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The Clinical Care Classification (CCC) System is a standardized, coded nursing terminology that identifies the discrete elements of nursing practice. The CCC provides a unique framework and coding structure. Used for documenting the plan of care; following the nursing process in all health care settings. [1]
Accountability for reasonableness is an ethical framework that describes the conditions of a fair decision-making process. It focuses on how decisions should be made and why these decisions are ethical. It was developed by Norman Daniels and James Sabin and is often applied in health policy and bioethics. [1]
Shared decision-making in medicine (SDM) is a process in which both the patient and physician contribute to the medical decision-making process and agree on treatment decisions. [1] Health care providers explain treatments and alternatives to patients and help them choose the treatment option that best aligns with their preferences as well as ...
A clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualisation of the information obtained from a clinical assessment. It offers a hypothesis about the cause and nature of the presenting problems and is considered an adjunct or alternative approach to the more ...
Decision aids are interventions or tools designed to facilitate shared decision-making and patient participation in health care decisions.. Decision aids help patients think about choices they face; they describe where and why choice exists; and they provide information about options, including, where reasonable, the option of taking no action. [1]
explaining results and planning: [1] [2] This aims to ensure a shared understanding, and allowing for shared decision-making. [1] closing a session: [1] [2] This may involve discussing further plans. [1] This is designed to give a clear structure to the interview, and to help to build the relationship between the clinician and the patient. [1]
Critical appraisal (or quality assessment) in evidence based medicine, is the use of explicit, transparent methods to assess the data in published research, applying the rules of evidence to factors such as internal validity, adherence to reporting standards, conclusions, generalizability and risk-of-bias.
A clinical decision support system (CDSS) is a health information technology that provides clinicians, staff, patients, and other individuals with knowledge and person-specific information to help health and health care. CDSS encompasses a variety of tools to enhance decision-making in the clinical workflow.