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Resolving Problems – Clinical Judgment (Nursing)

by Christy Hennessey (Davidson), DNP, RNC-OB

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    00:01 Welcome back everyone.

    00:02 As nurses, we experience challenges everyday.

    00:07 I don't think a day would go by that you are not going to use one of the most important skills that you possess: Problem solving.

    00:15 Problem solving is defined as a response given in an important and difficult situation where critical thinking is required for a solution.

    00:24 Now, there are problem-solving strategies.

    00:27 First, identify and define the problem, Analyze the problem, Develop solutions, Analyze and select the best solution, implement the solution, and finally, Evaluate the solution.

    00:43 Now, let's go into each one of those a little further.

    00:47 When we think about identifying the problem, look at the problem from a different perspective.

    00:53 You really wanna take this opportunity to take the big picture of you.

    00:56 Weed out any factors that are not important and identify the root cause of the problem if you can.

    01:04 Now, as you're analyzing the problem, break down the problem to get an understanding of its root cause.

    01:10 You want to determine how the problem developed in the first place.

    01:15 And then finally, you want to determine the impact of the problem.

    01:18 Who, what people or groups of people did it affect? When you move into developing solutions, you really should brainstorm and list all of the possible solutions that focus on resolving the identified problem.

    01:32 Don't eliminate any possible solutions at this stage, they're all good ideas right now.

    01:37 Put them on paper.

    01:39 Then you want to move into selecting the best solution.

    01:43 Take a look at the list of possible solutions that you've identified and find the advantages and the disadvantages of each solution.

    01:51 Then, determine how the solution that you've identified, all or each one that you have identified, how each one of them possibly resolve the problem.

    02:00 Now, as you're selecting which one you want, ask yourself these questions, What are the short-term and long-term disadvantages and benefits of each solution? Which solution might help you meet your goal? Now, it's time to implement the solution.

    02:16 This is where you begin by creating a plan of action.

    02:19 You want to decide how you're gonna move forward with your decision by determining the steps you're gonna take to make sure you stay in a forward trajectory.

    02:27 And then finally, you're going to actually execute your plan of action.

    02:32 As we do with anything that we do in nursing, we are gonna evaluate the solutions so monitor your decision and assess the results of the solution.

    02:41 Ask yourself these questions: Are you satisfied with the results? Did your solution resolve the problem? Actually, did it produce maybe a new problem? Do you have to modify your solution to achieve even better results? Are you closer to achieving your goal? And very important, what have you learned through the process? So remember, problem solivng skills are the most important skills used in determining, practicing and evaluating nursing care for sick or healthy individuals.

    03:14 So, what did we learn today? Begin the problem-solving process by closely looking at the problem and dismiss any factors that are not truly relevant to the issue.

    03:25 Break down the problem to really understand it better.

    03:28 Then brainstorm and list out all the possible solutions that focus on resolving the identified problem.

    03:35 Then list and review the advantages and disadvantages of each solution that you've come up with.

    03:41 Create and execute a plan of action.

    03:45 And finally, monitor your decision and assess the results of your solution.

    03:50 I hope you've enjoyed this video on problem solving.

    03:53 Thank you so much for watching.


    About the Lecture

    The lecture Resolving Problems – Clinical Judgment (Nursing) by Christy Hennessey (Davidson), DNP, RNC-OB is from the course Professionalism (Nursing).


    Included Quiz Questions

    1. Problem solving
    2. Deductive reasoning
    3. Inductive interpretation
    4. Analytic rationale
    1. Brainstorm and list all possible solutions to the problem.
    2. Eliminate any solutions that are not feasible.
    3. Create a root-cause analysis of the problem to identify solutions.
    4. Develop a concept map for probable solutions.
    1. What are the short-term and long-term advantages and disadvantages to each solution?
    2. What is the cost analysis of each solution, and is it feasible?
    3. How realistic and sustainable are each of the solutions?
    4. How will buy-in from key stakeholders affect each of the solutions?
    1. Solution implementation
    2. Solution execution
    3. Solution development
    4. Solution evaluation
    1. Is there satisfaction? Resolution of the problem? Goal achievement?
    2. Is there willingness to continue? Unanticipated costs? Sustainability?
    3. Is there support? Policy potential? New potential issues?
    4. Is there buy-in? Implementation hurdles? Risk involved?
    1. Identification of the problem
    2. Observation of the problem
    3. Assessment of the root causes of the problem
    4. Development of a statement of the breadth of the problem
    1. Brainstorming
    2. Problem identification
    3. Evaluation
    4. Implementation

    Author of lecture Resolving Problems – Clinical Judgment (Nursing)

     Christy Hennessey (Davidson), DNP, RNC-OB

    Christy Hennessey (Davidson), DNP, RNC-OB


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