Measurement and Decision Making: A Review of the Article on Nursing and Midwifery Practice

Running head: MEASUREMENT AND DECISION MAKING
Measurement and Decision Making
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1MEASUREMENT AND DECISION MAKING
Table of Contents
1. Introduction............................................................................................................................2
2. Literature Review...................................................................................................................2
Discussion..............................................................................................................................2
Experience with the article.....................................................................................................4
Positive and Negative Points of the Article...........................................................................8
Conclusion..................................................................................................................................9
References:...............................................................................................................................10

2MEASUREMENT AND DECISION MAKING
1. Introduction
This paper will elaborated on presenting a review of the main article on the topic of
decision making. The article chosen for this literature review is- “A national framework for
the development of decision-making tools for nursing and midwifery practice”. All the major
theories and models have been reviewed first and then they are followed by some of the
considerations which might provide different explanations and contexts for them. The paper
would also shed light on the positive and the negative points of article through researching it
and reviewing it. The paper would also present a brief analysis of the different methods and
models along with different frameworks and taxonomies on the subject of decision making,
made by different theorists and researchers.
2. Literature Review
Discussion
In an environment with a dynamic health care such as Australia, where change is a
continuous feature, the midwives and the nurses are expected to be very flexible as well as to
respond to the change in the manner the provides advantages to the health consumers. The
article “A national framework for the development of decision-making tools for nursing and
midwifery practice” has provided a brief analysis of the Nursing and Midwifery Board of
Australia (the National Board) that undertakes the functions that are set by the Australian
Practitioner Regulation National Law (Jefford, Fahy and Sundin 2011). It has analysed and
assessed the national decision making framework and according to it, it comprises of two
different parts. The very first one is the set of principles that forms the foundation for the
evaluation and the development process of the tools of decision making while the next part
comprise of two different templates for the tools of decision making- one for the midwifery
and the other one for nursing, in context of the dissimilarities in between the two professions.
It has also assessed the National Principles for the process of development of the tools for

3MEASUREMENT AND DECISION MAKING
decision making. The As per Karmiloff-Smith (2018), reality is very complex but the human
cognition is very restricted and limited. With the same, the decision makers do not have that
amount of exhaustive knowledge of all the different possible alternative and also, they would
not have all the required skills and knowledge in order to sufficiently rank all the alternatives
as well as to calculate their costs along with benefits- rationality is bounded. Based on this,
the decision makers do not attempt for finding the optimum solutions the problem. He has
also stated that many a times the aim of an organisation could not be linked directly to the
operations of its. It would lead to the process of identification of one subordinate goal or say,
“subgoal identification”. With the same, it is also to note that the subgoals are not always
unique and their definition are subjected to decision makers, their knowledge, experience as
well as the environment in which they involve (Jones et al. 2015). With the increase in
complexity, the process of decision making gets divided among many of the specialists and
their works are coordinated through the authority relations and communication.
The article has also shed light on the template tools for the decision making process in
the midwifery and nursing practise. Kennedy et al. (2015) in this context have stated that the
template tools are significant based and they are also sustainable over the period of time. The
decisions that are made by making use of these templates are always grounded in the
informed professional discretion and are guided by the principles. According to the article,
the differences in terms of competence of a person, his education as well as experience are
regarded in using these template tools. It is been said that the midwives and the nurses who
are registered have a significant role to play in the process of coordination and the
supervision of the others who might assist them in the provision of care to the consumers.
Palermo, Power and Ashby (2017) have argued that the means and the ends are interlinked.
The process of decision making is not to be called as discrete event, instead it gradually
becomes a step by step process that considers incremental changes right from status quo