Welcome back everyone.
Today's video is an important topic
for both individual contributors
as individual health care
providers and organizations.
Clinical decision making.
Clinical decision making is a contextual, continuous
and evolving process where data are gathered,
interpreted and evaluated in order to
select an evidence-based choice of action.
Common elements of clinical
decision making include:
Identifying a goal.
Second, establishing needs.
What is the purpose of the decision?
Who's gonna be affected?
Which choices are possible?
Making a plan
Which action should be taken?
Then, taking action, this is
where you actually do it.
And finally, evaluating results.
How did it work out?
Now, there are three stages
to clinical decision making.
Brainstorming should focus more on quantity of
ideas rather than quality in the beginning.
Nothing is off the table.
Really think about everything, what
are all of the possibilities?
Mapping often begins with a central problem
or an issue such as infection control
and you place that at the
beginning point of the diagram.
Now, as ideas for dealing with
the problem are suggested,
and you come up with more ideas,
they are added to the diagram.
And then finally, prioritizing.
The reality is that, regardless
of the value of multiple ideas,
some prioritization is generally
needed to determine the first action
or the best alternative from
a number of suggestions.
Now, bigger than just one person
making a clinical decision,
organizations also have to have clinical
decision making processes as well.
The health care organization really should
clearly articulate their organizational values.
and the team members incorporate
these values when making decisions.
The organization also ensures that nurses and
physicians from the bedside to the board room,
all participate in all
levels of decision making.
The organization also provides team
members with support for and access to
ongoing inter-professional education
and development programs,
focusing on strategies that ensure
collaborative decision making.
Program content includes mutual goal
setting, negotiation, the salutation,
complete management, systems thinking
and performance improvement.
The organization also has operational structures in place that
ensure that perspectives, the patients and their families
are also incorporated into the
decisions affecting patient care.
Health care organizations also establish
systems such as structured forums,
involving appropriate departments and healthcare
professionals to facilitate data driven decisions.
They also establish deliberate decision making processes
that ensure respect for the rights of every individual.
They incorporate all key perspectives
and designate clear accountability.
And finally, organizations have fair and
effective processes in place at all levels
to objectively evaluate the results of decisions
including delayed decisions and indecisions.
So remember, nurses share accountability
for effective decision making
by acquiring the necessary skills, mastering
relevant content, assessing situations accurately,
sharing fact-based information, communicating
opinions clearly and inquiring actively.
What do we learn today?
First, clinical decision making involves the common
elements of identifying a goal, establishing needs,
identifying options, making a plan,
taking action and evaluating results.
To begin the clinical decision-making
process, be sure to start with brainstorming.
Next, map out all of the possibilites.
And then finally, prioritize your action.
Now, at a higher level, organizations should also
have a structure in place for decision making.
And finally, nurses, as an important
part of the health care team,
should play a vital role in an organization's
decision-making process as well.
I hope you've enjoyed this video
on clinical decision making.
Thank you so much for watching.