Question

• What can we, as practitioners, do to be sure we're bringing clinical expertise into the decision-making process?

150 words

Answer 1

Ans) Decision making about individual patient care is a complex and contextually dependent process in which:

- Decision making consists of a core process
(where decisions are made about patients’
healthcare problems, appropriate therapeutic
interventions, optimal modes of interaction
and methods of evaluation) that is dependent
upon attributes of the task such as difficulty,
complexity and uncertainty.
- Decision making involves a dynamic, recipro-
cal process of engaging with situational factors in the immediate context surrounding the decision to identify and use these factors in making decisions and carrying out an optimal course of action, and, at the same time, managing the influence of these factors on decision making to facilitate achievement of an optimal course of action practitioner factors (such as their frames of reference, individual capabilities and experience of expertise in decision making in the relevant work contexts) influence the decisions.

- They makedecision making is situated within a broader contextual ethos, with dimensions particular to the practice in the specific workplace traversing all of these factors, to manage and make sense of them requires four key capabilities: cognitive, emotional, social and reflexive.

- Attributes of decision makers, such as their capabilities, confidence, self-efficacy, emotions,
frames of reference, and degree of expertise, also influenced their decision making.