The Importance Of Decision Making In Nursing

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“Tell me what I need to do and I’ll do it” (Benner, 1984). This a common sentence frequently uses by new graduate nurses in critical situation. Patient safety is at the center of today’s health care system reform. Undoubtedly, patient’s health is at risk when they are being taken care by fresh graduates in critical care areas because these areas are aimed to provide care to particularly critically ill patients. Furthermore, safe and quality of care relies on timely decision making by nurses and their previous encounters of critical situations. To focus on patient safety and value someone’s life, novice nurses should not be assigned to critical care areas because they lack clinical decision making abilities and commit multiple errors while…show more content…
They lack of ability to make an accurate and quick decision in critical situation. Fresh graduates are incompetent to prioritize the patient’s needs that require immediate clinical intervention. Moreover, novice nurses assess patient’s alarming signs in less systematic way while patient is deteriorating. According to Wiles (2013) Effective clinical decision making relies on accurate assessment of patient and intervene accordingly. I want to share my experience, as I’ve gone through this experience in the Intensive Care Unit at first day of employment. I failed to assess the alarming signs while the patent is going to deteriorate. I was totally confused at that moment what should be my next action; whether to call staff, start CPR (cardiopulmonary resuscitation) or generate a rush call? Due to anxiety I further wasted a couple of second to take appropriate decision. There is evidence that ‘at risk’ patients are not always identified; and even when warning signs are identified, they are not always acted on in a timely manner (Thompson et al., 2008). After that blue Code run on that patient, unfortunately the patient died, that time I feel very guilty and upset. That incident realized me not only patient is suffer, but novice nurse also affected and remains mentally depressed while working in intensive care…show more content…
Moreover, knowledge, competency and confidence, gain through clinical experience. Furthermore, novice nurses are taught to practice on simulated patients, which may increase their self-efficacy, self-confidence and clinical judgment. According to Stefanski and Rossler (2009) Use of simulator in nursing training develops skills without compromising patient safety and it also allows novice nurses to work on a critically ill patient. Undoubtedly, it is true that nurses are taught during their nursing programs on simulators but literature says working on simulator does not make them confident enough to providing competent care in life and death situation. (Greenwood, 2000, as cited in Saintsing, Gibson & Pennington, 2011). This is a fact that novice nurses are learnt during their nursing academia but integration of novice nurse in the critical settings is

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