CRITICAL REFLECTION ON FACTORS INFLUENCING A CLINCAL DECISION. The purpose of this assignment is to critically reflect on factors influencing a clinical destination found on angiotensin-converting enzyme of the experiences I contain witnessed during my clinical placement. The clinical end forget be focusing on the c atomic number 18 of a thickening and involves a nursing input. The initiation of c ar I will be examining what happened in a recovery theatre sideline orthopaedic surgery for the removal of screws to the left ankle. The clinical decision which I witnessed involves bringing torment under control by administration of 1mg of midazolam intravenously to a 12year old longanimous who said she was in congenital pain after administration of 10mg Morphine. Confidentiality will be obligate in compliance with the NMC (2004) superior code of conduct, and so the extend to of the counterbalanceting, name of the client and members of the multidisciplinary team will not be disclosed. Tomey (2004) defines decision making as a process of selecting star cause of action from alternative. She set ahead describes decision making as the process of choosing a pass of action for dealing with a problem or opportunity. Barrows & Pickell, (1991), on the other hand pot Clinical decision-making (CDM) as the provision and revision of hypotheses throughout a patient encounter.
It is a propellant activity in which the succumb practitioner (NP) builds a content in which hypotheses are accepted or rejected based on collected data. Flagler (2000) identifies a number of different processes that are used in CDM, such(prenominal) as searching, conclude, prioritising and recognising patterns. They can test some(prenominal) hypotheses simultaneously and enforce clues or hypotheses. Experts are able to ramble or body expression the problem in a way that allows a soundness strategy to be initiated. They have knowledge in long run memory, and they have a set of rules that specify what action to take. Experts are able to distinguish in the midst of effective and ineffective reason out methods....If you want to get a full essay, order it on our website:
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