Pearson (2013) explains that clinical decision making is crucial in all aspects of patient care (p. 214). It involves the ability to gather information and make decisions that will be applied in a specific situation. Evidence-based decision making requires selecting from various possibilities and combining knowledge through research and scientific evaluation. The purpose of this paper is to analyze my decision to administer ativan by advocating for the patient and anticipating her change before confirming signs, leading to a therapeutic response. During my community placement at St. Joseph’s Hospital’s cataract clinic, I observed an extremely anxious patient…show more content…
The CAEN Decision Making Model for Nursing Practice Framework was selected for this analysis because it incorporates foundational knowledge, thinking processes, context, and decision-making processes. The model emphasizes the importance of relationships, salience and pattern recognition, healing initiatives, critical reflection, and valuing different ways of knowing. The client and nurse are central to the framework, highlighting the significance of their relationship. The client’s lived experience of health and healing is integral to critical decision-making in nursing practice. In this particular situation, working closely with the patient provided an opportunity to establish a relationship focused on providing health and healing measures (CAEN, 2008). The first stage of the framework is coming to know the client, which involves recognizing that the personal meaning of health and healing is individualized and subjective. Gillespie and Paterson (2009) suggest that clinical decision-making processes are sparked by cues from patients. In this case, the decision was based on a cue indicating a change in the patient.
