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Welcome back everyone.
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Today's video is an important topic
for both individual contributors
as individual health care
providers and organizations.
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Clinical decision making.
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Clinical decision making is a contextual, continuous
and evolving process where data are gathered,
interpreted and evaluated in order to
select an evidence-based choice of action.
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Common elements of clinical
decision making include:
Identifying a goal.
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Second, establishing needs.
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What is the purpose of the decision?
Who's gonna be affected?
Identifying options
Which choices are possible?
Making a plan
Which action should be taken?
Then, taking action, this is
where you actually do it.
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And finally, evaluating results.
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How did it work out?
Now, there are three stages
to clinical decision making.
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First, brainstorming.
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Brainstorming should focus more on quantity of
ideas rather than quality in the beginning.
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Nothing is off the table.
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Really think about everything, what
are all of the possibilities?
Second, mapping.
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Mapping often begins with a central problem
or an issue such as infection control
and you place that at the
beginning point of the diagram.
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Now, as ideas for dealing with
the problem are suggested,
and you come up with more ideas,
they are added to the diagram.
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And then finally, prioritizing.
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The reality is that, regardless
of the value of multiple ideas,
some prioritization is generally
needed to determine the first action
or the best alternative from
a number of suggestions.
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Now, bigger than just one person
making a clinical decision,
organizations also have to have clinical
decision making processes as well.
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The health care organization really should
clearly articulate their organizational values.
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and the team members incorporate
these values when making decisions.
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The organization also ensures that nurses and
physicians from the bedside to the board room,
all participate in all
levels of decision making.
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The organization also provides team
members with support for and access to
ongoing inter-professional education
and development programs,
focusing on strategies that ensure
collaborative decision making.
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Program content includes mutual goal
setting, negotiation, the salutation,
complete management, systems thinking
and performance improvement.
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The organization also has operational structures in place that
ensure that perspectives, the patients and their families
are also incorporated into the
decisions affecting patient care.
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Health care organizations also establish
systems such as structured forums,
involving appropriate departments and healthcare
professionals to facilitate data driven decisions.
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They also establish deliberate decision making processes
that ensure respect for the rights of every individual.
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They incorporate all key perspectives
and designate clear accountability.
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And finally, organizations have fair and
effective processes in place at all levels
to objectively evaluate the results of decisions
including delayed decisions and indecisions.
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So remember, nurses share accountability
for effective decision making
by acquiring the necessary skills, mastering
relevant content, assessing situations accurately,
sharing fact-based information, communicating
opinions clearly and inquiring actively.
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What do we learn today?
First, clinical decision making involves the common
elements of identifying a goal, establishing needs,
identifying options, making a plan,
taking action and evaluating results.
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To begin the clinical decision-making
process, be sure to start with brainstorming.
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Next, map out all of the possibilites.
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And then finally, prioritize your action.
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Now, at a higher level, organizations should also
have a structure in place for decision making.
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And finally, nurses, as an important
part of the health care team,
should play a vital role in an organization's
decision-making process as well.
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I hope you've enjoyed this video
on clinical decision making.
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Thank you so much for watching.