Reflective Analysis of Clinical Decision Making in Nursing Practice

This essay explores clinical decision-making in nursing practice through a reflective lens, drawing upon a real-world scenario from a clinical placement. It utilizes the Gillespie and Paterson (2009) framework to analyze the cues, decisions, judgments, and evaluation of outcomes related to a specific clinical decision. The essay also incorporates personal reflection, potentially using models like Gibbs (1988) or Borton (1970), to identify professional growth and learning. The scenario involves a nurse addressing a patient's breastfeeding challenges, demonstrating the application of communication techniques and clinical knowledge in providing safe and quality nursing care. The essay concludes by emphasizing the importance of the nurse-patient relationship and the role of professional development in enhancing clinical decision-making skills.

Running head: CLINICAL DECISION MAKING 1
Clinical Decision Making
Students name:
Course number:
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Clinical Decision Making

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Nurses before making any decision they have to consider clues, decision that they make,
judgement, and the evaluations of their results after making their decision as illustrated in the
table below according to framework in decision making by Gillespie & Paterson (2009).
Introductory information in nurses and their explanations in relation to their clinical
decision making
Nurse have to know the
profession
Nurses should understand their skills and their roles in the clinics
and have good standards of their practice.
They have to know
themselves
They should be aware of each person’s strength and their skills in
their work experiences and other needs that might help in decision.
They have to understand
their cases
They must be familiar in pathophysiology, those partner which
occurs in common cases and responses in the patients.
They have to understand
well their patient/clients
Nurses have to be familiar with baseline data of their patients and
those partners existing in other data.
Have to know the person Nurses should be aware of their patients past illness and the
responses in treatments.
According to Hicks, Merritt, & Elstein, (2017) nurses clinical decision making in many
cases it has been complicated method which holds a possibility in affecting the quality care given
and the outcomes of the patients. These decision making in evolution of nurses are well
documented. The documented text contains many strategies and approach alleged to hold
improvement in clinical decision making.
A lot of nurse is put in place in what is viewed as ordinary discussion. These discussions
are influential to wellbeing of experts since correspondence can influence welfare results, and
they are critical to patients who need to recognize that they are being heard and thought about. In
this exploratory investigation, two master medical caretakers recorded discussions with patients
amid domiciliary visits (Florin, Ehrenberg & Ehnfors, 2016). There was one scenario where
there was a patient who had a problem with his left breast that had chapped nipples with sores.
Nurses did not know what to do about it instead had to find a way to make a good decision.
A nurse identified her and inquired if it was afflictive. The lady confirmed to the nurse
that he would not manage to breast feed since it was difficult and she could only use the right
side. Before the nurse decide the judgment, the patient said that he was advised by someone else
to apply Camillosan cream but it did not work. The nurse referred to a nipple shield however
added that she did not have experience utilizing it. The nurse then added that if she experienced

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torment in her breast, then that could demonstrate that she had an infectious thrush on her left
breast. The nurse then inquired if she had observed any white flecks in the child’s mouth or on
her tongue and the patient responded that she did not.
Semantic talk examination, educated by relevant information of domiciliary nursing
demonstrates the medical attendant’s skillfully utilized casual banter to help their clinical work.
In their discussions, medical caretakers inspire explicit data, standardize upsetting systems, deal
with the stream of the communication, and reinforce the remedial relationship (Mannix, Wilkes,
& Jackson, 2015). Casual banter can be showy talk in accomplishing nursing objectives
(Tanner, 2016). Basically thinking about recorded clinical collaborations can be a valuable
technique for expert advancement and a method for showing nursing ability.
According to Cooper, Pacey, Bishop, & McCluskey, (2015) it is clear that methods that
are usually utilized by nurses includes, utilizing silence now and again, it is always utile to avoid
talking much and just remain silent
Evaluation of verbal and nonverbal customer correspondence needs. Regard the
customer's close to home estimations and convictions. Enable time to discuss with the customer
(Preheim, Casey, & Krugman, 2016). Utilize helpful correspondence methods to give customer
support.
Conclusion
In the above scenario, a helpful therapeutic caretaker who understands that the relation is
described to be a helping relationship which may depend on mutual regard and trust, sustaining
in confidence and hope, being gentle to others and yourself, and assisting with the happiness of
your patient's physical which can be made through nurse’s professionals.

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References
Cooper, R. M., Pacey, J. A., Bishop, M. J., & McCluskey, S. A. (2015). Early clinical experience
with a new videolaryngoscope (GlideScope®) in 728 patients. Canadian Journal of Anesthesia,
52(2), 191.
Florin, J., Ehrenberg, A., & Ehnfors, M. (2016). Patient participation in clinical decision making in‐
nursing: a comparative study of nurses’ and patients’ perceptions. Journal of clinical nursing,
15(12), 1498-1508.
Hicks, F. D., Merritt, S. L., & Elstein, A. S. (2017). Critical thinking and clinical decision making in
critical care nursing: A pilot study. Heart & Lung: The Journal of Acute and Critical Care, 32(3),
169-180.
Mannix, J., Wilkes, L., & Jackson, D. (2015). Marking out the clinical expert/clinical
leader/clinical scholar: perspectives from nurses in the clinical arena. BMC nursing, 12(1), 12.
Preheim, G., Casey, K., & Krugman, M. (2016). Clinical Scholar Model: providing excellence in
clinical supervision of nursing students. Journal for Nurses in Professional Development, 22(1),
15-20.
Tanner, C. A. (2016). Thinking like a nurse: A research-based model of clinical judgment in
nursing. Journal of nursing education, 45(6).

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