Clinical Decision-Making in Nursing

These flashcards cover key concepts in clinical decision-making and the nursing process, including critical thinking, clinical reasoning, and the components of effective patient care.

Nursing Process

A systematic approach involving critical thinking, clinical reasoning, and clinical judgment to provide patient care.

Critical Thinking

The objective analysis and evaluation of an issue in order to form a judgment.

Clinical Reasoning

The mental process used when analyzing the elements of a clinical situation to make informed decisions.

Clinical Judgment

The decision made regarding an action based on critical analysis of data and understanding of patient needs.

S.M.A.R.T Goals

Goals that are Specific, Measurable, Achievable, Relevant, and Time-Bound.

Subjective Data

Information provided by the patient, including their backstory and cultural background.

Objective Data

Observable and measurable data acquired through examinations, such as vital signs.

Assessment

The systematic process of data collection and documentation regarding patient status.

Analysis

The process of reviewing collected data to extract insights and understand clinical situations.

Implementation

The execution of the planned interventions based on analysis and assessment of data.

Evaluation

The process of assessing the response to interventions to determine if the goals were met.