Evidence-Based Assessment and Clinical Judgment Nursing Processes of Clinical Judgment

Why is assessment important? Assessment is crucial in nursing as it establishes a baseline for patient care, helps in identifying health problems, and guides clinical decision-making to ensure that appropriate interventions are implemented.

Clinical Judgement Model is used to structure nursing education to enhance clinical judgment skills for novice nurses.

    Recognize cues and notice

    Analyze cues and interpret

    Prioritize hypothesis and interpret

    Generate solutions and plan

    Take action and respond

    Evaluate outcomes and reflect

Nursing process

    Assessment: collection of data.

        Subjective is what the person says

        Objective is what the nurse observes

    Diagnosis: Interpreting info

        Nursing vs medical model In nursing, the focus is on the holistic approach to patient care, which includes psychosocial aspects, whereas the medical model emphasizes diagnosis and treatment of specific pathologies.

    Planning: Setting priorities and generating solutions

    Implementation: Responding and taking action

    Evaluation: Reflecting and evaluating

Assessment and Data Types

    Complete (Total health database)

    Focused or Problem Centered

    Follow up

    Emergency

Comprehensive health care

    Holistic Model: Interdependent functioning of mind, body, and spirit to maintain optimal health

    Social determents of health: Factors that influence wellbeing such as the environment, access to health care, community, educations, and economic stability. Impact of potential barriers are important to recognize and work with the patient to determine solutions.