scholarly journals A comparative study on the clinical decision-making processes of nurse practitioners vs. medical doctors using scenarios in a secondary care environment

2016 ◽  
Vol 73 (5) ◽  
pp. 1097-1110 ◽  
Author(s):  
Stephen Thompson ◽  
Calvin Moorley ◽  
Julian Barratt
Keyword(s):  
Decision Making ◽  
Comparative Study ◽  
Nurse Practitioners ◽  
Secondary Care ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Medical Doctors ◽  
Care Environment ◽  
Decision Making Processes

Benner’s Framework and Clinical Decision-Making in the Critical Care Environment

2016 ◽  
Vol 30 (1) ◽  
pp. 52-57 ◽  
Author(s):  
Kristi J. Stinson
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Clinical Experience ◽  
Strong Correlation ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Decision Making Process ◽  
Clinical Experiences ◽  
Care Environment ◽  
Decision Making Processes

Completed as part of a larger dissertational study, the purpose of this portion of this descriptive correlational study was to examine the relationships among registered nurses’ clinical experiences and clinical decision-making processes in the critical care environment. The results indicated that there is no strong correlation between clinical experience in general and clinical experience in critical care and clinical decision-making. There were no differences found in any of the Benner stages of clinical experience in relation to the overall clinical decision-making process.

scholarly journals Explaining deep neural networks for knowledge discovery in electrocardiogram analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Steven A. Hicks ◽  
Jonas L. Isaksen ◽  
Vajira Thambawita ◽  
Jonas Ghouse ◽  
Gustav Ahlberg ◽  
...  
Keyword(s):  
Decision Making ◽  
Deep Learning ◽  
Deep Neural Networks ◽  
Clinical Decision Making ◽  
Medical Knowledge ◽  
Clinical Decision ◽  
Medical Data ◽  
Medical Doctors ◽  
Medical Tests ◽  
Deep Learning Model

AbstractDeep learning-based tools may annotate and interpret medical data more quickly, consistently, and accurately than medical doctors. However, as medical doctors are ultimately responsible for clinical decision-making, any deep learning-based prediction should be accompanied by an explanation that a human can understand. We present an approach called electrocardiogram gradient class activation map (ECGradCAM), which is used to generate attention maps and explain the reasoning behind deep learning-based decision-making in ECG analysis. Attention maps may be used in the clinic to aid diagnosis, discover new medical knowledge, and identify novel features and characteristics of medical tests. In this paper, we showcase how ECGradCAM attention maps can unmask how a novel deep learning model measures both amplitudes and intervals in 12-lead electrocardiograms, and we show an example of how attention maps may be used to develop novel ECG features.

Clinical Decision-making Processes in Perioperative Nursing

AORN Journal ◽  
1999 ◽  
Vol 70 (1) ◽  
pp. 45-62 ◽  
Author(s):  
Cheryl B. Parker ◽  
Ptlene Minick ◽  
Carolyn C. Kee
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Perioperative Nursing ◽  
Decision Making Processes

How do Iranian emergency doctors decide? Clinical decision making processes in practice

2011 ◽  
Vol 29 (5) ◽  
pp. 394-398 ◽  
Author(s):  
Hamed-Basir Ghafouri ◽  
Farhad Shokraneh ◽  
Hossein Saidi ◽  
Abolfazl Jokar
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Decision Making Processes ◽  
Emergency Doctors

Diagnostic conversations: Clinical Decision Making in surgery – Part 2

Diagnosis ◽  
2014 ◽  
Vol 1 (2) ◽  
pp. 189-193 ◽  
Author(s):  
David Allan Watters ◽  
Spencer Wynyard Beasley ◽  
Wendy Crebbin
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Learning Opportunities ◽  
Clinical Decisions ◽  
Decision Making Processes ◽  
Royal Australasian College ◽  
Insight Into ◽  
Made In

AbstractProceduralists who fail to review their decision making are unlikely to learn from their experiences, irrespective of whether the operative outcome is successful or not. Teaching junior surgeons to develop ‘insight’ into their own decision making has long been a challenge. Surgeons and staff of the Royal Australasian College of Surgeons worked together to develop a model to help explain the processes around clinical decision making and incorporated this model into a Clinical Decision Making (CDM) training course. In this course, faculty apply the model to specific surgical cases, within the model’s framework of how clinical decisions are made; thus providing an opportunity to identify specific decision making processes as they occur and to highlight some of the learning opportunities they provide. The conversation in this paper illustrates the kinds of case-based interactions which typically occur in the development and teaching of the CDM course.The focus in this, the second of two papers, is on reviewing post-operative clinical decisions made in relation to one case, to improve the quality of subsequent decision making.

Content and Process in Clinical Decision-Making by Nurse Practitioners

1992 ◽  
Vol 24 (2) ◽  
pp. 153-158 ◽  
Author(s):  
Joyce E. White ◽  
Donna G. Nativio ◽  
Shirley N. Kobert ◽  
Sandra J. Engberg
Keyword(s):  
Decision Making ◽  
Nurse Practitioners ◽  
Clinical Decision Making ◽  
Clinical Decision

The Art of Narrative Psychiatry

2013 ◽  
Author(s):  
SuEllen Hamkins
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Narrative Therapy ◽  
Clinical Decision Making ◽  
Case Reports ◽  
Clinical Decision ◽  
Theory And Practice ◽  
Clinical Approach ◽  
Decision Making Processes ◽  
Justice Movements

Narrative psychiatry empowers patients to shape their lives through story. Rather than focusing only on finding the source of the problem, in this collaborative clinical approach psychiatrists also help patients diagnose and develop their sources of strength. By encouraging the patient to explore their personal narrative through questioning and story-telling, the clinician helps the patient participate in and discover the ways in which they construct meaning, how they view themselves, what their values are, and who it is exactly that they want to be. These revelations in turn inform clinical decision-making about what it is that ails them, how they'd like to treat it, and what recovery might look like. The Art of Narrative Psychiatry is the first comprehensive description of narrative psychiatry in action. Engaging and accessible, it demonstrates how to help patients cultivate their personal sources of strength and meaning as resources for recovery. Illustrated with vivid case reports and in-depth accounts of therapeutic conversations, the book offers psychiatrists and psychotherapists detailed guidance in the theory and practice of this collaborative approach. Drawing inspiration from narrative therapy, post-modern philosophy, humanistic medicine, and social justice movements - and replete with ways to more fully manifest the intentions of the mental health recovery model - this engaging new book shows how to draw on the standard psychiatric toolbox while also maintaining focus on the patient's vision of the world and illuminating their skills and strengths. Written by a pioneer in the field, The Art of Narrative Psychiatry describes a breadth of nuanced, powerful narrative practices, including externalizing problems, listening for what is absent but implicit, facilitating re-authoring conversations, fostering communities of support, and creating therapeutic documents. The Art of Narrative Psychiatry addresses mental health challenges that range from mild to severe, including anxiety, depression, despair, anorexia/bulimia, perfectionism, OCD, trauma, psychosis, and loss. True to form, the author narrates her own experience throughout, sharing her internal thoughts and decision-making processes as she listens to patients. The Art of Narrative Psychiatry is necessary reading for any professional seeking to empower their patients and become a better, more compassionate clinician.

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