Question

1. What is/are your suggestion(s) for improvement of care plans as it relates to CDS?
2. Discuss potential risks of the your CDS improvement suggestions.

Answer 1

1.IMPROVEMENT IN NURSING CARE

Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health system management, and education are also
key nursing roles (ICN). The concept of individualised nursing care is much important , where a prerequisite is to ‘know the patient’, to have knowledge of the individual situation, and how the patients themselves perceive the situation.

2.IMPROVEMENT IN NURSING PROCESS MODEL

  The American Nurses Association (ANA) published the Standards of Nursing Practice in which the nursing process was described with five subsequent steps, adding diagnosis as the second step.

There are suggestions of a third generation of the nursing
process model. Pesut and Herman (1999) proposed a model of reflective clinical reasoning in which a repeated reflected comparison between present state and outcome determines the clinical judgement and decision to end the reasoning situation or reframing the situation, altering the decisions about the course of action.

3.IMPROVEMENT IN DOCUMENTATION

  introduction of electronic health record systems with standardised information templates improved the
structure and content in the nursing discharge notes thus improving the documentation.

4.IMPROVEMENT IN NURSING DIAGNOSIS

Three essential components are identified in the statement: the problem (P), its aetiologies (E), and signs and symptoms (S). use these system properly to make a diagnosis.

5.IMPROVEMENT IN DECISION MAKING

Different thinking strategies, used in clinical reasoning that are aimed at decision-making, have been described, including the hypothetico-deductive method, decision analysis theory, pattern recognition, and intuition.

6.IMPROVEMENT IN PATIENT PARTICIPATION

  Patient participation involves several dimensions, including collaboration, partnership, and involvement.