decision making. Flashcards
who are nurses accountable to.
the law
the profession, nmc
the public
the employer
what are the decision making theories
the info processing model
the intuition model
the cognitive continuum theory
the prescriptive theory
the information processing theory
-how info is stored and retrived
-in nursing= meet pt gain info into short term, triggers cues which retrieves info from long term
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the intuition theory
-‘gut feeling’
the cognitive continuum theory
- descriptive
- the more structured a task the more analytical the decision making
the add on framework
year 1/2= information and reflection. stage 1
year 2/3= peer/expert opinions and clincial/ theoretical experience stage2.
year 3/4= research and other evidence and policies and guidelines. stage 3.
ethical principles.
beauchamp and childress, 1989 autonomy non-maleficence beneficence justice
autonomy
respect the rights of the pt
non-maleficence
to prevent harm
beneficence
to bring good/ promote well being
justice
treating every one with dignity and fair
prescriptive theory
-combines knowledge gained from other sources (experience, evidence) applied to deliver evidence based care
models of decision making
paternalistic
shared decision making
informed
paternalistic model
we make the decision for the patient
shared decision making
making the decision with the patient or carer