5 Professional Identity/critical judgement Flashcards
Professional identity
Is part of the larger motion of identity. Within the concept of identity, one would find personal identity, with professional identity as a subset of personal identity
Concept of Identity
Professional Identity
Personal Identity
Identity
Developed in many ways, through real and simulated experiences and reflection and role-modeling by professional colleagues
PI formation
Institutional roles
Behavioral competencies
Emerging identities
Interventions for building a PI
Hearing expectations clearly
Value debating and feedback from role models
Engage in reflection
Actively adopt a professional identity
Understand your own responsibilities for learning
Build relationships with those around you
Develop personal habits
Embrace an opportunity or experiences with patients
Integrity
Follow through with pain medication
Calling the physician when the patient asks you to
Check code chart
30 min med window
Compassion
Taking time to talk with families
Responding to call-light
Comforting a colleague
Using eye contact
Courage
Speaking up
Conveying the details of a conversation
Taking practice issues to the practice council
Speaking out about bullying
Humility
Realistically viewing family members with coping
Nonjudgmental
Identifying your error
Seeing the larger picture
Advocacy
Sharing details to families
Listening carefully
Communicating with family on medical events
Human flourishing
Encouraging patients
Seeking additional resources
Encouraging employees
Clinical judgment
Is an interpretation or conclusion about a patients needs, concerns, or health problems, and/or the decision to take action, use or modify standard approaches, or improvise new ones as deemed appropriate by the patients response
Attributes of clinical judgement
Involves a holistic view of the patient
Has a circular process
Requires reasoning and the interpretation of data
Unique situation
Nurse must recognize the unique situations. Both clinical and personal
Clinical judgement process
Noticing
Interpreting
Responding
Reflecting
Noticing
A nurse notices things about a patient in the context of the nurses background and experience, contact of environment, and knowing the patient
**patterns
Interpreting
Process of assembling info to make sense of it
Tend to vary depending on experience
Responding
Implementation of actions and interventions based on patient needs
Reflecting
Process of thinking and learning from experiences
In action and on action
Application
Clinical judgement is not always required in all patient interactions
Environmental context
Setting of care influences what a nurse notices
Interrelated concepts of CJ
Patient education Evidence Health care quality Safety Leadership Care coordination Professional identity
5 attributes of PI
Doing, being, acting ethically, flourishing, changing identities
2 components of PI formation
Forming professional identity
Fostering professional identity
Exemplars of professional identity
Integrity Compassion Courage Humility Advocacy Human flourishing
Scope of clinical judgement
Standards-based perspective
Interpretivist perspective
Decision
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