Posted: April 27th, 2023

Nurse leaders and managers and are responsible for making decisions

Nurse Leader and Manager Decisions

Nurse leaders and managers and are responsible for making decisions in the healthcare setting.

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First Post

Describe how you will be involved with the decision-making process using the DECIDE model. Include an example from a clinical situation you experienced in the healthcare setting.

Reply Post

Respond to at least one of your peers about their example that illustrates their interpretation of DECIDE. Expand on your peer’s ideas.

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As a nurse leader, I will be involved in the decision-making process using the DECIDE model. The DECIDE model is an acronym for the six-step process involved in decision making: Define the problem, Establish the criteria, Consider all the alternatives, Identify the best alternative, Develop and implement a plan of action, and Evaluate the outcome.

An example of a clinical situation where I used the DECIDE model was when a patient presented with chest pain. The first step was to define the problem, which was chest pain. The next step was to establish the criteria, which included obtaining the patient's medical history, conducting a physical examination, and performing diagnostic tests. After gathering the necessary information, we considered all the alternatives, such as whether to admit the patient to the hospital or discharge him to home with close follow-up.

We identified the best alternative, which was to admit the patient to the hospital for further evaluation and treatment. We developed and implemented a plan of action, which included ordering additional diagnostic tests, initiating appropriate medical therapy, and consulting with a cardiologist. Finally, we evaluated the outcome by monitoring the patient's response to therapy and modifying the plan of care as needed.

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I agree with your interpretation of the DECIDE model, and I appreciate your example. One way to expand on your ideas is to highlight the importance of involving the patient and their family in the decision-making process. As nurses, we are not only responsible for making decisions, but we also have the responsibility to educate and involve our patients in the decision-making process.

For example, in your clinical situation, it would be essential to communicate with the patient and their family about the diagnosis, treatment options, and possible outcomes. This would ensure that the patient and their family are aware of the situation and are informed of the possible consequences of each decision. Moreover, involving the patient and their family in the decision-making process can improve patient outcomes, increase patient satisfaction, and reduce the likelihood of medical errors.

I found an article that supports the importance of involving patients in the decision-making process. According to Mott et al. (2018), "Shared decision making is a collaborative process that involves both the clinician and the patient and respects the patient’s autonomy, values, and preferences. It can lead to better clinical outcomes, greater patient satisfaction, and improved adherence to treatment plans" (p. 110). Therefore, involving patients in the decision-making process is essential in providing high-quality patient care.

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Mott, D. A., Martin, B. A., Breslow, M. J., Michaels, B., Kirchner, J. E., & Mahanna, E. (2018). The importance of shared decision making in the pharmacist’s role as patient care provider. Journal of the American Pharmacists Association, 58(2), 106-113. https://doi.org/10.1016/j.japh.2017.12.004

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