Clinical reasoning - ANS -Thinking process by which a nurse reaches a clinical judgement and or decision
-
Fine attunement - ANS How someone reacts and paying close attention
Critical thinking - ANS -Cognitive process used for the analysis of an issue or problem
-Kn...
Clinical reasoning - ANS -Thinking process by which a nurse reaches a clinical judgement
and or decision
-
Fine attunement - ANS How someone reacts and paying close attention
Critical thinking - ANS -Cognitive process used for the analysis of an issue or problem
-Knowledge-based
-How we think through a situation, prioritize what needs to be done first, and think about
patients' outcomes
Clinical judgement - ANS -Interpretation and conclusion about a patient's needs, concerns,
or health problems
-To either take action, improvise new ones, using or modify standard approaches deemed
appropriate for the patient
Environmental factors IMPORTANT
Nursing knowledge is NOT an environmental factor IMPORTANT - ANS -Limited staff and
equipment
-Stat med vs routine med
Increased respiratory rate - ANS First sign of sepsis
Defining attributes of clinical judgement - ANS -Holistic view of the client situation
-Process orientation
-Reasoning and interpretation
-Ethical comportment
Holistic view of client - ANS Looking at the whole person, mind, body and spirit
Process orientation - ANS -Asking the patient questions to lead to an answer
-Ability to reflect on something after it is done
-Having goals during the shift
Reasoning and interpretation - ANS Help to get to the decision
Ethical comportment - ANS -What is right and what is wrong
, Morals - ANS - Own values and beliefs
-The culture that one grew up in
Evidence based practice - ANS A problem solving approach to clinical decision making that
combines the best available scientific evidence with best available patient and practitioner
experiential evidence toward optimal healthcare outcomes
-Best evidence to inform practice
Nursing process IMPORTANT - ANS ADPIE
Assessment (see, hear, feel)
(what meds do you take? why are you here? Did anything happen in the past couple of days)
(ex: headache just developed after a car accident)
Diagnosis (analysis) (ex: head injury)
Planning (Telling the doctor the patient may need a CT scan)
Implementation (Start IV and get ready for CT) (Taking action)
Evaluation (Gets CT and gives medicine to have less of a headache)
Reflection in action - ANS Happens during the care of the patient
-Observing a patients reaction and deciding if that action has helped with the primary concern
Tanner clinical judgement model - ANS 1. Nurse's knowledge. experience, ethical
perspective, and knowing the patient
2. Noticing (assessment) *do not use your family or your symptoms as a basis*
3. Interpreting (analyzing and planning)
4. Responding (implementation)
5. Reflecting (evaluation)
Reflection on action - ANS Happens after the patient care occurs
-To see what went well or what could be better after the fact
-Usually with other people and usually about performance improvement
Clinical judgement measurement model - ANS -Layer 0 through 2 is the basis of how the
clinical judgment is made
-Layer 3 and 4 is what one expects from a nurse during study or in the room
Clinical judgement environmental factors - ANS -Environment around them
-Client oberservation
-Consequences and risks
-Time pressure
-Task complexity
-Cultural consideration
-Medical records
-Resources
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller DocLaura. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
