Clinical judgement and decision-making: in nursing and interprofessional healthcare

261 Pages·2010·3.487 MB·English

by  Standing, Mooi

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Clinical Judgement and Decision-Making n
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"Mooi Standing's book provides an excellent application of the principal in ulty o
concepts of Cognitive Continuum Theory; her presentation is clear, accurate i f N
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and her inferences show that she has a first rate grasp of the implications of a rsin
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the theory, and what it means for the care of patients. Her work should stand l , C
as a monument to the application of psychological theory to nursing care." Ju hiang
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PROFESSOREMERITUSKENNETHR. HAMMOND, University of Colorado, USA d ai U
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Spoautienndt c-cliennictarel dju,d nguermsinegn ta anndd i ndteecripsrioonfe-mssiaokninagl h aerael tvhitcaal rteo. Tdheilsiv beoryo okf i nhtigeghr qauteasl itthy,e em ersity 5
theory and practice of decision-making to guide and enhance practitioners’ .62
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understanding and clinical expertise. 58
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Mdeocoisii oSnta-mndaiknign gp rteos:e nts relevant, contemporary theory and research that relates t a 7] at [0
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● Professional identity n /18
● Organization of healthcare d /16
● Developing knowledge and skills D ]. Co
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● Selecting and applying the most appropriate interventions e yrig
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Real case studies written by various advanced practitioners demonstrate how to apply c t ©
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theory to practice in reviewing, explaining and continually developing clinical s c
judgement and decision-making skills. A patient’s account of care received for a serious io Graw
illness provides a valuable patient-centred insight. n- -Hill G
The author’s new ‘reflexive-pragmatism’ Clinical Judgement lo
Dr Mooi Standingis Principal M ba
model summarizes the key knowledge, l E
Lecturer in the Department of a d
skills, values and processes of clinical uc
judgement and decision-making, for readers Nursing and Applied Clinical Studies, k atio
toow anp cplliyn iicna rl epvriaecwtiicneg. aEnxtde nensihvea nrecifnlegc ttihveeir aUtn Civaenrstietryb, uUrKy. C Hherri sPth CDh ruersceharched ing and Decision-Making n Holdin
activities and self assessment tools are nurses’ perceptions of clinical gs, L
decision-making and she has L
included throughout the book. published and presented various C. N
Clinical Judgement and Decision-Makingis related papers internationally. Ed in Nursing and ot to
essential reading for qualified nurses, Contributors:Kate Dewar, Carolyn ited be re
meins ipjduewdcgiiaveellmys atehnnodt s aaenl ludien ddd eehcreitsaailokthnin -pgmr CoafkPeiDnss gmio,ondaulsl,es JRaocgkesor nG,o Pldetsemr iEthll,is M, Aicnhtaoenli oS tSaanmdian,g, MO by Interprofessional distributed
Elizabeth Duck, Douglas MacInnes, O o
evidence-based practice and reflective I r m
Susan Plummer, Hesham Hassan S o
pprraaccttiictieo noer rsst.u dying to be advanced TAND Healthcare dified in a
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Cover design Hybert Design (cid:129)www.hybertdesign.com M S rm
www.openup.co.uk Edited by OOI TANDING issio
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Clinical judgement [ F
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In loving memory of Lau Wai Cheng, my father, whose energy, vision, , C
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selfsacrifice,senseofdutyandpracticalwisdomensuredthatmynine ian
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brothersandsistersandIallbenefitedfromandvaluededucationasa ma
meansofdevelopingcharacterandtransformingourlives. i U
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worldwideweb:www.openup.co.uk rsity
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Firstpublished2010 ] at [0
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Copyright(cid:2)C MooiStanding2010 8/1
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Contents [ F
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Listoffigures vii i U
Listoftables ix niv
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Abouttheeditor xi rsity
Contributors xiii 5
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Introduction xvii 2.1
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1 Perceptionsofclinicaldecision-making:amatrixmodel 1 17
MooiStanding ] at [0
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2 Advancedpractitionersandadvancedpractice 28 /1
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KateDewar /16
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3 Creativethinkingforwholesystemsworking 54 o
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CarolynJacksonandPeterEllis rig
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4 Lifelonglearninginjudgementanddecision-making 80 t ©
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MooiStandingandAntonioSama c
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5 Cognitivecontinuumtheory–ninemodesofpractice 100 w-H
MooiStanding ill G
6 Prioritizingdecisionsduringthepatientjourney 129 lob
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RogerGoldsmithandMichaelStanding l E
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7 Accountabilitywithininterprofessionalhealthcare 153 atio
ElizabethDuck n H
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8 Short-andlong-termriskassessmentandmanagement 167 ldin
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DouglasMacInnes s, L
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9 Reflectingonjudgementanddecisionsinclinicalsupervision 191 . N
SusanPlummerandHeshamHassan ot to
10 Reflexive-pragmatism:logic,practicality,rigourandrelevance 205 be
MooiStandingandMichaelStanding red
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Conclusion 223 d
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Glossary 227 r m
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Index 231 d
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List of figures [ F
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1.1 Matrix1:Perceptionsofclinicaldecision-making/conceptionsof i U
nursingafter3–5monthsasnursingstudents(n=20)(Standing2005, niv
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2007) 16 rsity
1.2 Matrix4:Perceptionsofclinicaldecision-making/conceptionsof 5.6
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nursingafter6–12monthsasregisterednurses(n=10)(Standing .1
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2005,2007) 18 .1
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3.1 Plsek’s(1997)DirectedCreativityCycle 70 ] a
4.1 Supportive/ChallengingandReflective/CompetencyEducation t [0
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(SCaRCE)mentoringmodel(Standing1998) 89 /18
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5.1 Lensmodel:intuitivejudgement/decision-makinginahealthcare 6]. C
situation 103 o
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5.2 Clinicalintuitionandclinicalanalysis:expertiseandthecognitive rig
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continuum–thesixmodesofinquiry(Hamm1988:87) 114 t ©
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5.3 Cognitivecontinuumofclinicaljudgement/decision-making–nine c
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modesofpractice(Standing2007,2008) 117 ra
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10.1 Reflexive-pragmatism:Logic,practicality,rigourandrelevancein -H
patient-centred,interprofessionalclinicaljudgementand ill G
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decision-making(StandingandStanding2010) 215 ba
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