Delivering High Quality Services

• Introduction to the module
• Session One:Project Managment
• Session Two Project managment
• Session Three - Introduction to Clinical Governance
• Session Four - Clinical Governance II
• Session Five - Risk Management in Health and Social Care
• Session Six -Decision Making
• Session Seven-User, Carer and Public perspective
• Session Eight-People and Physical and Resources Management
• Session Nine-User, Carer and Public perspective on quality health and social wellbeing 2
• SessionTen- Budgeting
• Session Eleven- Deductive and Inductive reasoning
  • Deductive (or analytical framework)
  • Deductive reasoning in clinical decision making
  • Hypothesis generation
  • The use of deductive reasoning in the wider context of healthcare
  • Criticism of deductive reasoning
  • Inductive reasoning
  • conclusion
• Session Twelve-Clinical Supervison

Introduction

Clinical reasoning, medical problem solving, diagnostic reasoning, and decision-making are all terms used in a growing body of literature that examines how clinicians make clinical decisions. Chow et al (2010) argue that the evaluation of medical decision making capacity is an essential skill used by all physicians. However this could equally apply to professions allied to medicine. For example, Pritchard (2006) argues that nursing roles have grown and developed into specialist areas requiring them to make the right clinical decisions. Similar challenges are occurring in Midwifery and Paramedic practice. Outcomes and standards of care for patients are often dependent on the nurse or health care practitioner’s ability to identify and respond to signs of increasing illness or deterioration and initiate appropriate interventions ( Jones  et al 2009).A study by McCaffery et al. (2000) showed that nurses’ personal opinions about a patient, rather than recorded assessments, influence their decisions about pain treatment. In addition, Slomka et al. (2000) showed that clinicians’ values influenced their use of clinical practice guidelines for administration of sedation.

 Critical thinking can have a powerful influence on the decision making and problem solving that managers in the health service are faced with on a daily basis. The skills that typify critical thinking include analysis, evaluation, inference, and underpinning these are “Deductive (or analytical framework) and inductive reasoning”