1 Clinical Judgment Models & Concepts

Clinical Judgment Concepts

Critical thinking, clinical reasoning, clinical judgment, situational awareness

Tanner's Model - Noticing

Initial grasp and perceptions of situation; impacted by context, nurse's practical experience, knowledge of expected vs unexpected data, ethical perspectives, nurse-patient relationship

Tanner's Model - Interpreting

Attributing meaning to data through multiple reasoning patterns

Tanner's Model - Responding

Deciding on action (or inaction) and monitoring outcomes

Tanner's Model - Reflecting

In-action and on-action reflection

Six Clinical Judgment Functions

Recognize cues (What matters most?), Analyze cues (What does it mean?), Prioritize hypotheses (Where do I start?), Generate solutions (What can I do?), Take action (What will I do?), Evaluate outcomes (Did it help?)

Nursing Process Steps

Assessment, Diagnosing/Identifying actual or potential problems, Planning (identifying interventions with rationales), Evaluation