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The main problem is there is poor decision making with novice nurses.

Feeling and Parker (2015) states novice nurses are to utilize critical thinking to make critical decisions every hour to keep patients safe. However, the general problem is that poor patient outcomes occur in healthcare due to poor clinical decision making due to the lack of critical thinking skills of novice nurses. Poor critical thinking skills impact patient outcomes, delays in treatment, and missed patient status changes (Huang, Lindell, Jaffe, & Sullivan, 2016, p. 237). From years 2008 to 2010, over 21,000 patients resulted in death due to poor decision making (Parker, 2014, p. 160). Nurses who use critical thinking allows for better nursing interventions that will ultimately lead to better patient outcomes (Naber, Schadler, & Hall, 2014, p. 95).

The specific problem is that nursing students who have just graduated from nursing programs do not have sufficient training in critical thinking skills, which negatively affects clinical decision making on the job. Nearly half of the errors made by the nurses resulted from poor clinical decision making (Ghorbani & Strömmer, 2018, p. 1151). Novice nurses focus on tasks rather than distinguishing pertinent patient changes, thus impairing clinical decision making (Walton, 2016, p. 27). Basic skills are demonstrated by novice nurses, but lack critical thinking to make appropriate decisions (Murray, Sundin, & Cope, 2019, p. 201).

Researchers have administered studies about poor patient outcomes, but a gap can be found regarding the reasons for this with some researchers stating it is due to poor clinical decision making due to poor critical thinking by nurses (Clayton, 2019) and others stating it is due to the curriculum barriers that interfere with student training in developing clinical decision making (Li, Ye, & Chen, 2019, p. 96; Cooke, Stroup, & Harrington, 2019, p. 219). Researchers are calling for further studies in the use of active learning strategies to enhance critical thinking skills so that clinical decision making can occur sooner for nursing students (Chan, 2019, p. 43; Cooke, Stroup, & Harrington, 2019, p. 219). Not addressing the critical thinking and clinical decision-making issue may adversely affect patient outcomes (Chan, 2019, p. 34). Also, not preparing nursing students to make these types of critical decisions upon graduation may further harm the patient safety (Chan, 2019, p. 43; Cooke, Strop, & Harrington, 2019, p. 219).


Support your assignment with at least five scholarly resources to suggest clinical decsion making is an issue for new nurses.

Length: 1-2 pages, not including title and reference pages

superadmin (28431)
New York University
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