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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 of the 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.

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Sample Answer

Clinical decision-making skills are essential for both bedside nurses and advanced practice nurses (APNs). However, there are some key differences in the skills required for these two roles.

Bedside nurses typically have more experience with routine patient care and are responsible for implementing the orders of physicians. They need to be able to assess patients quickly and accurately, and make decisions about their care in a timely manner.

APNs, on the other hand, have a broader scope of practice and are responsible for providing a wider range of services. They need to be able to assess patients more comprehensively, and make decisions about their care that are based on a deeper understanding of pathophysiology and pharmacology.

Full Answer Section

In addition, APNs often need to be able to manage complex cases and provide leadership in the care of patients. This requires a high level of clinical decision-making skills, as well as the ability to communicate effectively with other healthcare professionals.

Here are some of the clinical decision-making skills that are essential for APNs:

  • Critical thinking: The ability to think critically and analyze complex information is essential for APNs. They need to be able to identify the most important information from a patient’s history and physical exam, and use this information to make accurate diagnoses and develop appropriate treatment plans.
  • Problem-solving: APNs need to be able to solve problems effectively. This includes the ability to identify potential problems, develop solutions, and implement those solutions.
  • Decision-making: APNs need to be able to make decisions quickly and confidently. They need to be able to weigh the risks and benefits of different treatment options, and make the best decision for the patient’s care.
  • Communication: APNs need to be able to communicate effectively with patients, their families, and other healthcare professionals. They need to be able to explain complex medical information in a way that is easy to understand, and they need to be able to work collaboratively with other healthcare professionals to provide the best possible care for their patients.

There are a number of standardized decision-making tools that have been created to guide nurses at all levels to make practice decisions. One of the most well-known tools is the Assessing Levels of Decision Making (ADM) tool. The ADM tool was developed by the National Council of State Boards of Nursing (NCSBN) to help nurses assess their own decision-making skills and identify areas where they need improvement.

The ADM tool is a self-assessment tool that asks nurses to rate their confidence in their ability to make decisions in a variety of clinical situations. The tool also asks nurses to rate their knowledge of the relevant anatomy, physiology, and pharmacology.

The ADM tool can be used by nurses at all levels to assess their decision-making skills. It can also be used by nurse educators to help students develop their decision-making skills.

In addition to the ADM tool, there are a number of other standardized clinical decision-making tools that are available. These tools can be used by nurses to guide their decision-making in a variety of clinical settings.

The Consensus Model for APRN Regulation was developed by the NCSBN in 2008. The Consensus Model is a framework for the regulation of APRNs in the United States. The Consensus Model defines the scope of practice for APRNs, and it sets standards for the education, certification, and credentialing of APRNs.

The Consensus Model is important because it provides a national framework for the regulation of APRNs. This helps to ensure that APRNs have the education, training, and experience necessary to provide safe and effective care to patients.

The Consensus Model also helps to promote the role of APRNs in the healthcare system. By establishing clear standards for the education, certification, and credentialing of APRNs, the Consensus Model helps to ensure that APRNs are qualified to provide a wide range of healthcare services.

In conclusion, clinical decision-making skills are essential for both bedside nurses and APNs. There are a number of standardized decision-making tools that can be used to guide nurses in their decision-making. The Consensus Model for APRN Regulation is an important framework for the regulation of APRNs in the United States.

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