Clinical Judgement Flashcards
what are empirics
the science of nursing
focus’ on the effect of the disease on the pt
what are esthetics
the art of nursing
nurse/pt relationship
authenticity
empathy
what are ethics
component of moral knowledge in nursing
do no harm
prioritizing pt’s
what is clinical judgement
figuring out why a pt is sick and taking action or not taking action appropriately
how is clinical judgement demonstrated
analyzing collected data via critical thinking
applying reasoning to that data
makes appropriate decision based on the context of a specific situation
what is critical thinking
analysis of available facts, evidence, observations and argument to form a judgement
based upon a body of knowledge
includes analysis of all info and ideas
critical thinking is the foundation of the process of clinical reasoning and clinical judgement
what is the process of clinical reasoning
collect cues
process info (interpreting)
come to an understanding of a pt problem or situation
plan and implement interventions (responding)
evaluate outcomes
reflect on and learn from the process
what are influencers that guide care
complexity of care
interprofessional practice
evidence-based practice
determinants of health
emerging technology
health policy
what is the NCSBN clinical judgement measurement model
recognize cues
analyze cues
prioritize hypotheses
generate solutions
take action
evaluate outcomes
what is noticing/recognizing cues
nurse notices ab a pt in the context of the nurse’s background and experience, context of environment, and knowing the pt
nurse is looking for patterns that are consistent w/ previous experiences and use that info to guide care
what is interpreting
process of assembling info to make sense of it
resoning patterns vary w/ experience of the nurse
-novice nurses tend to rely on analytic reasoning
-expert nurses draw from a variety of reasoning patterns: analytic, intuitive, and narrative
what is responding
implementation of actions and interventions based on pt needs
depending on level of expertise, nurse may or may not be able to judge the effectiveness of the interventions b4 initiating it
what is reflecting/evaluating outcomes
process of thinking and learning from experiences
reflection in action and reflection on action
critical from development of knowledge and improvement in reasoning
what is reflection in action
happens in real time while care is occuring
what is reflection on action
happens after the pt care occurs
