Nurses as a central part of health care team involves in decision making roles to embrace the opportunities for improved

patient care. Areas such as tissue viability,

diabetes care, stroke rehabilitation and heart failure management have all seen significant benefits accrue when nurses are freed up to lead, exercise their judgement and
make decisions.

For instance, I have an experience to share when I was posted in a medical ward back in my won country. One patient had a fever with high temperature. She was about
to get a discharge tomorrow morning. To notice that clinical manifestations she is suffering from I along with other nurses discovered that she had a thrombhophlebitis in
her IV canula site which was not changed or removed since she was admitted at the hospital. Because of this, we diagnosed she had a fever. Atfer that, I changed her IV
canula site from left to right hand and delivered cold sponging care. Tomorrow morning I checked her vital signs her temperature was normal as before. That’s why it’s
very important to notice the changes according to what you have studied and further make decisions at the right time following the right techniques you have learned.

Hypothetico-deductive modes of reasoning utilised by nurses have been influential in nursing research. The four components of this reasoning mode are the acquisition of
cues, generation of a hypothesis, interpretation of cues, and evaluation of the hypothesis (Thompson & Dowding,2009b). The hypothetico-deductive mode describes how
clinicians make their judgements and decisions by processing information in a systematic and logical way (Pearson, 2013). Hypotheticodeductive thinking employs both
inductive and deductive thinking processes (Buckingham & Adams, 2000). Induction refers to data being collected that is used to generate a hypothesis, and deduction
refers to a hypothesis the clinician uses that leads him or herto search for the relevant cues to see if they are present or absent, thereby confirming or denying the
hypothesis (Buckingham & Adams, 2000).

Pattern Recognition

REFERENCE

Gurbutt, R., 2006. Nurses' Clinical Decision Making (Vol. 1). Radcliffe Publishing.v

Lamb, B. and Sevdalis, N., 2011. “ How do nurses make decisions?”. International journal of nursing Studies, 48(3), pp.281-284.

Milligan, K., 2016. Clinical decision making by registered nurses in residential aged care: a critical realist case study: a thesis presented in fulfilment of requirements for the
degree of Doctor of Philosophy in Nursing at Massey University, Albany, New Zealand (Doctoral dissertation, Massey University).