clinical decision making lilik (2).pptx

7/26/2019 clinical decision making lilik (2).pptx

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Lilik S

Clinical Decision Making


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PRINCIPLES of PATIENT CARE

Decisions making

Evidence based nursing

Practice guidelines Assessing the outcome of care

Delivering cost-eective & benetmedical care

Accountability Continued learning

Research and teaching


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Decision-making

is solving a problem using a systematic

approach of sequenced steps, selecting

an alternative approach, and putting theapproach into action.


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An organizational decision

relates to organizational purpose:

futurity,impact, philosophy or ethics,

uniqueness.


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A personal decision

relates to professional autonomy.


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Manager behavior

Applies decision-making theory and the

problem-solving process in achieving the

mission of the nursing agency.


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Pitfalls of decision making

Inadequate fact finding

ime constraints

!oor communication "ailure to follo# decision-making steps


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Steps in problem-solving

$ystematically collect, organize, and

analyze data related to a specific problem

or need.

%ake a plan of action.

Implement the plan.

&valuate the results.


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Normative model

'. (efine and analyze the problem

). Identify all available alternatives

*. &valuate the pros and cons of eachalternative

+. ank the alternatives

. $elect the alternative that maimizes

satisfaction/. Implement

0. "ollo# up


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1&I"I2A$I

Diagnosis Planning, etc

inducto

deducto

hypoteticoverivicative

PARADIGMA PROSES DIAGNOSIS

MEMPELAJARI PENDERITADATA DASAR

MANIFESTASI MASALAH

KELAINANSTRUKTUR & FUNGSI

SINTESIS DIGNOSIS

PERUBAHANMORFOLOGI, SELULER & KIMIA

PATOANATOMIPATOFISIOLOGI

PATOGENESISETIOLOGI

DATA DASAR

MEMPELAJARI PENYAKIT


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cientic Problem olving A!!roach

S.P.S.A.

PROBLEM IDENTIFICATION

EVALUATION DATA COLLECTION

IMPLEMENTATION DATA ANALYSIS

PRIORITY SETTING HYPOTHESIS

FORMULATION

PROBLEM SOLVING HYPOTHESIS

ALTERNATIVE TESTING

CLINICAL PROCESS

HEALTH PROBLEM

FOLLOW-UP ANAMNESA/ P.D./

LAB. / MED-RECORD

IMPLEMENTATION DATA &

INFORMATION

ANALYSIS

TREATMENT DIAGNOSIS

PRIORITY SETTING SYNTHESIS

TREATMENT DIAGNOSIS

ALTERNATIVES PLANNING


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Making critical decisionsrequires critical judgmentthe use of knowledge andexperience to diagnosepatients and plan their

treatment.


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Critical Decision Making

The ability to anticipate The ability to prioritize

The ability to problem-sole !elies heaily on knowledge base"n ability to learn from past

mistakes


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3ledsoe et al., Essentials of

Paramedic Care: Division 1I

4 )55/ by !earson

&ducation, Inc. 6pper$addle iver, 78

9ritical thinking is not an

action but a #ay of life.


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Acuity

The seerity or acuteness of yourpatient#s condition


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Protocol

" standard that includes general andspeci$c principles for managingcertain patient conditions


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Standing Orders

Treatments you can perform beforecontacting the medical directionphysician for permission


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Algorithm

%chematic &ow chart that outlinesappropriate care for speci$c signsand symptoms


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Paramedics Criticalhinking Skills !" o# $%

'nowing anatomy( physiology( andpathophysiology

)ocusing on large amounts ofdata *rganizing information

+dentifying and dealing withmedicalambiguity


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Paramedics Criticalhinking Skills !$ o# $%

,ierentiating between releantand irreleant data

"nalyzing and comparing similarsituations

xplaining decisions and

constructing logical arguments


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terimakasih

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clinical decision making lilik (2).pptx