Nursing Process & Clinical Judgment

Assessment

Collecting patient data.

Focused Assessment

Examining a specific problem.

Emergency Assessment

Identifying life-threatening problems

Initial Assessment

First evaluation of a patient.

Time-Lapsed Assessment

Comparing current to past data.

Cue

Significant patient data.

Data Cluster

Group of cues pointing to a problem.

Nursing History

Interview to get patient info.

Objective Data

Measurable patient info.

Subjective Data

What patient reports.

Review of Systems (ROS)

Systematic check of body systems.

Clinical Judgment

Decision made after analyzing patient info.

Clinical Reasoning

Thinking process to solve patient problems.

Critical Thinking

Analyzing and evaluating info to make decisions.

Decision Making

Choosing the best solution for patient care.

Intuitive Problem Solving

Using experience to quickly understand problems.

Nursing Process

Assess, Diagnose, Plan, Implement, Evaluate

Person-Centered Care

Care focused on the patient’s needs.

Reflective Practice

Thinking back to improve care.

Scientific Problem Solving

Systematic 7-step method for problems.

Thoughtful Practice

Compassionate, patient-centered care.

Blended Competencies

Using knowledge, skills, and judgment together.

Standards for Critical Thinking

Clear, accurate, logical, relevant thinking.

Situational Awareness (SA)

Understanding what’s happening and predicting outcomes.