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Module Title |
Clinical judgement and decision making
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Module Code |
NS503
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School |
School of Nursing and Human Sciences
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Online Module Resources
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Level |
5
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Credit Rating |
10
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Pre-requisite |
None
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Co-requisite |
None
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Module Aims
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7 For students to become proficient in articulating how judgement and decision-making processes guide our thoughts, behaviours and relations with others.
7 To equip students with the ability to appraise the potential for inaccurate judgements and decisions.
7 The application of best practice in judgement and decision-making to nursing.
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Learning Outcomes
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On completion of this module and following a period of personal study it is intended that the student will be able to:
7 Analyse how judgement processes mediate overt and covert decisions.
7 Identify and reflect on the judgements and decisions made in clinical practice.
7 Apply their understanding to the attributions, judgements and decisions made by clients.
7 Identify the dimensions used in nursing assessments, evaluate the use of prior knowledge in assessment, and critically discuss models and theories of nursing in this context.
7 Understand how prescriptive and descriptive models of judgement and decision-making relate to clinical practice.
7 Critially appraise how intuition in used in the nursing process and understand how intuitive processes may be studied.
7 Apply techniques such as judgement and decision analysis and models such as cognitive continuum theory in considering their clinical practice.
7 Use their understanding of judgement and decision-making to critically direct their approach to reflective and evidence-based practice.
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Indicative Time Allowances
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Hours
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Lectures |
30
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Tutorials |
6
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Laboratories |
18
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Seminars |
0
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Independent Learning Time |
96
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Total |
150
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Placements |
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Assignments |
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NOTE
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Assume that a 10 credit module load represents approximately 150 hours' work, which includes all teaching, in-course assignments, laboratory work or other specialised training and an estimated private learning time associated with the module.
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Indicative Syllabus
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· Background and trends in the study of judgement and decision-making.
· Perception, attention and memory.
· Prescriptive and descriptive approaches to logic, thinking and rationality.
· Classification of personal and clinical phenomena.
· Using information in the clinical setting: hypothesis testing and attribution (e.g., hypothesis generation and testing processes; attributional style, attributions of responsibility; the person and the situation; attributional biases).
· Social cognition (e.g., continuum models; categorisation, schemas, scripts and frames; self-categorisation theory; social cognitive biases such as the confirmation bias).
· Use of generic and specific heuristic 'rules-of-thumb' in judgement and decision-making.
· Conceptualisations of nursing practice (e.g., Benner's intuitive model of expertise, Carper's 'ways of knowing').
· The impact of motivation and affect on judgements and decisions.
· Judgement and decision-making under conditions of uncertainty, stress and pressure.
· Decision aids and research techniques (e.g., judgement analysis, decision analysis, clinical decision support systems, clinimetrics, thought listing).
· Skills learning, implicit memory and intuition.
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| Assessment | | Continuous Assessment | 70% | Examination Weight | 30% |
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Indicative Reading List
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Essential:
Anderson, J.R. (2000). Cognitive psychology and its implications. New York: Worth.
Connolly, T., Arkes, H.R., & Hammond, K.R. (2000). Judgement and decision-making: An interdisciplinary reader. Cambridge: Cambridge University Press.
Harvey, N. (2001). Studying judgement: Methods and models. Hove: Psychology Press.
Supplementary:
Baddeley, A. (1997). Human memory: theory and practice. Hove: Psychology Press.
Benner, P.E., Tanner, C.A., & Chelsea, C.A. (1996). Expertise in nursing practice: Caring, clinical judgement and ethics. New York: Springer Verlag.
Berner, E.S. (1998). Clinical decision support systems: Theory and practice. New York: Springer Verlag.
Cooksey, R.W. (1995). Judgement analysis. New York: Academic Press.
Doherty, M. (1997). Social judgement theory. Hove: Psychology Press.
Downie, R., & MacNaughton, J. (2000). Clinical judgment. Oxford: Oxford University Press.
Eysenck, M., & Keane, M.T. (2000). Cognitive psychology: A student's handbook. Hove: Lawrence Erlbaum.
Feinstein, A. (1987). Clinimetrics. New Haven. CN: Yale University Press.
Fish, D., & Coles, C. (1997). Developing professional judgement in health care. Oxford: Butterworth-Heinemann.
Gavin, H. (1998). The essence of cognitive psychology. Hemel Hempstead: Prentice Hall Europe.
Gross, R. (2001). Decisions and evidence in evidence-based practice: Applying evidence-based medicine to clinical decision-making. St. Louis: Mosby.
Goleb, A. L. (1997) Decision Analysis: an integrated approach. New York: Wiley.
Hammond, K.R. (1996). Human judgement and social policy. Oxford: Oxford University Press.
Heller, R. (1998) Making Decisions. London: Dorling Kindersley.
Kunda, Z. (2000). Social cognition: Making sense of people. Cambridge, MA: MIT Press.
Martinez de Castillo, S.L. (1999). Strategies, techniques and approaches to thinking: Case studies in clinical nursing. Philadelphia: W.B. Saunders.
Patronis Jones, R.A., & Beck, S.E. (1995). Decision-making in nursing. Albany, NY: Delmar.
Plous, S. (1993). The psychology of judgement and decision-making. New York: McGraw Hill.
Ross, L., & Nisbett, R. (1991). The person and the situation: perspectives of social psychology. New York: McGraw Hill.
Wickens, C., Gordon, S., & Liu, Y. (1998). An introduction to human factors engineering. New York: Longman.
Useful Journals:
Journal of Personality and Social Psychology
Journal of Experimental Psychology
Psychological Review
Journal of Applied Psychology
Medical Decision Making
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Programme or List of Programmes
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| GNSAD | GD Nursing,Addictions/Substance-Related |
| GNSAMH | GDip Nursing - Acute Mental Health |
| GNSCMH | GDip Nursing - Community Mental Health |
| GNSID | GD Nursing, Intellectual Disability |
| GNSMHC | GDip Nursing-Child/Adolescent Mental H |
| GNSMHO | GD Nursing, Mental Health Older People |
| GNSRN | GDip in Nursing - Renal Nursing |
| GNSUN | GDip in Nursing - Urological Nursing |
| MNSRN | MSc in Nursing - Renal Nursing |
| Archives: | |
