Nursing Process Clinical Decision Making
Definition of Clinical Decision Making

Clinical decision-making is defined in the work of Higuchi and Donald (2002) entitled "Thinking Processes Used by Nurses in Clinical Decision Making" to be "a problem-solving activity that focuses on defining patient problems and selecting appropriate treatment interventions." (p.145) Clinical decision marking is stated to be that which "forms the basis of expert clinical practice." (Higuchi and Donald, 2002, p.145) The nurse works in clinical practice settings as a member of a health care team and this requires that the nurse communicate decisions to other team members "to ensure the continuity and coordination of patient care." (Higuchi and Donald, 2002, p.145) The nurse is further required to document clinical decisions in the patient's charts and plans for care. Clinical decision-making, according to Higuchi and Donald has been "studied using the theoretical perspectives of decision theory and information processing. Higuchi and Donald state…...

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References

Critical Thinking, Ethical Decision Making and the Nursing Process. Chapter 3, Retrieved from:  http://www.scribd.com/doc/25823599/MS-CH03-Critical-Thinking-Ethical-Decision-Making-And-the-Nursing-Process 

Higuchi, Kathryn A. Smith and Donald, Janet G. (nd) Thinking Processes Used by Nurses in Clinical Decision Making. Journal of Nursing Education. Retrieved from:  http://www.journalofnursingeducation.com/showFree.asp?thing=35421 

Potter, Patricia, et al. (2004) Mapping the Nursing Process: A New Approach for Understanding the Work of Nursing. Journal of Nursing Administration. Lippincott Nursing Center. February 2004. Vol. 34, No.2. Retrieved from:  http://www.nursingcenter.com/library/JournalArticle.asp?Article_ID=483336 

Saver, Cynthia (2009) Novice to Expert: Through the Stages to Success in Nursing. 2 Dec 2009. Retrieved from: http://www.clsdevelopment.com/images/Novice_to_Expert_CE556.pdf

Nursing Process: Assessment, Diagnosis, Planning, Implementation, And Evaluation of Malignant Melanoma
The assessment, diagnosis, planning, implementation and evaluation of malignant melanoma

In the United States, skin cancer is the most common type of malignancy, and out of five Americans, one often risks developing a certain type of skin cancer in the course of their lives. Due to its high tendency to spread from one organ to another and to various parts of the body, malignant melanoma is recognized as the most lethal and deadly type of skin cancer. It may develop roots in deeper layers of the skin, which are the ones that spread to various parts of the body. According to the American Nurses Association, ANA (2015), and the Modesto Junior College, MJC (2012), the ADPIE nursing process involves an assessment, diagnosis, planning, implementation, and evaluation of the patients' condition. This process enables the nurses to apply patient focused care and…...

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References

American Nurses Association (2015). The Nursing Process. Nursing World. Retrieved 11 March 2015 from  http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/Thenursingprocess.html 

Buchan, J. & Roberts, D. (2000). Pocket Guide to Malignant Melanoma. Maiden, MA: Blackwell Science, Inc.

Modesto Junior College (2012). The Nursing Process. The Modesto Junior College Library Retrieved 11 March 2015 from  http://www.mjc.edu/instruction/alliedhealth/adnprogram/nursingprocessoverview.pdf

Nursing Process Improvement and Change
Change management or process improvement in healthcare guarantees that the vital systems in the healthcare organizations are functioning at their optimal. The objectives of healthcare procedure enhancement are to promote the effectiveness of the systems across units while capitalizing on profits and in due course improving quality of patient's care and experience. Clinical procedure improvement does not only concentrate on patient care, but also evaluates the whole procedure from planning through patient's discharge. Process improvement entails underlining the systems selected for enhancement effort, categorizing problems in the system, starting a redesign procedure that eradicates the problems and radically enhances the system's performance (Strople & Ottani, 2006). The Critical Care Unit charge nurse reporting is crucial and determines the efficiency and quality of care provision.

The charge nurse in Critical Care Unit is a need to employ clinical expertise and managerial skills to enhance efficiency in the delicate…...

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References

Aspden, P. (2007). Preventing medication errors. London: National Academies Press

Georgieva, K ., & Stoykova. (2011).Developing a training program modules for general technical disciplines in the application of E-technologies', Trakia Journal of Sciences, 9 (4), 5-8.

Kavaler, F.(2012). Risk management in health care institutions. London: Jones & Bartlett

Publishers.

Ida Jean Orlando 1926- Theory of the Nursing Process Discipline
The Deliberative Nursing Process Theory was developed by Ida Jean Orlando and consists of the five stages of assessment, diagnosis, planning, implementation, and evaluation. The domain main concepts are: nursing, the process of care in an immediate experience, the goal of nursing, health, sense of environment, human being, nursing client, nursing problem, nursing process, nurse, nursing therapeutics, indirect function, nursing therapeutics, and automatic activities (thoughts, feelings, actions). Orlando believed that the goal of nursing was to respond to individuals who were experiencing a sense of helplessness. She believed the nursing process of care occurred to address immediate patient needs. Orlando described the nursing process as consisting of the interaction of the behavior of the patient and the reaction of the nurse. An assumption of Orlando's theory is that the nurse cannot know that his or her approach is correct or helpful…...

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References

Alligood, M. R., (2014). Nursing theorists and their work. Maryland Heights, Mo: Mosby/Elsevier.

Bramley, L., & Matiti, M. (2014). How does it really feel to be in my shoes? Patients' experiences of compassion within nursing care and their perceptions of developing compassionate nurses. Journal of clinical nursing, 23(19-20), 2790-2799.

College of Registered Nurses of British Colombia. (2012). Boundaries in the Nurse-Client Relationship. Retrieved May 29, 2017, from  https://www.crnbc.ca/Standards/PracticeStandards/Pages/boundaries.aspx 

Smith, M. C., & Parker, M. E. (2015). Nursing theories & nursing practice. Philadelphia: F.A. Davis Company.

She is always at home, playing with her indoor games or with her pets. This also could be the reason why she seemed a bit distant when talking with other people. She seemed not used to be with other people and thus she show signs of low self-esteem.
Meanwhile, if seeing LD as an adolescent (which usually happens to the children under the age 12-18), LD is also different from the other adolescents under this stage. It must be noted that this phase of life (adolescence), issues regarding identity and role confusion usually arises. This is the time when the adolescent integrate the healthy resolution of all earlier conflicts. Adolescents who have successfully dealt with earlier conflicts are ready for the "Identity Crisis," which is considered as the single most significant conflict a person must face (http://psychology.about.com/library/weekly/aa091500a.htm,2006). However, guidance from the older person is very important for a kid to…...

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References:

Blood Test Results - Normal Ranges," (2000) [online]  http://www.bloodbook.com/ranges.html 

Erikson's Eight Stages of Human Development." 2005. About.com. 30 September 2006.  http://psychology.about.com/library/weekly/aa091500a.htm 

Selekman, Janice (2000) "The State of the Art of Pediatric Nursing." Department of Nursing, University of Delaware, Newark, DE. Jannetti Publications, Inc.

Leavell and Clark's Levels Of Prevention Model:
Similarities and differences to the nursing process

Although technically not a nursing theory, Leavell and Clark's 1975 levels of prevention model has been extremely influential within the healthcare field. "This model suggests that the natural history of any disease exists on a continuum, with health at one end and advanced disease at the other" (Models of prevention, 2013, Current Nursing). There are four distinct levels of application to prevent disease. On the level of primordial prevention, before the disease has appeared, children and adults are encouraged to avoid developing unhealthy lifestyles that promote diseases that may occur in the future (preventative actions include eating well and exercising and engaging in proper sanitation practices like hand-washing as well as getting regular vaccines). On a primary prevention level when the potential for a specific disease is known, the population is also encouraged to take positive steps to…...

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References

Models of prevention. (2013). Current Nursing. Retrieved from:

 http://currentnursing.com/nursing_theory/models_prevention.html#Levels%20of%20Prevention%20Model 

Nursing process. (2014). ANA. Retrieved from:

 http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/Thenursingprocess.html

Therefore, a nurse must be fully aware of these sensitivities when providing care to a patient, especially when the patient is a member of cultural group from outside the U.S.
The third criteria is social organization. For example, most African-American families tend to be based on a matriarchal system with either the mother or another female member of the family serving as its leader. This matriarch may also serve as the source for advice on certain

family matters; of course, the patriarch of the family (i.e., the father figure) also plays a role in family decision-making. Thus, most African-American families are composed of a support network made up of mothers, fathers and other close relatives, something which often creates tension and dissent. In this respect, a nurse must be aware of this matriarchal system and its network in such a way as to gain the trust of family members when it…...

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REFERENCES

Duncan, Veronica. (2005). Towards achieving maat: communication patterns in african-american, european-american and interracial relationships. New York:

Kendall-Hunt.

Giger, Joyce and Ruth Davidhizer. (2004). Transcultural nursing: assessment and intervention. Philadelphia: Elsevier Health Sciences.

Glanze, Walter D. (2005). Mosby's nursing and allied health encyclopedia. 8th ed.

Nursing 201 Nursing Process PaperClient ProfileThe patient is a white 80year old whose religion is unknown and was admitted on February 2, 2022, for a UTI infection. Care for the patient began on the day of admission. He is a father of three and a grandfather of five, living with his spouse. The social-economic status of the patient is low to middle class had a career as a factory worker. The patient had a full code status of Contrast Dye allergy. The history records reflected an altered mental state, and dementia and frustration were noted, hypertension, Gastroesophageal Reflux Disease (GERD), and Stage 4 chronic kidney disease. Blindness in the left eye was detected, but no challenges were observed with hearing. The patient denies any pain, can move with minimal assistance, has a good appetite, and shows the adjustment to aging since his hobby is spending time with his grandchildren.The patients…...

Benchmark - Nursing Process: Approach to CareToday, despite significant progress in recent years, cancer continues to be a significant global health concern, affecting individuals across various age groups and demographics. With its multiple causes, manifestations and potential for devastating life-altering consequences, cancer diagnosis and management require an evidence-based, multidimensional approach to care. The purpose of this paper is to examine several essential aspects of cancer care, ranging from diagnostic methods and staging techniques to complications, treatment side effects, factors influencing incidence rates, patient education, and interdisciplinary research. Finally, a summary of the findings that emerged from the research concerning the nursing process approach to care as applied to cancer diagnoses and treatment are provided in the conclusion.Description of the different types of diagnostic methods utilized to identify possibility of cancer. Explain the numeric and Tumor, Node, Metastasized (TNM) method of staging of cancer after the confirmed diagnosis.The initial method of…...

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ReferencesAge and Cancer Risks. (2023). National Cancer Institute. Retrieved from cancer.gov/about-cancer/causes-prevention/risk/age.Cancer-related Fatigue Overview. (2023). Yale Medicine. Retrieved from yale medicine.org/conditions/cancer-related-fatigue.Cancer Screening. (2023). Mayo Clinic. Retrieved from  mayoclinic.org/diseases-conditions/cancer/diagnosis-treatment/drc-20370594 .Cancer Staging. (2023). American Cancer Society. Retrieved from  cancer.org/  cancer/diagnosis-staging/staging.html.Current Cigarette Smoking Among Adults in the United States. (2023). Centers for Disease Control and Prevention. Retrieved from  cdc.gov/tobacco/data_statistics/  fact_sheets/adult_data/cig_smoking/index.htm#:~:text=In%202021%2C%20nearly%2012%20of,with%20a%20smoking%2Drelated%20disease.How We\\\\\\\\\\\\\\\'re Providing Support. (2023). American Cancer Society. Retrieved from cancer.org/about-us/what-we-do/providing-support.html#:~:text=of%20every%20day.-,1%2D800%2D227%2D2345,We%20have%20you%20covered.Jaschke, N. P., & Rachner, T. D. (2023). Cancer cachexia as a blueprint for treating obesity. Trends in Endocrinology and Metabolism: TEM, 34(7), 395–403.Lee, Y. H., Lai, G. M., Lee, D. C., Tsai Lai, L. J., & Chang, Y. P. (2018). Promoting Physical and Psychological Rehabilitation Activities and Evaluating Potential Links Among Cancer-Related Fatigue, Fear of Recurrence, Quality of Life, and Physiological Indicators in Cancer Survivors. Integrative cancer therapies, 17(4), 1183–1194.Nielsen, S., & Narayan, A. K. (2023). Breast Cancer Screening Modalities, Recommendations, and Novel Imaging Techniques. The Surgical Clinics of North America, 103(1), 63–82.Pearson, E. J., Denehy, L., & Edbrooke, L. (2023). Identifying strategies for implementing a clinical guideline for cancer-related fatigue: a qualitative study. BMC Health Services Research, 23(1), 1–9.Smye, S. W., & Frangi, A. F. (2021). Interdisciplinary research: shaping the healthcare of the future. Future healthcare journal, 8(2), 218–223.Vromans, R. D., Pauws, S. C., Bol, N., van de Poll-Franse, L. V., & Krahmer, E. J. (2020). Communicating tailored risk information of cancer treatment side effects: Only words or also numbers? BMC Medical Informatics & Decision Making, 20(1), 1–12.https://www.

The death of a child is significant and in this case avoidable and a plaintiff has the right to seek compensatory damages as is allowed by law.

Case Study 1 Part B

At the end of the night shift, Nurse Brown took a verbal handover and then noticed the observation chart had not been filled in. To assist her friend, Nurse Harvey, whom she knew had a busy night, filled in the observation chart and fluid balance chart for the hours from 0200-0600 hrs.

Overcome by the events of the last 24 hrs, Nurse Harvey and Nurse Brown go to the local tavern for a few drinks before Nurse Harvey goes on duty. They discussed Mr. Spencer and his son. John, a friend of Mr. Spencer, overheard the conversation and joined them. He was also upset by the events of the day and was most keen to discuss the accident and subsequent care.

Assume…...

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References

Hall, J. (1960). General Principles of Criminal Law (2nd ed.). Indianapolis: Bobbs-Merrill.

Markesinis, B.S., & Deakin, S.F. (1999). Tort Law (4th ed.). Oxford: Clarendon Press.

ANCI Competency Standards for the Enrolled Nurse at http://www.anmc.org.au/docs/Publications/Competency%20standards%20EN.pdf

Scope of Nursing Practice Decision Making Framework, 2006 at  http://www.nursingboardtas.org.au/nbtonline.nsf/attachment/SoPDMFFinal/$File/Scope%20of%20Nursing%20Practice%20Decision%20Making%20Framework.pdf

Technology-based teaching strategies can greatly accelerate the how both teaching and learning occur and therefore often reduce traditional issues and concerns faced by students and instructors. This approach changes the conventional way of thinking about how quality nursing programs are assessed and changes the levels of requirements to better suit student learning with better access to libraries, counseling and tutoring services, computing equipment, tuition, and financial aid to name a few.
But where this Associates Degree approach will benefit the profession most is in the healthcare system where it is needed most. New nurses will be better acclimated to the needs of sophisticated logging processes, medical billing and inventory as well as scheduling and other tasks now all handled via digital processing and computer. A modern day nurses are more technologically sophisticated, the overall patient care process also gets better as more available free time is offered back to the…...

Nursing Theorist: Sr. oy Adaptation Model
The oy Adaptation model for Nursing had its beginning when Sister Callista oy happened to get admitted in the Masters Program of pediatric nursing in the University of California, Los Angeles, in the year 1964. At that time, Sr. Callista was familiar with the idea of 'adaptation' in nursing, and it must be mentioned that Sr. Callista's adviser at that time was Dorothy E. Johnson, who believed firmly in the need to define nursing as a means of focusing the development of knowledge, for the practice of nursing. When Sr. Callista oy started working with children in the pediatric ward of the hospital, she was quite impressed with the basic resiliency of the small children who had been admitted into the wards for treatment. This was why when the first seminar in pediatric nursing was called for; Sr. Callista oy proposed that the basic goal…...

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REFERENCES

"Callista Roy's Adaptation Model" Retrieved From

Accessed 28 October, 2005http://www.geocities.com/ninquiry2002/callistaroy

'Case Study" Retrieved From

Accessed 28 October, 2005http://www.geocities.com/ninquiry2002/casestudy.html

Nursing
One need only read the newspaper "Classified" ads to realize that employers are trying many clever marketing tactics to attract prospective nurses into their organizations. Many are offering sign-on bonuses, extra benefits and other amenities to attract a limited supply of nurses. As both the general population and the elderly population grow, the number of nurses needed to care for them increases proportionally as well. The number of people choosing to pursue nursing as a career has been on the decline, mainly due to long working hours, low pay, high job stress and other factors. These factors will not resolve themselves if the nursing deficit continues to increase. In addition, graduate nurses find it difficult to enter the workforce due to their lack of experience and a shortage of mentors to teach them. The solution is simple, more nurses are needed, and soon. Novice nurses are fresh graduates who usually…...

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Works Cited

Durkin, Barbara.(2002) Reliving Hospital Mistake: Mom recalls overdose case February

24, 2002. Newsday, Inc.

Lang, Susan. (1996) Lack of nursing assistants is an impending crisis, says Cornell gerontologist. Cornell University. Cornell University.   Accessed June, 2002.http://www.news.cornell.edu/releases/May96/nursingassistants.ssl.html .

National League for Nursing (NLN). (2000). Unpublished Data. New York, NY. Accessed June, 2002.http://nursing.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fwww.nln.org%2Faboutnln%2Fnews_tricouncil2.htm.

ibliography

Mendes, IA, Trevizan, MA, Noqueira, MS, Mayashida, M. (2000) Humanistic Approach to Nursing Communication: The Case of hospitalized Adolescent Female.

Rev ras Enferm (2000) Jan-Mar, 53(1):7-13.

Williams, Carol A. & Gossett, Monette T. (2001) Nursing Communication: Advocacy for the Patient or Physician" Clinical Nursing Research Vol. 10 No. 3 332-340 (2001) Online available at http://cnr.sagepub.com/cgi/content/abstract/10/3/332.

Colon-Emeric, Cathleen (2006) Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science. Qualitative Health Research Vol. 16 NO. 2, 1713-188 (2006)

Vaartio, H. et al. (2006)Nursing Advocacy: How is it Defined by Patients and Nurses, What does it Involve and How is it Experienced? Scand J. Caring Sci 2006 S. ept;20(3):282-92.

Tfouni, LV; de Carvalho, EC; Scochi, CG (1991) Discourse, institution, power: an analysis of the nurse patient interaction 0 Rev Gaucha Enferm 1991 Jan;12(1):20-5.

Jarrett, N. And Payne, S. (1995) A Selective Review of the Literature on Nurse-Patient Communication: Has the Patient's Contribution…...

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Bibliography

Mendes, IA, Trevizan, MA, Noqueira, MS, Mayashida, M. (2000) Humanistic Approach to Nursing Communication: The Case of hospitalized Adolescent Female.

Rev Bras Enferm (2000) Jan-Mar, 53(1):7-13.

Williams, Carol A. & Gossett, Monette T. (2001) Nursing Communication: Advocacy for the Patient or Physician" Clinical Nursing Research Vol. 10 No. 3 332-340 (2001) Online available at  http://cnr.sagepub.com/cgi/content/abstract/10/3/332 .

Colon-Emeric, Cathleen (2006) Patterns of Medical and Nursing Staff Communication in Nursing Homes: Implications and Insights From Complexity Science. Qualitative Health Research Vol. 16 NO. 2, 1713-188 (2006)

Specifically, deficient cae may esult in a child's being vulneable as a consequence of a low intinsic level of self-esteem and self-woth (Pake, Baett, and Hickie, 1992). It is clea that a numbe of factos ae likely to affect the teenaged individual esulting in depession and it is citically noted that this depession must necessaily be addessed, teated and esolved. The client in this instance has bodeline low blood pessue which should be monitoed seveal times each week and futhemoe the body mass index (BMI) of this individual is excessively low indicating that this patient needs to be counseled in egads to thei diet both in tems of quality and quantity of foods consumed.
Bibliogaphy

Logsdon, Cynthia J.(nd) Depession in Adolescent Gils: Sceening and Teatment Stategies fo Pimay Cae Povides Jounal of the Ameican Medical Women's Association Volume 59, No 2.

Lemay, Edwad P. And Ashmoe, Richad D. (2005) the elationship of…...

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reference: Studies of occupational and recreational choice. Social Psychology Quarterly, 49, 11-18.