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An algorithmic approach to clinical decision making.

¹University of Texas, M.D. Anderson Cancer Center, Houston.

Oncology Nursing Forum

|September 1, 1991

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Nursing algorithms improve patient care by ensuring thorough assessments and informed responses for issues like hyperthermia and fluid volume excess, leading to better medical oncology outcomes.

Area of Science:

Nursing
Medical Oncology
Clinical Decision-Making

Background:

Nursing care frequently skips crucial information gathering steps.
This can lead to suboptimal interventions and patient outcomes in medical oncology.
A standardized approach is needed to ensure comprehensive patient assessment.

Purpose of the Study:

To develop and evaluate algorithms for common nursing problems in medical oncology.
To improve the thoroughness of patient assessment and nursing response.
To ensure the institution of an appropriate standard of care.

Main Methods:

Development of two algorithms addressing hyperthermia and fluid volume excess.
Application of these algorithms in clinical nursing practice.

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Evaluation of the impact on patient assessment and nursing decision-making.

Main Results:

Algorithm use promoted a more thorough patient assessment.
Nursing responses became more informed and appropriate.
The purposeful decision-making process was enhanced.

Conclusions:

Algorithms ensure a standard of care for specific clinical problems.
This structured approach leads to better patient management in medical oncology.
Improved assessment and response contribute to enhanced patient outcomes.