Tanner's Model of Clinical Judgement
A model based on how a nurse THINKS, it explains the 4 steps in the critical thinking process that nurses use to solve any problem:
Noticing
Interpereting
Responding
Reflecting
Nursing Process
Uses the Scientific Method to complete a Step by step approach to PROVIDE PATIENT centered care: ADPIE
Assessment
Diagnosis -RN only
Planning/Outcomes
Implementation
Evaluation
Why study Critical Thinking?
Thinking with a purpose, know why you do what you do.
Discipline specific reasoning process that ensures a nurse is generating, implementing, and evaluation approaches.
Benner's Theory of Stages of Clinical Competence 5 Stages of developing nursing clinical competence:
Stage 1: Novice
Stage 2: Advanced Beginner
Stage 3: Competent
Stage 4: Proficient
Stage 5: Expert
Credit to nursing-theory.org
Stage 1: Novice
Nursing Student in first year of clinical education; limited and inflexible, rule based, limited ability to predict what might happen in a particular situation.
Credit to nursing-theory.org
Stage 2: Advanced Beginner
New grads in their first jobs, nurses have more experience and are able to recognize recurrent, meaningful components of a situation. They have the knowledge and the knowhow but not the in-depth experience.
Credit to nursing-theory.org
Stage 5: Expert
Nurses that are able to recognize demands and resources in situations and attain their goals. No longer do they rely solely on
rules to guide actions under certain situations. They area able to intuitively grasp the situation based on their deep knowledge and experience.
Credit to nursing-theory.org
Noticing
First step of Tanner's model of clinical judgement.
1. Identifying signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting and managing potential complications
5. Identifying assumptions
Noticing-1. Identifying signs and symptoms
The ability to recognize that a situation is different, changed, and not of a normal state. Indcates that something is different than expected.
Noticing-2. Gathering complete and accurate data
Collecting pertinent data from various sources. This data is used as the basis for identifying issues/concerns, solving problems, and making decisions. Must verify that data is complete and accurate.
Noticing-3. Assessing systematically and comprehensively
An organized manner to collect data to make sure nothing is omitted or forgotten. Examining the whole, piece-by-piece in a thorough manner.
Noticing-4.Predicting and managing potential complications