Advanced Decision Making | Nursing

Running head: ADVANCED DECISION MAKING
ADVANCED DECISION
Name of the Student
Name of the University
Author Note

1ADVANCED DECISION MAKING
As per the previous placement scenario, it can be seen that as a nurse, I have made a
mistake in terms of the medication management of the patient with Alzheimer’s disease. I was
responsible for personnel for observing and treating the patient primarily. Hence, I had to make
sure that the patient is in a routine prescribed by the doctor. However, I had missed a dose of the
medicine prescribed by the doctor for the patient. This situation leads to a condition that needed
to be controlled immediately. I have neglected the factor of the medication administration as I
have forgotten the dose.
Moreover, to control the situation, I had to administer sedatives without consulting with
the doctor. Based on the views of Nibbelink and Brewer (2018), this situation can be marked as
the decision-making issue as well. Hence, I had breached the two most important aspects of
nursing interventions. Thus, the breaching of the nursing standards can be seen as the NMBA
standards of practice for the registered nurses who have comprised of the factor of maintaining
the capability for practice, which is one of the first three standards
(Nursingmidwiferyboard.gov.au, 2020). However, I can also state that I have implemented
critical thinking. The doctor has conducted a diagnostic, and the patient has not shown any
critical situation. Hence, it can be stated that the situation and my decision could harm the patient
though it did not. In this context, I can state that the process of nursing should be comprised of
empathy towards the patient and also focused on improving the health condition of the patient.
Thus, I had to decide on the medication management of the patient.
Based on the condition and the decision I have taken, I can reflect that the outcome could
be very negative, and I should focus on the mistakes and learn from them. Hence, I can state that
the decision was wrong as per the NMBA standards of practice, I should report the doctor first,
and after the doctor’s approval, I can administer the sedative or took other action. However, my

2ADVANCED DECISION MAKING
action breached the ethics and the practice of nursing. In this context, it can be stated that the
process of nursing should be more transparent and also focusing on the development of the
therapeutic relationship with the patient. These factors are focused on the process of evidence-
based practice and patient-centred care, which depends on the nursing standards and also follows
the rules and regulations of the nursing practice. In this context, it can also be stated that I should
consider the change of the practice as per the improvement is required in my practice. For
example, I can state that the decision regarding the medication administration was developed as
negligence from my side towards the patient. According to Jember, Hailu, Messele, Demeke and
Hassen (2018), a nurse cannot neglect a patient and should not neglect the medication
administration as it can harm the patient’s health drastically. As per Jølstad, Røsnæs, Lyberg and
Severinsson (2017), I should focus on my nursing skills that should be comprised of the
interpersonal relationship with the patient, and the condition should be improved with the
consideration of the positive outcome of the patient. Based on this reflection, I can also state that
the process of the care should be provided with the focus of the improvement of the patient
(Moehead, DeSouza, Walsh & Pit, 2020). Thus, I also found by reflecting on this situation that
the focus of the care should be developing, and maintaining the capability of practice for the
improvement of patient health is the most important factor (Nursingmidwiferyboard.gov.au,
2020). Hence, based on the condition of the previous situation, I can found that the process of
care lacked the proper nursing competencies as well. Based on this context, it can also be stated
that the change in the situation should be considered with the highest priority as that will be
effective in the process of caring the mental health disorder patients with better outcomes.
The change or the improvement of my caring processes I should be focusing on the skill
development of the nursing practice. Moreover, the improvement of the knowledge would also