Patient Care Management Flashcards
What does clinical judgement impact?
- Safety
- Quality of care
- Patient outcomes
- Agencies
- Communities
Define clinical judgement
Interpretations and inferences that influence actions in clinical practice
What does clinical judgement require?
- clinical reasoning
- priority setting
Define clinical reasoning
Thinking process by which a nurse reaches clinical judgement
Define priority setting
Ordering or ranking of problems for the purpose of delivering optimal care
Steps (aspects) of clinical judgement
- Noticing
- Interpreting
- Responding
- Reflecting
What does the novice nurse base noticing, interpreting, responding, and reflecting on?
- Standards of care
- guidelines
- mentorship/training
- miro care needs
- understanding of biophysical, psychosocial, and cultural knowledge
What does the experienced nurse base noticing, interpreting, responding, and reflecting on?
same as novice…
- personal experience
- understanding of complex and interconnected factors
- pattern recognition
- macro and micro care needs
Who is a novice?
student/ fresh out of school
Who is an advanced beginner
Little time out of school
-still task orriented
Who is a competent nurse?
After 2-3 years in practice.
-pattern recognition emerges
Who is a proficient nurse?
has Highly skilled responses
Who is a expert nurse?
3-5 years in practice
- intuitive grasp of multiple presentations
- highest level of clinical competence
How to help foster clinical judgment
- analyze situations
- wide range of clinical learning opportunities
- use of evidence
- telling stories about practice
- apply concepts to nursing
- reflective practice
Why we prioritize?
- if equal attention is given to major and minor problems, may not be able to resolve important problems and reach desired outcomes
- allows identification between problems and to developed a safe, effective plan
