ch 15 making decisions and solving problems Flashcards
purposeful and goal-directed effort that uses a systematic process to choose among options
decision making
focused on trying to resolve an issue that can be viewed as the gap between “what currently is” and “the best available option
problem solving
decision style in which the decision maker selects the option that is best, based on an analysis of the pros and cons associated with each option
optimizing
decision style in which the decision maker selects an acceptable solution, one that may minimally meet the objective or standard for a decision
satisficing
3 decision making styles
-autocratic/paternalistic
-informed
-shared decision making
decision making style in which managers decide what is best for their team. This style results in more rapid decision making and is appropriate in crisis situations
autocratic/paternalistic
decision making style in the staff has the ability to make a decision after information has been shared and without the active involvement of the manager
informed
decision making style in which the decisions are made through an interactive, deliberate process where the staff and manager may express and discuss options and preferences
shared decision making
internal factors that can influence how a situation is perceived
-physical/emotional state
-personal philosophy
-biases
-values
-interests
-experience
-knowledge
-attitudes
-risk-seeking/risk-avoiding behaviors
external factors that can influence how a situation is perceived
-environmental conditions
-time
-resources
-influenced by an individual’s cultural, social, and philosophic background
-provide the foundation for one’s ethical stance.
values
tanner’s 4 steps in the clinical judgment model
- noticing
- interpreting
- responding
- reflecting
real-time reflection on the patient’s responses to nursing action with modifications to the plan based on the ongoing assessment
reflection-in-action
review of the experience, which promotes learning for future similar experiences
reflection-on-action
group decision making strategy that involves systematically collecting and summarizing opinions and judgments on a particular issue from respondents, such as members of expert panels, through interviews, surveys, or questionnaires
delphi technique