Directions:

Nurse Leader and Manager Decisions

Nurse leaders and managers and are responsible for making decisions in the healthcare setting.

First Post

Describe how you will be involved with the decision-making process using the DECIDE model. Include an example from a clinical situation you experienced in the healthcare setting.

Reply Post

Respond to at least one of your peers about their example that illustrates their interpretation of DECIDE. Expand on your peer’s ideas.

Note:

• “Expand on your peer’s ideas” needs more than 1 – 2 sentences for an acceptable reply.
• If you refer to a website or article, be sure to cite it in APA format. This prevents plagiarism and allows your fellow students to review the cites and increase the class knowledge base.

Please make your initial post by midweek, and respond to at least one other student’s post by the end of the week. Please check the Course Calendar for specific due dates.

1 RESPONSE1)

D = define the problem

(2) E = establish the criteria

(3) C = consider all the alternatives

(4) I = identify the best alternative

(5) D = develop and implement a plan of action

(6) E = evaluate and monitor the solution and feedback when necessary.

I will be a part of the decision-making process by participating in each phase of the DECIDE model. In a clinical situation, such as when a patient refuses to take medicine, I would first define the problem or opportunity. The challenge in this situation is that the patient is refusing to take his or her medicine, and the opportunity is to find a way to persuade him or her to do so. After that, I would make a list of objectives for myself. In this case, the goal would be to persuade the patient to take his or her medication. Then I would consider alternative possibilities.

After considering the options, I would set the criteria. In this situation, the severity of the patient’s sickness, the medication’s side effects, and the patient’s preferences must all be considered. When the criteria have been established, I will evaluate the options. When assessing the possibilities, in this case, I would evaluate the severity of the patient’s sickness, the medication’s side effects, and the patient’s preferences. After analyzing the possibilities, I would choose the best option. In this case, speaking with the patient about why they need to take their medication or offering them a new sort of drug could be the best solution.

In a clinical situation when I was dealing with a patient who was having problems taking their prescription, I used the DECIDE model. I started by determining the problem, which was that the patient was not taking his or her medicine as prescribed. Following that, I gathered data by conversing with the patient and their family to understand more about their condition.

Finally, I evaluated the plan’s outcomes by communicating with the patient and their family to see whether the education was helpful, as well as with the case manager to see if the referral was helpful.

Reference:

Guo K. L. (2008). DECIDE a decision-making model for more effective decision-making by health care managers. The health care manager, 27(2), 118–127. https://doi.org/10.1097/01.HCM.0000285046.27290.90