M862 Applying A Decision Making Model For Effective Decision Making by Health Care Managers - Edited.d

Running Head: APPLYING A DECISION-MAKING MODEL FOR EFFECTIVE DECISION
MAKING BY HEALTH CARE MANAGERS 1
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Applying a Decision-Making Model for Effective Decision Making by Health Care Managers
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Date
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APPLYING A DECISION-MAKING MODEL FOR EFFECTIVE DECISION MAKING BY
HEALTH CARE MANAGERS 2
Define the problem
In this case, the issue is that the nurse in charge of a busy medical-surgical unit, Jill, has
provided electronic medical record access to the clinical instructor. The nurse faces multiple
tasks to attend to a patient in intensive care or discuss with the clinical instructor about nursing
students' assignments the next day. The issue is urgent because the access to non-authorized
persons is a violation of organizational policy.e This jeopardizes the protection of confidentiality
and privacy offered by the institution. Although Jill is faced with a dilemma, it is highly
unethical for the professor to access medical records since personal interests can be pursued.
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Establish the criteria
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The desirable established criteria must adhere to and comply with the healthcare
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institution's values, mission, and policies (Guo, 2008). The nurse's ultimate decision must
achieve an immediate patient response and delegate the nurse's responsibility to the professor.
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Also, the criteria must balance the instructor's legitimate rights to the information with the rights
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of the patient in crisis requiring urgent care. As a result, the requirements must preserve the
client's rights to faster care and professor attention to review the nursing student assignments.
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Besides, the criteria will avoid a potential breach of patient confidentiality and privacy. Also, it
will prevent negligence of the nurses' responsibilities to the clinical instructor.

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Consider all the alternatives.
Various possible alternatives meet the criteria. One of them is an immediate action that
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will address the issue, delegating another nursing staff member to help the professor review the
assignments. However, changes of responsibility should be communicated to the professor and
highlight the urgency of care to improve understanding of the circumstances. Another choice that
will meet the long-term criteria is to advocate for reform of the hospital policies to allow
instructor access to the electronic medical record (Guo, 2008). The nurse can also promote
changes in the intensive care unit whereby more than one nurse is assigned in the department.
Hiring additional personnel members to the intensive care unit as charge nurses will help provide
efficient and prompt care.
Identify the best alternative.
The best alternative among the choices that best meet the criteria is for Jill to delegate
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another staff member to help the professor review nursing students' assignments.
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Develop and implement a plan of action.
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Although delegating the nurse's task to a colleague is the best alternative, it has some
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discrepancies. The staff assigned to this responsibility may lack adequate information regarding
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patients as a charge nurse. The professor may also prefer the nurse, Jill, and posting a different
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member may negatively impact the review process and outcomes. However, implementing the
plan of action for nurses to delegate responsibilities to nurses within the same unit is suitable
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(Guo, 2008). The immediate solution to the dilemma will prevent a compromise of the system
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security and ensure urgent care to the patient.

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Evaluate and monitor the solution and feedback when necessary

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Assigning tasks to other nurses when faced with situations that need multiple tasks
should be monitored. The intensive care unit is faced with complex and numerous tasks
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demanding immediate attention. Examining other choices such as clinical instructors gaining
access to the electronic medical record should be monitored. The health system manager will
have access to track the system's users and the kind of data accessed for approval. Hiring nursing
staff members who can effectively meet these tasks should be assessed and monitored for
progress (Guo, 2008). The institution should identify nurses with sufficient information as a
charge position.
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Reference
Guo, K. L. (2008). DECIDE A decision-making model for more effective decision making by
health care managers. The health care manager, 27 (2), 118-127.
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Running Head: APPLYING A DECISION-MAKING MODEL FOR EFFECTIVE DECISION

MAKING BY HEALTH CARE MANAGERS 1

Define the problem

persons is a violation of organizational policy.e This jeopardizes the protection of confidentiality

will prevent negligence of the nurses' responsibilities to the clinical instructor.

Consider all the alternatives.

assignments. However, changes of responsibility should be communicated to the professor and

efficient and prompt care.

Identify the best alternative.

security and ensure urgent care to the patient.

Evaluate and monitor the solution and feedback when necessary

health care managers. The health care manager, 27 (2), 118-127.

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