Demonstrate advanced knowledge and skills in the management of uncertainty and the application of reasoning in the assessment and management of care.
Please use this information to formulate the essayLearning outcomes these must be addressed1. Demonstrate detailed knowledge and critical understanding of theories andframeworks of clinical decision-making that will support clinical judgement inpractice2. Demonstrate advanced knowledge and skills in the management of uncertaintyand the application of reasoning in the assessment and management of care.3. Critically examine and synthesise the legal professional and ethical dimensionsof applying clinical judgement and decision making in practice4. Critically evaluate ways in which evidenced based practice will support clinicaljudgment and clinical decision-making.5. Critically appraise the use of problem solving strategies in the use of clinicaljudgement and decision-making in practiceAssignment details of how I would like the essay formedYou are required to submit a 3500 word essay which should highlight yourachievement of all of the learning outcomes 1 to 5 of this module. This will be in theform of a case study. The essay can be split into sections using the 5 learningoutcomes as subheadings if you wish within each section you should demonstrateknowledge and understanding of the theories relating to the learning outcome.You will need to critically analyze the theories and relate them to your practicereferring to the case study as you discuss each aspect.If you wish you may choose to include some of the more descriptive aspects of thecase study as an appendix to the essay preserving the word count in your main bodyfor discussion and analysis of the case and making reference to them throughout theassignment discussion.Suggested FormatIntroductionThe essay should commence with an introduction which explains to the reader thepurpose of the essay and the topics to be covered. Outline to the reader in a conciseway how you will address the outcomes The essay should be written in the thirdperson so begin with This essay willIntroduce your case study to the reader ensuring that confidentiality is maintainedthrough including a reference to consent and confidentiality.Main bodyAfter writing your introduction you need to critically discuss and analyse the theoriesand frameworks which are within each learning outcome to demonstrate yourknowledge and understanding of these. This is where you will be awarded most ofyour marks and you should use the majority of your word count. Remember that eachlearning outcome is of equal weighting in the marking of the work.You also need to link your own clinical practice to the theory you have learned so youwill need to make reference to your case study throughout the assignment todemonstrate using the theories in your practice. .Consider in your discussion that each of the following learning outcomes must beaddressed:1. Develop knowledge and critical understanding of theories andframeworks of clinical decision-making that will support clinical judgment inpracticeTo meet this LO you need to define clinical judgment and clinical decision making andcritically analyze the theories and what are relevant to you. Your case study shouldincorporate and demonstrate clinical decisions you have made and how the theoriesrelate.2. Enhance your knowledge and skills in the management of uncertainty andthe application of reasoning in the assessment and management of care.Discuss assessment theories and tools what uncertainties existed in this case? Howdo you manage uncertainty? What tools did you utilize to justify your decisions andensure your patient was safe? For example safety netting appropriate referral onusing SBAR tool3. Critically examine the legal professional and ethical dimensions ofapplying clinical judgment and decision making in practice.What are the legal professional and ethical issues that support or hinder yourpractice? Refer to the law and your code of practice. You may wish to considerwhether you were able to manage this case within your own scope of practice or when might recognise when a case is outside your scope? Issues such as competenceand accountability need to be considered.4. Critically evaluate ways in which evidenced based practice will supportclinical judgment and clinical decision-making.Define and discuss evidence based practice what resources did you utilize to supportyour practice and therefore your decisions and judgments.Did you refer to any specific evidence guidelines when managing this patient?5. Critically reflect on the use of problem solving strategies in the use ofclinical judgment and decision-making in practiceDefine and discuss problem solving models. You could compare and contrast acouple. How did they support your practice? Within the case study demonstrate theirapplication.Conclusion and action planThe conclusion should incorporate some elements of learning outcome 5 as youcritically reflect on your case study and the strategies you used and an evaluation oftheir effectiveness. Your conclusion should be more than just a summary of the essay.It should be a good end to your piece of writing emphasizing or reinforcing your mainideas but restating them in a new way and avoiding using the same language as inyour essay.Reading ListAnkner G (2007) Clinical Decision Making: case studies in medical-surgical nursing Thomson Delmar New YorkBenner P (1984) From Novice to Expert Addison Welsey CaliforniaBuckingham C & Adams A (2000) Classifying clinical decision making: a unifying approach Journal ofAdvanced Nursing 32 (4) pp.981-989Buckingham C & Adams A (2000) Classifying clinical decision making: interpreting nursing intuition heuristicsand medical diagnosis Journal of Advanced Nursing 32 (4) pp.990-998Calder R Campbell S & Watson D (2005) Cognitive continuum theory in nursing decision making Journal ofAdvanced Nursing 49 (4) pp.397-405Douglas G Nicol F Robertson C. (2009) McLeods Clinical Examination Book. (12th Ed) Churchill Livingstone.London.Gillespie M & Paterson B (2009) Helping novice nurses make effective clinical decisions: the situated clinicaldecision making framework Nursing Education Perspectives 30 (3) pp. 164-170Gillespie B Chaboyer W Winsome S Morley S & Nieuwenhoven P (2015) Health professionals decisionmaking in wound management: a grounded theory Journal of Advanced Nursing 71 (6) pp.1238-1248Greenhalgh T. (2014) How to Read a Paper: The Basics of Evidence-based Medicine (5th ed) Blackwell Wiley.LondonKumar P Clarke M. (2012). Clinical Medicine. (8th Ed)Saunders Ltd. London.Lissauer T and Clayden G. (2011) Illustrated Textbook of Paediatrics: with STUDENTCONSULT Online Access.(4th ed). MosbyLlewelyn H. Aun Ang H. Lewis K. and Al-Abdullah (2014) Oxford Handbook of Clinical Diagnosis (OxfordMedical Handbooks. Oxford Universtiy PressOdell J (2015) Clinical Decision Making in Minor Illness Practice Nursing 26 (10) pp.505-509Porth C. (2010) Essentials of Pathophysiology: Concepts of Altered Health States [3rd Ed] London : LippincottRobinson S (2002) Clinical Decision making: a case study approach Lippincott PhiladelphiaSahib El- Radhi A. (2011) Paediatric Symptom Sorter. Radcliffe Publishing OxfordTower M Chaboyer W Green Q Dyer K & Wallis M (2012) Registered nurses decision making regardingdocumentation in patients progress notes Journal of Clinical Nursing 21 pp.2917-2929
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