•Integrating and applying different types of knowledge to weigh evidence, critically think
about arguments, and reflect on the process used to arrive at a diagnosis
•Collaborative and reflective process that involves content-specific knowledge, engagement
of the patient and family in understanding the clinical problem, and incorporation of critical
contextual factors
•Leads to deliberative decision-making and sound clinical judgment
•Higher Order Thinking Skills
•Identify Patient Problems
•Direct appropriate actions
•Reason about a situation as it unfolds
•Based on knowledge & experience
#2 Problem Solving
• Problem-solving: part of decision-making; it’s a systematic process focusing on analyzing a
difficult situation
•S.B.A.R (Situation, Background, Assessment, Recommendation)
•Systematic Process
•Analyzing a difficult situation
•Always includes a decision-making step
•Attempts to identify the root of the problem
Steps in Problem Solving
1. Define the Problem
2. Gather Information
3. Analyze the Information
, 4. Develop Solutions
5. Make a Decision
6. Implement the Decision
7. Evaluate the Solution
Problem-Solving vs Decision-Making Models
The Traditional Problem-Solving Process
Identify the problem.
Gather data to identify the causes and consequences of the
problem.
Explore alternative solutions.
Evaluate each alternative
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1
2
1
Explore alternative solutions.
Evaluate each alternative
Select appropriate solution
Implement solution
Evaluate results.
Managerial Decision-Making Model
Determine the decision and the desired outcome (set objectives).
Research and identify options.
Compare and contrast these options and their consequences.
Make a decision.
Implement an action plan.
Evaluate results.
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15
Most well known
1. Identify Problem
2. Gather & Analyze Data
3. Explore/ Evaluate Alternative Solutions 4. Select Appropriate Solution
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