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Discuss the differences between these three tools; clinical guidelines, practice standards, and algorithms and how you see yourself using them in your clinical practice. What is one thing in your practice that you have always done, but you do not really know why you are doing it or why it works? 

The clinical guidelines are the recommendations that are used to ensure the best quality care that guides the decision making regarding health care. However, in the case of the practice standards, they are not recommendations but the underlying ethical principles that prompt the decisions of a health care professional regarding the care of a particular patient (Brouwers et al., 2016). On the other hand, while the abovementioned tools are designed to guide clinical decision-making the algorithms are used for describing the various aspects of the decision that can be used for justifying a clinical decision making (Sox & Stewart, 2015). Therefore, it can ensure that while the three tools al help in the clinical decision-making they serve different purposes for the clinician. In my personal understanding of the tools and their use as a nurse, I can easily understand the distinct use of the three tools as the clinical guidelines are almost always appropriate for providing the best care for the patient. However, while they coincide with the practice standards which are to be followed at all times, under some circumstances, there are alternative decisions that are more appropriate for the patient care. In those cases, the use of the algorithms is essential to provide support for the decisions that deviate from the guidelines and justify the decision so that it can be used for the modification of the guidelines in a scientific manner (Chang et al., 2016). 

There have been many cases in my personal experience when the standard practice procedures of providing the best care seemed inadequate in light of the other evidence-based options for care. However, the clinical guidelines’ steadfast rules are used without any case-specific consideration. Thus, aligning the patient condition and evaluation from a clinical perspective seemed like a waste to me as there would always be a set care model no matter what the evidence says and thus I have questioned the appropriateness of the standards many times as it seemed to base itself on the set standards without considering the impact on patient.

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