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An algorithmic approach to clinical decision making.

P A Akers1

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

Oncology Nursing Forum
|September 1, 1991
PubMed
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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.