NSG Clinical Decision Making:Clinical judgement

Interpretation

Explaining something from your perspective

What is clinical judgment

What is clinical reasoning

What is clinical judgement

What is a decision

What is clinical thinking

What is an inference

Scope of clinical judgment

Standard based approach

Evidence based practice and clinical judgement

Interpretivisit perspective

Attributes of clinic Judgement

Unique situation

Tanner Clinical Judgement Model

Noticing

Interpreting

Responding

Reflecting

The tanner clinical judgement model aspects are

Interconnected

Noticing

Interpreting

Responding

Reflecting is the process of

Thinking and learning from experiences

Reflecting says

Did I do the right thing

What else should I have done

Reflection-in-action happens in

Real time while care is occurring

Reflection-on - action happens

After the patient care occurs

Reflecting is critical for

Development of knowledge and improvement in reasoning

Use of clinical judgment

Environmental context

Example of an environmental context

Alarm fatigue

Experience does matter but

It is not solely responsible for clinical judgment

Clinical judgment requires

deep clinical knowledge And several types of thinking

Developing clinical judgment

Interrelated concepts

Clinical judgment concepts

Critical thinking

Critical reasoning

Clinical judgment

Situational awareness

Clinical judgment models

Tanner’s clinical judgment mode

Lassiter clinical judgement rubric

Developing nurses thinking model

California critical thinking disposition inventory

National council of state boards of nursing

Nursing process

Tanner’s clinical judgment model

Lassiter clinical judgment rubric

National council of state boards of nursing

Nursing process

Mental model is

Clinical judgment measurement model

Recognizing cues

analyzing cues

prioritizing hypotheses

generating solutions

taking actions

evaluating outcomes

Developing competency in nursing practice

Humanistic intuitive approach

Information processing model

Cognitive continuum theory

Rest framework

Integration of previous knowledge

Includes 4 components of moral reasoning and captures the cognitive processes that precede moral action

Rest framework

Hospice

Keeping them comfortable at end of life

No additional treatments

Palliative

Additional active treatment

Trying to control pain level for terminal disease

Standard treatment