning that guides the development of the study and enables you to link the findings to the body of knowledge in nursing.
    Frameworks are used in quantitative research and sometimes in qualitative research.
  • So Nurse Alma will consider all of her options and the evidence available to her to make the best decision for her team.
    Now, when decision-making, a model that you can use to guide your process is the DECIDE model, which stands for: Define, Establish, Consider, Identify, Develop, and Evaluate.
  • The results show that the nurses' decisions on measures were based on three themes: observation of cues related to the patient's situation, confirmation of information gathered and implementation of action strategies.
Nursing practice is further defined through competencies and practice standards for enrolled nurses, registered nurses, and nurse practitioners. The national 
The NMBA Decision-making framework for nurses and midwives (the DMF) is an evidence-based contemporary document that is to be used in conjunction with standards 

Determine The Nature and Dimensions of The Dilemma.

To accomplish this task, analyze the dilemma in terms of ethical principles.
Determine which principles apply and which have priority in this case.
For instance, a patient with a history of chronic pain is asking for an early refill of his narcotic prescription.
Granting the prescription might meet the principle of beneficence in the short term by .

,

Evaluate The Selected Course of Action.

Once you have chosen a course of action, test it to determine if it truly is the best option.
The three “tests” are justice, publicity, and universality:.
1) To apply the test of justice, consider your own sense of fairness and whether you would treat others the same in the situation.
2) To apply the test for publicity, ask if you would want your be.

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Generate Potential Courses of Action.

This is the time for brainstorming ideas for actions to take.
Write the ideas down without taking time to consider whether they are viable.
Having another colleague help you with this step is a good idea.

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How complex is nurse decision-making based on patient acuity?

The complexity of decision-making for nurses continues to increase with increases in patient acuity and technological advances ( Simmons, Lanuza, Fonteyn, Hicks, & Holm, 2003 ).
In addition, nurse decision-making can vary significantly based on nurse practice setting ( Tummers, van Merode, & Landeweerd, 2002 ).


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