Evidence-Based Decision-Making Model In Nursing

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The Registered Nurse is called to make decisions concerning patient care in a clinical setting. This is a purposeful, goal directed effort to make a choice among alternatives (Taylor, Lillis, & Lynn, 2015). The process involves using critical thinking skills that are both Socratic and intuitive. The goal is to improve patient outcomes. The process of critical thinking defines the problem at hand. The evidence based practice model is the guide for care. Clinical reasoning is the aspect involving analyzing information about the client to identify possible nursing actions. It is thought of as the application of critical thinking. New nurses will often operate from the structured step by step approach. More experienced nurses may function …show more content…
Formulating a Nursing Care Plan requires developing a theory, developing a plan, and executing the plan. From the patient centered model of care with the intention of improving the patient’s outcome, priorities are set, the outcomes are identified, evidence based nursing interventions are chosen, the plan of care is communicated to other care providers. In setting priorities, issues that require immediate attention are identified and set to be addressed first. Other priorities fell in line and addressed in order. Maslow’s hierarchy of needs often serves as a guide to setting priorities. Priorities can be readdressed and reassigned at any time. Outcomes are set about the patient’s condition. They address the physical and psychological needs of the patient. Achievable and measurable long term and short-term goals are often set. These malleable bench marks drive the systematic improvement or stabilization of the patient. Progress often atrophies if goals are not established. Evidence based interventions are chosen to ensure the effectiveness of the treatment. Proven methods with proven results will guarantee improvement or reveal illness or injury requiring further treatment. Valuable time is