Influences on clinical decision-making during a community placement – reflections of a student nurse.

Board, M., 2019. Influences on clinical decision-making during a community placement – reflections of a student nurse. British Journal of Community Nursing. (In Press)

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Abstract

The decision-making process in nursing is complex. High quality care is dependent on good clinical judgement and decision-making. Nurses need to be able to justify and defend their clinical decision-making. In this article, the author, a third-year nursing student reflects on an incident from a community placement involving a collaborative, clinical decision. Carper’s (1978) four fundamental patterns of knowing are used to analyse the decision-making process. It is shown that influences on decision-making include prior knowledge and expertise, law and accountability and ethical principles such as respect for autonomy and beneficence. Good communication, interpersonal skills and a person-centred approach have a bearing on decision-making. It is argued that intuition

Item Type:Article
ISSN:1462-4753
Uncontrolled Keywords:decision-making ; patterns of knowing ; accountability ; informed consent ; intuition ; student nurse
Group:Faculty of Health & Social Sciences
ID Code:31485
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:23 Nov 2018 12:01
Last Modified:23 Nov 2018 12:01

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