As nurses you have all learned the importance of clinical decision making, critical thinking and clinical judgement to making effective and safe patient care decisions in practice. As you move into your role of advanced practice nurse whether that is leadership and management or NP, how does this change? Does it? This week read through some articles provided about how nurses and advanced practice nurse make decisions in practice.
Is there a difference between the skills required by the bedside nurse and those needed by APN? Support the discussion with rationale and readings.
As you transition to your role as an APN what clinical decision-making skills do you feel are needed for nurses planning to be NP? Nurse leaders? Support this with course readings and other academic literature. Are these different, if so why or why not?
What standardized decision-making tool has been created to guide nurses at all levels to make practice decisions? Why was this created, what is the purpose of the tool? How would this be used in your role as an APN; be specific and describe how to apply this tool. Are there other standardized clinical decision-making tools to guide NP/APN to make decisions in practice? Should these be employed and/or are they employed in all care setting for NP? Provide a rationale.
Explain your rationale. Describe the role of the Consensus Model for APRN.
Full Answer Section
The clinical decision-making skills that are needed for nurses planning to be NP or nurse leaders are similar, but there are some key differences. For NP, the focus is on making independent decisions about patient care. This requires a deep understanding of the evidence base, as well as the ability to critically appraise research and apply it to practice. Nurse leaders need to be able to make decisions that affect the care of multiple patients or even an entire organization. This requires a broader understanding of the healthcare system, as well as the ability to think strategically and solve complex problems.
What standardized decision-making tool has been created to guide nurses at all levels to make practice decisions?
The
Clarify, Analyze, Synthesize, Evaluate (CASE) model is a standardized decision-making tool that can be used by nurses at all levels to make practice decisions. The CASE model is a four-step process that helps nurses to:
- Clarify the clinical question or problem.
- Analyze the evidence. 3.Synthesize the evidence.
- Evaluate the evidence and make a decision.
The CASE model is a helpful tool for nurses because it provides a structured approach to decision-making. It can be used to make decisions about a wide range of clinical issues, and it can be adapted to different settings and situations.
Are there other standardized clinical decision-making tools to guide NP/APN to make decisions in practice?
Yes, there are a number of other standardized clinical decision-making tools that can be used by NP/APN. Some of these tools include:
- The RAND/UCLA Appropriateness Method
- The Joanna Briggs Institute Evidence-Based Practice Framework
- The Stetler Model of Evidence-Based Practice
These tools are similar to the CASE model in that they provide a structured approach to decision-making. However, they may have different features or be designed for specific settings or situations.
Should these be employed and/or are they employed in all care settings for NP? Provide a rationale.
The use of standardized clinical decision-making tools is not mandatory in all care settings for NP. However, there are a number of reasons why these tools should be employed. First, they can help to ensure that nurses are making decisions based on the best available evidence. Second, they can help to improve the quality of care that patients receive. Third, they can help to protect nurses from liability.
In practice, the use of standardized clinical decision-making tools varies. Some settings may require the use of these tools, while others may not. However, the increasing emphasis on evidence-based practice is likely to lead to more widespread use of these tools in the future.
Explain your rationale. Describe the role of the Consensus Model for APRN.
The Consensus Model for APRN Regulation is a framework that was developed to standardize the education, certification, and licensure of APRNs. The model was developed by a national task force that included representatives from nursing organizations, healthcare organizations, and government agencies.
The Consensus Model has four key components:
- Education: APRNs must have a graduate-level education from an accredited program.
- Certification: APRNs must be certified by a national certifying body.
- Licensure: APRNs must be licensed by the state in which they practice.
- Interprofessional collaboration: APRNs must be able to collaborate effectively with other healthcare professionals.
The Consensus Model is important because it helps to ensure that APRNs have the education, certification, and licensure necessary to provide safe and effective care. The model also helps to promote interprofessional collaboration, which is essential for providing high-quality care.
Sample Answer
here are some answers to your questions:
Is there a difference between the skills required by the bedside nurse and those needed by APN?
Yes, there are some key differences between the skills required by the bedside nurse and those needed by APN. Bedside nurses typically have a more focused role, providing direct care to patients. They need to be able to assess patients' conditions, provide treatment, and monitor their progress. APNs, on the other hand, have a broader role. They typically have more autonomy and responsibility, and they are involved in a wider range of activities, such as providing direct care, managing patient care, and conducting research.
As you transition to your role as an APN what clinical decision-making skills do you feel are needed for nurses planning to be NP? Nurse leaders?