Influences on clinical decision-making during a community placement: reflections of a student nurse

摘要

>A nurse's ability to provide high quality care is dependent on using effective clinical judgement (Royal College of Nursing, 2014). Decision-making is acting on clinical judgement by choosing the best available option and applying it to practice (Thompson and Dowding, 2003). In nursing, that decision is often made with a degree of uncertainty about the outcome and involves weighing up the potential risks and benefits of each option (Baron, 2008). However, nursing practice needs to be safe and effective; it needs to be well-reasoned, evidence-based and justifiable (Tilley et Watson, 2004). Student nurses need to understand influences on decision-making to develop good clinical judgement.