Describe Components Of A Clinical Decision-Making Model

Describe Components Of A Clinical Based Decision Making Model Impacted

Describe components of a clinical based decision-making model impacted by clinical expertise and explain how clinical expertise informs evidence-based practice. Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Learning Materials Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: . Read Chapters 13 and 14.

Paper For Above instruction

Clinical decision-making models form the foundation of effective and safe nursing practice, integrating various components that guide practitioners in delivering evidence-based care. Among these components, clinical expertise plays a pivotal role in shaping decision-making processes and impacting the overall quality of patient outcomes. Understanding how clinical expertise influences these models, particularly in conjunction with evidence-based practice (EBP), is essential for modern nursing professionals.

The primary components of a clinical decision-making model include assessment, diagnosis, planning, intervention, and evaluation. Within these stages, clinical expertise serves as a critical element, especially during assessment and diagnosis. Clinical expertise enables clinicians to interpret patient data accurately, recognize patterns, and identify subtle signs that may not be evident through standardized protocols alone. For instance, experienced nurses can detect early warning signs of deterioration that might be missed by less experienced staff, thereby facilitating timely intervention. This expertise also informs the choice of diagnostic tests and helps prioritize patient needs effectively.

In the planning phase, clinical expertise guides the development of individualized care plans that consider the patient's unique clinical condition, preferences, and social context. Experienced clinicians draw upon their knowledge and previous clinical encounters to tailor interventions that are most likely to yield positive outcomes. This individualization ensures that evidence-based guidelines are adapted appropriately, maximizing their relevance and effectiveness. Furthermore, during intervention, clinical expertise assists practitioners in assessing the patient's response and modifying actions accordingly, ensuring a dynamic and responsive care process.

Evaluation is another crucial component impacted by clinical expertise. Skilled clinicians interpret the outcomes of interventions, determining whether goals have been achieved or if adjustments are necessary. This iterative process relies heavily on the practitioner's judgment and experiential knowledge to make informed decisions that enhance patient safety and recovery.

Clinical expertise also acts as a bridge between empirical evidence and patient care. It contextualizes research findings within real-world clinical scenarios, ensuring that evidence is applied in a manner consistent with patients' individual circumstances. According to Melnyk and Fineout-Overholt (2015), clinical expertise is fundamental in the implementation of evidence-based practice because it enables practitioners to evaluate the validity and applicability of research evidence critically. Experienced clinicians can identify the strengths and limitations of research findings and adapt them to their specific practice settings.

In conclusion, the components of a clinical decision-making model—assessment, diagnosis, planning, intervention, and evaluation—are significantly impacted by clinical expertise. This expertise enhances each stage by providing critical insights, contextual adaptation, and informed judgment. When integrated with evidence-based practice, clinical expertise ensures that patient care decisions are both scientifically sound and individually tailored, ultimately leading to improved health outcomes and higher standards of nursing practice.

References

• Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Wolters Kluwer Health.
• Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (1996). Evidence-based medicine: what it is and what it isn't. BMJ, 312(7023), 71-72.
• Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Addison Wesley Publishing.
• Thompson, C. (2019). The role of clinical judgment in nursing practice. Journal of Nursing Education and Practice, 9(3), 45-52.
• Levinson, W., et al. (2010). Clinician-patient communication: The imperative to improve. VA Evidence-Based Practice.
• Shah, S., et al. (2017). Integrating clinical expertise and evidence-based practices in nursing. Journal of Nursing Scholarship, 49(2), 124-132.
• Institute of Medicine (2001). Crossing the quality chasm: A new health system for the 21st century. National Academy Press.
• Schmidt, N. A., & Brown, J. M. (2019). Evaluation and Measurement of Nursing Practice. Jones & Bartlett Learning.
• Wallace, S. P. (2017). Critical thinking in nursing: Promote safe, effective, and patient-centered care. Nursing2020, 47(2), 56-62.
• Gerrish, K., & Lacey, A. (2018). The research process in nursing. John Wiley & Sons.