clinical judgement yoost Flashcards
Critical Thinking involves the
application of knowledge and experience to identify patient problems and to direct clinical judgments and actions that result in positive patient outcomes
three cognitive activities important to critical thinking
thinking ahead, thinking-in-action, and thinking back
Clinical reasoning is the
ability to focus and filter clinical data to recognize what is most and least important so that the nurse can identify whether an actual problem is present
Clinical judgment models seek to
describe the various thought and reasoning activities nurses use when making clinical judgments
Benner’s theory of how nurses move through five stages are
novice, advanced beginner, competent, proficient, and expert
Tanner (2006) identifies four key aspects of clinical judgment:
noticing, interpreting, responding, and reflecting
Noticing
being aware of, perceiving
interpreting
figuring out, analyzing
responding
taking action
The aspects of Tanner’s Clinical Judgment model are
Focused observation (prioritizing data)
Recognizing deviations from expected patterns (Making sense of data)
Information seeking
reflecting
The six steps of ncsbn include
(1) recognize cues
(2) analyze cues
(3) prioritize hypotheses
(4) generate solutions
(5) take actions
(6) evaluate outcomes
Attributes Required For Successful Clinical Judgment
- A strong knowledge base
- Proficient technical skills
- Early problem recognition
- Effective communication
- Trusting relationships with patients
- Previous experience
- Confidence
- Intuition
- Reflection
Environmental Factors That Influence Clinical Judgment Skills
Task Complexity
Time Pressures
Interruptions
Specialty Area and Autonomy
Professional autonomy implies
self-sufficiency and independence
Strategies To Develop Strong Clinical Judgment Skills
Clinical and Unfolding Case Studies
Literature Review
Clinical Application of Knowledge and Simulation
Concept Mapping
Collaborative Group Learning
Reflection