Comparative Decision-Making Models in Nursing Practice

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Decision-Making Process Paper

Instructions

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In this assignment, you will be writing a 6–8-page paper identifying [maximum page limit is 8 pages- do not exceed as it will incur a penalty], comparing and contrasting at least 3 different decision-making approaches of care from a multidisciplinary perspective using a pertinent and significant topic in nursing [The following topics are NOT allowed and will not be approved: shortage and nurse turnover, nurse staffing ratios, unit closures, and restructuring, use of contract employees (i.e., registry and travel nurse)].
It’s important to approach this project with curiosity and reflection, as the goal is not only to analyze models but also to understand how nurses at different levels think through complex issues.
The topic MUST BE APPROVED by your nursing instructor before writing the paper. Your topic was approved in week 3—please refer to week 3’s approved topic. You are required to use APA 7th edition format, and the page count, appropriate headings, the title page, and the reference page. Reflect on your decision-making practices and the implications this will have regarding differing approaches taken by nursing leaders and staff nurses/clinical practitioners in decision-making regarding issues in practice.
You might find it helpful to think about how your own professional experiences or classroom learnings have shaped the way you make clinical judgments.
To complete this assignment, do the following:

Use at least 10 CURRENT references other than your main text, do not exceed the maximum 8-page limit [not counting references and cover page]. Uses APA 7th edition formatting.
Try to include a blend of quantitative and qualitative sources to ensure your arguments are comprehensive and well-rounded.

Please see sample APA 7 paper—DO NOT use an Abstract.
Following these guidelines will help your work appear polished and professional, which is a key expectation in graduate-level writing.

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Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature.
It can help to think of this section as storytelling through evidence—explain not only what the issue is, but why it matters.
Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN) are impacted by the problem.
Many students find it beneficial to organize this portion with subheadings that separate causes, impacts, and proposed interventions for clarity.

Identify how you would expect a nurse leader/manager, a bedside/staff nurse, and an Advanced Practice Nurse (CNO or NP) to address your selected issue using at least 2 [3 ideal] different decision-making approaches which are clearly supported by the literature review.
Consider how professional roles, responsibilities, and scope of practice influence the choice of decision-making model.
This must first include a detailed analysis/overview of the selected decision-making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem, along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem—making sure to incorporate this at all levels of practice.
When writing this part, try to use clear examples or short case scenarios to illustrate how each model could realistically guide decisions in everyday nursing practice.
One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice—only that this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem.
A thoughtful approach here will show your ability to connect theory with practical, role-specific application.
For instance, one decision-making model may apply to the bedside nurse; the second decision-making model may be more applicable at the level of APN (CNO, NP, etc.) and the other decision-making model may be best applied to the nurse manager.
This section should be detailed; meaning specific, well-thought-out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature.
Take your time developing this part—it’s where your analytical and critical thinking skills truly shine.
of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed from course readings, literature, clinical scenarios, and other evidence-based and scholarly sources.
Ensure your discussion balances evidence with reflection, showing awareness of both the strengths and the constraints of each model in practice.

Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice.
Your goal here is to clearly explain why your chosen model is the most effective, not just that it is.
This should provide a well-supported rationale for this choice that includes a good comparison and contrasting of the 3 chosen decision-making models that clearly illustrates why the choice was made, that is consistent with the decision-making model and how it would address the chosen topic or problem.
You can enhance credibility by referencing studies or outcomes that demonstrate the success of this approach in similar settings.

Identify a possible funding source that would address your approach to solving the problem.
Thinking about real-world implementation and feasibility adds professional depth to your work.
For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP?
Remember to justify your choice by linking the funding organization’s mission or focus with your project goals.
If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state, or local organizations. For example: There are many grants available through the CDC, HRSA, etc. Again, this needs to be specifically applied with sufficient details.
A well-thought-out funding section demonstrates that you understand both the academic and practical dimensions of professional nursing leadership.

Resources

• Benner, P., Hughes, R. G., & Sutphen, M. (2021). Clinical reasoning and judgment in nursing practice. Journal of Nursing Education, 60(3), 145–152. https://doi.org/10.3928/01484834-20210115-03

• Johansson, B., & Bäckström, C. (2022). Shared decision-making in nursing practice: A systematic review. BMC Nursing, 21(1), 320. https://doi.org/10.1186/s12912-022-01012-7

• Thompson, C., & Dowding, D. (2020). Clinical decision making and judgement in nursing (4th ed.). Elsevier.

• Turale, S., & Kunaviktikul, W. (2023). Nursing leadership and decision-making in complex healthcare systems. International Nursing Review, 70(1), 45–58. https://doi.org/10.1111/inr.12890

• Dykes, P. C., Chu, C. H., & Collins, S. (2019). Applying data-driven decision-making in clinical nursing practice: A review of evidence. Nursing Outlook, 67(6), 665–674. https://doi.org/10.1016/j.outlook.2019.06.007

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