Week 5 Clinical Judgment

Question 1

Tanner model of Clinical Judgment

Answer 1

Noticing: performing a 1st impression based on nurses expectation.

Interpreting: reasoning process use to make sense of the initial clinical situation
(Analytical- new nurse textbook)
(Intuitive- experienced nurse)
(Narrative- meaning behind issues physical or psychological)

Responding- course of action

Reflection- examination of actions.
(Reflection in action: evaluate results)
(Reflection on action: self evaluation for future planning)

Question 2

Clinical judgment Measurement Model

Answer 2

Evaluates the “preparation to practice gap” of test takers to real world
(Covers 5 layers)

Layer4: context layer, individual and environmental factors that impact reasoning

Layer 3: solid knowledge base that allows for connections and patterns to be recognized and reanalyze.

Layer 2: refined ability to determine the best hypothesis to take action

Layer 1: comprises the outcome known as clinical judgment

Layer 0: clinical decision made by nurse to meet clients needs