Clinical Judgement Flashcards
the potential of higher level thinking to determine pt problems requires a nurse to think creatively, use reflection and engage in analytical thinking
critical thinking
what are the 4 techniques in critical thinking
critical analysis
socratic questioning
inductive reasoning
deductive reasoning
the application of a set of questions to a particular situation to determine essential information and ideas and discard unessential
critical analysis
technique that looks below the surface, recognize and examine assumptions, search for inconsistencies, examine multiple points of view and differentiate that the nurse knows facts v what she believes
socratic questioning
generalizations are formed from a set of facts or observation
inductive reasoning
making an assumption, you have no facts included
deductive reasoning
a nurse who thinks critically seeks to build on
a pts strength while honoring the pts values and beliefs
critical thinking concepts, when used in the nursing process, will result in
clinical judgement
what are 7 characteristics of the nursing process
dynamic client centered planned interpersonal and collaborative focuses on client problems and strengths outcome focused emphasizes feedback and validation
what is the nursing process
assessment diagnosis planning implement evaluation
nurses clinical judgement about the pt response to actual or potential health conditions
diagnosis
setting short and long term goals for your patient
planning
acting of the goals set in the care plan
implementation
pt status and effectiveness of the pt care should be continuously evaluated to ensure the care plan is modified as needed
evaluation
critical thinking is like the “umbrella term” that includes
clinical judgement
critical thinking refers to
purposeful, focused, informed, results-oriented thinking in any situation
the novice critical thinkers….
rely heavily on resources rely on step by step instructions hindered by anxiety and lack self-confidence need clear cut rules collect and question data limited knowledge of suspected problems
the expert critical thinkers….
assess and think things through before acting
knows when to bend the rules
have a large storehouse of experiential knowledge
aware of resources and how to use them
self-confident, less anxious, more focused
in clinical judgement the rules give cleat instruction that
standardizes patient care within an institution based on best practices
what are tanners four domains of clinical judgement
noticing
interpreting
responding
reflecting
refers to the nurses ability to read the pt- how he or she is responding to the nursing intervention- and adjust the interventions based on that assessment
reflection-in-action
demonstrates what nurses gain from their experience. this contributes to ongoing clinical knowledge development and their capacity for clinical judgement in future situations
reflection-on-action
critical thinking and problem solving to identify and assess a pt problems, plan and implement the action and then reflect on it to see if it worked
systematic clinical decision
clinical judgment and decision making involve the 6 “honest serving me” which are
who (does it involve) what (is the problem) where (does it occur) when (does it occur) why (make a decision) how (to make decisions)
what does the pneumonic “person” mean
Patient centered Evidence based Risk assessed Safe delivery of care Outcomes of care benefit the pt Nursing strengths and weaknesses
