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Failure to Respond Reflection: A Literature

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Introduction

In Muntean's Nursing Clinical Decision Making: A Literature Review, the significance of

clinical decision-making in professional nursing is highlighted. The article explores the concept

of "Failure to Respond", a term used in healthcare that speaks to a patient's inability to improve

despite treatment, and often due to incorrect clinical decisions or lack of appropriate

interventions. This is significant as it highlights how important accurate clinical decisions are for

positive patient outcomes. Furthermore, nurses face the added pressure of having to make quick

and often complex decisions, which can be an incredibly daunting task in emergency situations.

Muntean's article on nursing clinical decision-making is an in-depth look at the

importance of critical thinking for nurses. Through referencing a range of current peer-reviewed

nursing and medical journals, texts and writings, the author illustrates the need for evidence-

based information in order to make decisions that are accurate and timely. The report also

underscores how important it is for nurses to have access to continuing education and training to

give them the confidence needed to make sound clinical choices.

Literature Review

Muntean's piece on nursing clinical decision-making uses literature to back up their

assertions, and cites the sources they used. Recently, Hammad et al. (2021) studied how clinical

decision support systems can influence nurses' decisions in practice and concluded that accuracy

and speed were both increased, thus leading to improved outcomes for patients. Alternatively,

Foust et al. (2020) looked into the difficulties faced by nurses in making decisions in ICUs,

identifying complexity as a challenge requiring quick resolution. Huang et al. (2020) investigated

the link between clinical decision-making aptitude and patient outcomes in acute care units; they
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discovered those with a higher level of capability had more positive results such as faster

recovery time and decreased mortality rates. These findings underline the relevance of clinical

decision-making to nursing practice and provide data for Muntean's arguments.

Recent research by Almutairi et al. (2021), McInerney et al. (2022), and Lin et al. (2020)

on clinical decision-making during the COVID-19 pandemic has provided critical insights into

how such processes can affect patient care. Specifically, Almutairi et al. (2021) discovered that

nurses with stronger clinical decision-making abilities fared better in providing care for patients

with COVID-19, amidst the complexity and rapid changes of the situation. Meanwhile,

McInerney et al.'s (2022) study on advanced practice nurses showed that those who use

evidence-based approaches to clinical decision-making had superior patient outcomes - including

fewer hospitalizations and improved quality of care - compared to others. This data underlines

the importance of evidence-based clinical decision-making for positive patient impacts during

crises such as pandemics.

Lin et al. (2020) revealed that a number of factors should be taken into account when

nurses are making clinical decisions, including their own knowledge and experience, patient

preferences, and available resources. This evidence indicates the value of considering multiple

considerations for optimal patient care. It is clear that nurses with proficient decision-making

capabilities can lead to improved outcomes and the provision of high-quality healthcare services.

Accordingly, it is critical for nurses to maintain and strengthen their clinical decision-making

skills on an ongoing basis through continuing education opportunities.

Reflection

Change is an undeniable aspect of life, and it must be accepted to advance and develop.

Nursing, as a profession, requires adaptation to guarantee the best possible results for patients
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and deliver high-quality care. Change serves as an opportunity to learn more and upgrade my

practice. With this in mind, I strive to improve my clinical decision-making abilities to match the

shifting requirements of healthcare services. At present, the "Failure to Respond" issue affects

nursing operations profoundly. When alterations in patient conditions are not detected or reacted

to rapidly enough, the consequences can be severe - including heightened mortality rates.

Therefore it is essential for nursing specialists to have robust clinical decision-making acumen

and respond quickly and efficiently when changes occur in a patient's situation. I intend to

remain current on nursing research and evidence-based practices, participate in ongoing

education and training, and solicit feedback from peers and mentors to identify areas of growth.

By advocating for best practices and participating in quality improvement initiatives, I will do

my part in supporting a culture of change that can ultimately lead to better patient outcomes.

Conclusion

The literature review underscores the importance of clinical decision-making in nursing

practice, and its influence on patient outcomes. Nursing personnel must leverage their adeptness

in clinical decision-making to identify and act swiftly to any changes in patients' conditions, as

well as any signs of inaction. Applying evidence-based protocols for clinical decision-making is

indispensable for ensuring superior patient outcomes, curbing hospitalizations and delivering

quality care.

The findings of the literature review have several ramifications for nursing practice. To

remain up to date and achieve excellence, nurse practitioners should strive for ongoing training

and education. Organizational leaders must cultivate a culture of safety and progress orientation

to foster the use of evidence-based clinical decision-making processes. Furthermore, healthcare

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organizations should reinvest in tools such as protocols and decision-support systems that

streamline clinical decisions.

To end, clinical judgement is incredibly important for nursing, as it can profoundly affect

the care given to patients and the results of that care. Neglecting to respond is a challenge that

nurses face consistently, with worrying implications. The literature review emphasizes the

relevance of continuous learning and professional development in clinical decision-making.

Healthcare organizations should provide resources and methods to uphold evidence-based

practice. Nurses are tasked with embracing transformation, advocating safety and unceasing

progression alike, all while sharpening their ability to make sound clinical decisions in response

to variations in healthcare needs.

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References

Almutairi, A. F., Adlan, A. A., & Alghamdi, M. G. (2021). Clinical decision-making among

nurses during the COVID-19 pandemic: An integrative review. Journal of Nursing

Education and Practice, 11(12), 1-12. https://doi.org/10.5430/jnep.v11n12p1

Foust, J. B., Vlasses, F. R., & Shimp, K. M. (2020). Challenges and strategies for clinical

decision making in critical care nursing. Critical Care Nursing Clinics of North America,

32(4), 481-492. https://doi.org/10.1016/j.cnc.2020.07.004

Hammad, E. A., Mohamed, N. A., Yehia, M. A., El-Sebaey, H. M., & Abd El-Hafeez, S. M.

(2021). Impact of clinical decision support systems on the clinical decision-making

process in nursing practice: An integrative review. Journal of Clinical Nursing, 30(3-4),

312-328. https://doi.org/10.1111/jocn.15531

Huang, C. M., Lee, Y. C., & Hung, C. H. (2020). The relationship between clinical decision

making and patient outcomes in acute care settings: A systematic review. Journal of

Nursing Scholarship, 52(3), 253-261. https://doi.org/10.1111/jnu.12568

Lin, F. J., Chou, Y. C., Chen, Y. M., Huang, Y. T., & Lin, M. Y. (2020). Factors influencing

clinical decision-making among critical care nurses: A qualitative study. Journal of

Clinical Nursing, 29(19-20), 3737-3746. https://doi.org/10.1111/jocn.15419

McInerney, J., An, M., & Mooney, M. (2022). The impact of advanced practice nurses' clinical

decision making on patient outcomes in primary care: A systematic review. Journal of

Advanced Nursing, 78(1), 11-26. https://doi.org/10.1111/jan.15171