RT Article
T1 A tool for the consensual analysis of decision-making scenarios
JF Nursing ethics
VO 25
IS 3
SP 359
OP 375
A1 Hunt, Geoffrey
A1 Merzeder, Christine
A1 Bischofberger, Iren
LA English
PB Sage
YR 2018
UL https://ixtheo.de/Record/1779455917
AB The authors believe there is a need for novel ways of enhancing professional judgment and discretion in the contemporary healthcare environment. The objective is to provide a framework to guide a discursive analysis of an ongoing clinical scenario by a small group of healthcare professionals (4–12) to achieve consensual understanding in the decision-making necessary to resolve specific healthcare inadequacies and promote organisational learning. REPVAD is an acronym for the framework’s five decision-making dimensions of reasoning, evidence, procedures, values, attitudes and defences. The design is set out in terms of well-defined definitions of the dimensions, a rationale for using REPVAD, and explications of dimensions one at a time. Furthermore, the REPVAD process of application to a scenario is set out, and a didactic scenario is given to show how REPVAD works together with a sample case. A discussion is fleshed out in four real life student cases, and a conclusion indicates strengths and weaknesses and the possibility of further development and transferability. In terms of findings, the model has been tried, tested and refined over a number of years in the development of advanced practitioners at university healthcare faculties in two European countries. Consent was obtained from the four participating students.
K1 Learning Organisation
K1 Evidence based
K1 ethical values
K1 defences
K1 Decision-making
K1 Consensus
K1 Clinical reasoning
DO 10.1177/0969733016642628