Clinical decision-making theories
Main Article Content
Abstract
Clinical decision-making is a cornerstone of healthcare, influencing patient diagnosis, treatment, and ongoing care. This article explores the multifaceted nature of clinical decision-making, emphasizing its significance, challenges, and implications for modern healthcare. It delves into three primary decision-making theories: the rationalist approach, which prioritizes evidence-based decision-making; the phenomenological approach, focusing on intuition and experience; and the hypothetic-deductive approach, which seeks a balance between the previous two. These theories, while offering valuable perspectives, must be applied with consideration of the complex factors that influence decision-making, including competence, confidence, organizational support, and the clinical environment. Ultimately, clinical decision-making is both an art and a science, demanding a nuanced understanding to ensure patient-centered care and improved healthcare outcomes.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Shaban R. Theories of clinical judgment and decision-making: A review of the theoretical literature. Australas J Paramed [Internet]. 2015 [cited 2019 May 25];3. Available from: https://ajp.paramedics.org/index.php/ajp/article/view/308.
Evans C. Clinical decision making theories: patient assessment in A&E. Emerg Nurse. 2005;13.
Thompson C, Cullum N, McCaughan D, et al. Nurses, information use, and clinical decision making—the real world potential for evidence-based decisions in nursing. Evid Based Nurs. 2004;7:68–72.
Wolfs CAG, de Vugt ME, Verkaaik M, et al. Rational decision-making about treatment and care in dementia: A contradiction in terms? Patient Educ Couns. 2012;87:43–48.
Lanier WL, Rajkumar SV. Empiricism and Rationalism in Medicine: Can 2 Competing Philosophies Coexist to Improve the Quality of Medical Care? Mayo Clin Proc. 2013;88:1042–1045.
Bjørk IT, Hamilton GA. Clinical Decision Making of Nurses Working in Hospital Settings. Nurs Res Pract. 2011;2011:8.
Stinson KJ. Benner’s Framework and Clinical Decision-Making in the Critical Care Environment. Nurs Sci Q. 2017;30:52–57.
Banning M. A review of clinical decision making: models and current research. J Clin Nurs. 2007;0:070621074500075-???
Hagbaghery MA, Salsali M, Ahmadi F. The factors facilitating and inhibiting effective clinical decision-making in nursing: a qual-itative study. BMC Nurs. 2004;3:2.
Wu M, Yang J, Liu L, et al. An Investigation of Factors Influencing Nurses’ Clinical Decision-Making Skills. West J Nurs Res. 2016;38:974–991.
Gizaw A. Factors Affecting Clinical Decision- Making Practice among Nurses Working in Jimma University Medical Center; Jimma Southwest Ethiopia. 2018;5:7.