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Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

The course emphasizes the value of various theoretical frameworks for decision-making in complex healthcare settings. Students will examine decision-making models and processes. Ethical and leadership contexts and explore the impact these models have on healthcare outcomes. Students will also demonstrate skills in care coordination, innovative thinking, delegation, and initiating conflict resolution strategies.

After completing this course, the student should be able to:

· Describe various theoretical frameworks for decision-making in clinical, ethical and leadership contexts.

· Determine how systems thinking facilitate decision-making in complex healthcare settings.

· Examine decision making considerations in various clinical settings.

· Evaluate the influence of decision-making processes in improving healthcare outcomes.

· Promote a professional environment that includes accountability and high-level communication skills when involved in peer review, advocacy for patients and families.

à I-Integrate Scientific Underpinnings into Practice

à II-Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking

à III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

à IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

à V-Influence Health Care Policy for Advocacy in Health Care

à VI-Employ Interprofessional Collaboration for Improving Patient and Population Health Outcomes à VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidence-based care to improve patient outcomes

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

Books

à Bradley, S. & Price, N. (2016). Critical thinking: proven strategies to improve decision making skills, increase intuition and thinking smarter.

à Elwyn, G., Edwards, A., & Thompson, R. (2016). Shared decision making in health care: Achieving evidence-based patient choice (Third ed.). Oxford: Oxford University Press

à Publication Manual of the American Psychological Association (7th ed.). (2020). Washington, DC: American Psychological Association.

Articles

à Chung, F.-F., Wang, P.-Y., Lin, S.-C., Lee, Y.-H., Wu, H.-Y., & Lin, M.-H. (2021). Shared clinical decision-making experiences in nursing: a qualitative study. BMC Nursing, 20(1), 1–9. https://doi.org/10.1186/s12912-021-00597-0

à Deng, Xinyang, and Jiang, Wen (2019). Theory Based Game- Theoretic Framework in Adversarial Decision

à Perez, K. & Cianelli, R. Critical thinking in nursing: A concept Analysis in nursing. Horiz Enferm.

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

Students must attain a let

Tardiness

Students are expected to submit assignment points possible for each day the paper is late.

Modifications to t

The c syllabus. If a conflict exists between the governs will be notified.

Student Assessm

grades.

On-campus virt

Students will receive

B

3.0

80 - 89

y are due. You will submit the assignment after the professor will receive a deduction of 10% of the total

rd their

F

0.00

0-79

ter grade of B or higher for the course to count toward completing the DNP.

s by the time the

due date without reaching out to your DNP mentor, or the

he Course Syllabus

ourse syllabus may be modified at any time, and the students will be informed of any changes made to the course syllabus and the University Catalog, the University Catalog

ents

Students will be given assessments from time to time at the instructor's discretion. As part of the course requirements, students must take both announced and unannounced assessments that may count towa

a link for meetings from Dr. Fernandez.

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

making.

• Will demonstrate professionalism

Week 2

Shared decision making & Theoretical framework. Weekly Objective

By the end of this unit the students will:

• Discuss the

historical details and

theoretical

framework

of critical thinking and decision

In this week’s session we will evaluate the

implementation of shared decision making and analyzing the role of shared decision making in achieving allocative efficiency in health systems.

CLSLO

· Describe various theoretical frameworks for decision-making in clinical, ethical and leadership contexts.

EOPSL

· Develop Organizational and Systems Leadership for Quality Improvement and Systems Thinking.

Nurse Executive Role-Specific Professional

Competency

· Will demonstrate the ability to influence behaviors by achieving outcomes through the engagement of stakeholders.

Elwyn, G., Edwards, A., & Thompson, R. (2016) .

Chapters 6 & 28 (16 pgs.)

Bradley, S. & Price, N. (2016).

Chapters 5, 6, & 13 (21 pgs.)

Chung, F.-F., Wang, P.-Y., Lin, S.-C., Lee, Y.-H., Wu, H.Y., & Lin, M.-H. (2021). Shared clinical decisionmaking experiences in nursing: a qualitative study. BMC Nursing, 20(1), 1–9. https://doi.org/10.1186/s12912

-021-00597-0

(9 pages)

Tariman, J. D., Mehmeti, E.,

Spawn, N., McCarter, S. P., Bishop-Royse, J., Garcia, I., Hartle, L., & Szubski, K.

(2016). Oncology Nursing and

Shared Decision Making for

Cancer Treatment. Clinical Journal of Oncology Nursing, 20(5), 560–563.

https://doi.org/10.1188/16.CJO

N.560-563

Discussion.

See Moodle

Due Thursday at 11:59 pm

(OCW 8 hrs.)

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

making.

(4 pages)

Video

https://www.youtube.com/watc

h?v=4ueDJEFytMI https://www.youtube.com/watc

h?v=zpZ8JgE8DZc

(OCW 4 hrs.)

Week 3

Achieving evidence-based patient- choice: Embracing patient and family engagement to advance shared decision making. Weekly Objective

By the end of this unit the students

In this week session, we will explore the relationship between the concepts, patient-centered care, shared decision making, and critical thinking

CLSLOs

· Evaluate the influence of decision-making processes in improving healthcare outcomes.

EOPSL

· I-Integrate Scientific Underpinnings into Practice

· VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidencebased care to improve patient outcomes

· III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

Nurse Executive Role-Specific Professional

Elwyn, G., Edwards, A., & Thompson, R. (2016).

Chapter 3 (8 pgs.)

Bradley, S. & Price, N. (2016).

Chapters 10 & 14 (14 pgs.)

Video

https://www.youtube.com/watc h?v=QVwTVM1Iv1c

https://www.youtube.com/watc h?v=kKn4TOAqQfY

( OCW 1.4 hrs.)

Empirical Referent for Critical thinking assignment. See Moodle

Due Sunday at 11:59 pm

10 pages ( 20 hrs.)

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

will:

• Identify and discussion tools used

to measure critical thinking

Competency

• Will demonstrate effective communication:

Week 4

Avatars and virtual worlds.

Weekly Objective

By the end of this unit the students will:

• Appraise

the role of technology in shared

This week’s session will analyze the evolutions in shared decision making (SDM), using critical thinking and its impact on technology.

CLSLOs

· Evaluate the influence of decision-making processes in improving healthcare outcomes.

EOPSL

· IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

· VIII-Demonstrate advanced levels of clinical judgment, systems thinking, and accountability in designing, delivering, and evaluating evidencebased care to improve patient outcomes

Elwyn, G., Edwards, A., & Thompson, R.

(2016). Chapter 16 (7 pgs.)

( OCW 0.7 hrs.)

Technology plays a vital role in healthcare. Discuss how shared decision making and critical thinking is impacted by technology. (4 hrs.)

Due Thursday at 11:59 pm.

(OCW 8 hours)

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

decision making (SDM) and

critical thinking in the clinical practice

Nurse Executive Role-Specific Professional

Competency

• Will demonstrate effective communication

Week 5

Factors influencing decision making and critical thinking.

Weekly Objective

By the end of this unit the students will:

• Discuss

In this week's session, we will discuss factors influencing decision making and critical thinking and the impact both concepts have on healthcare policy and advocacy.

CLSLOs

· Evaluate the influence of decision-making processes in improving healthcare outcomes

EOPSL

· V-Influence Health Care Policy for Advocacy in

Health Care

Nurse Executive Role-Specific Professional Competency

Perez, K. & Cianelli, R. Critical thinking in nursing: A concept Analysis in nursing.

Horiz Enferm. (5 pgs.)

Bradley, S. & Price, N. (2016).

Chapters 8 and 10 (14 pgs.)

( OCW 1.9 hrs.)

Discussion.

See Moodle.

(8 hrs.)

Please upload your Practicum Log.

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

factors influencing decision

making and

critical thinking and the impact both concepts have on healthcare policy and advocacy.

• Will demonstrate effective communication: Through oral presentation to diverse audience through the production of written materials

Week 6

Shared decision making in Health Care and Engaging clinical teams in an interprofessional

approach to shared

decision making.

In this week's session, we will discuss an

interprofessional approach to shared decision making (SDM) and provide a practical approach for engaging clinical teams.

CLSLOs

· Examine decision making considerations in various clinical settings

EOPSL

· VI-Employ Interprofessional Collaboration for Improving Patient and Population Health

Elwyn, G., Edwards, A., & Thompson, R. (2016).

Chapter 11 (8 pgs.)

( OCW 0.8 hrs.)

Scholarly assignment: Interprofessional collaboration for improving patient outcome in the clinical setting using critical thinking and decision-making process assignment. See Moodle

( OCW 20 hrs.)

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

Weekly Topic

Shared decision making in Health Care and Engaging clinical teams in an interprofessional approach to shared decision making.

Outcomes

Nurse Executive Role-Specific Professional

Competency

• Will demonstrate effective relationship management: Through collaborative relationships with DNP stakeholders

Week 7

Reflection

Weekly Objective

By the end of this unit the students will:

• Reflect on

the knowledge gained over

In this week's session, students will reflect on the knowledge gained over the prior weeks.

CLSLOs

· Describe various theoretical frameworks for decision-making in clinical, ethical and leadership contexts.

· Determine how systems thinking facilitate decision-making in complex healthcare settings.

· Examine decision making considerations in various clinical settings.

· Evaluate the influence of decision-making processes in improving healthcare outcomes.

· Promote a professional environment that includes accountability and high-level communication skills when involved in peer review, advocacy for patients and families.

Review articles and discussion posting in prior weeks.

Scholarly assignment: Self-Assessment Practicum log.

( OCW 10 hrs.)

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

the prior weeks

EOPSL

· I-Integrate Scientific Underpinnings into Practice

· III-Apply Clinical Scholarship and Analytical Methods for Evidence-Based Practice

· IV-Use Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

· V-Influence Health Care Policy for Advocacy in Health Care

· VI-Employ Interprofessional Collaboration for

Improving Patient and Population Health

Outcomes

· VI-Employ Interprofessional Collaboration for

Improving Patient and Population Health Outcomes

Nurse Executive Role-Specific Professional Competency

· Will demonstrate effective communication:

· Will demonstrate effective relationship management:

· Will demonstrate ability to influence behaviors by achieving outcomes:

· Will demonstrate professionalism.

Week 8

In this week's session, we will analyze how evaluating evidence can improve patient outcome.

Elwyn, G., Edwards, A., & Thompson, R. (2016).

After reading the article titled: Using interventions

Doctor of Nursing Practice Program

DNP8420 Decision Making, Problem Solving,

and Critical Thinking

Using interventions with patients before clinical encounters to encourage their participation.

Weekly Topic

Using

interventions with patients before clinical encounters to encourage their participation

Weekly Objective

By the end of this unit the students will:

· Analyze how evaluating evidence can improve patient outcome

CLSLOs

· Evaluate the influence of decision-making processes in improving healthcare outcomes

EOPSL

· VI-Employ Interprofessional Collaboration for

Improving Patient and Population Health Outcomes

Nurse Executive Role-Specific Professional

Competency

· Will demonstrate effective relationship management: Through collaborative relationships with DNP stakeholders

Chapter 25 (7 pgs.)

( OCW 0.7 hrs.)

with patients before clinical encounters to encourage their participation: systematic review, summarize the article and report how this information can improve clinical judgement, systems thinking to improve patient outcomes.

OCW 8 hours

Due Friday at midnight.

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