Date: 25/09/2025

Time: 09:30am – 04:30pm

Title: Complex Respiratory Conditions/Introduction to Human Factor, Managing Risk, Theory of decision Making and clinical Judgment

The class began with an overview of the respiratory system and its functions before progressing to exploring a range of complex respiratory conditions asthma, chronic obstructive pulmonary disease (COPD), pneumonia, pneumothorax, cystic fibrosis and pulmonary fibrosis. We explored the causes, pathophysiology and management of these conditions.

Understanding these conditions, their causes, pathophysiology and treatment allow me to make accurate clinical decisions, provide effective care and improve patient outcomes.

Moving forward, I will review and revise the pathophysiology of each condition using case studies. During my external placement, I will pay close attention to patients with complex respiratory conditions and seek opportunities to contribute to their care under supervision.

During the afternoon, we learnt about human factors, managing risks, theory of decision making and clinical judgment. We explored how human factor such as communication, teamwork, cognitive overload, fatigue and stress can influence behaviour at work. We watched Elaine’s story and discussed how lapses in decision making about her care resulted to human factor. We also learnt how structured decision making models can help mitigate these risks.

Human factors play a vital role in enhancing clinical decision making and judgment leading to safer, more effective healthcare delivery. Good clinical judgement involves interpreting signs correctly, prioritising actions and making timely decisions

Moving forward, I will continue to communicate clearly and assertively especially during handovers, team based tasks to avoid misunderstanding. I will take regular breaks, ask for support whenever I am stressed and tired. I will also engage in regular reflection to understand how human factors influenced my decision and how I can improve.

KSB addressed:

K2: Understand the demands professional practise and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health

K19: Know how and when to escalate to the appropriate professional for expert help and advice

K33: Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes

K36: Understand the rules of the different providers of health and care

K42: Understand and apply the principles of human factors and environmental factors when working in teams

S2: Keep complete, clear, accurate and timely records

S8: Recognise signs of vulnerability in self or colleagues and the action required to minimise risk

S11: Report any situations, behaviours or errors that could result in poor care outcomes

S24: Perform a range of Nursing procedures and manage devices, to meet people’s need for safe, effective and person-centred care

S30: Recognise when a person’s condition has improved or deteriorated by undertaking health monitoring, interpreting, promptly responding, sharing findings and escalating as needed