CLINICAL JUDGMENT

RNSG 1125

Professional Nursing Concepts 1

Concept – CLINICAL JUDGMENT

Concept Definition

An interpretation or conclusion about a patient’s need, concerns, or health problems, and/or the decision to take action (or not), use of modify standard approaches, or improvise new ones as deemed appropriate by the patient’s response. (Tanner, 2006)

Exemplars

Scenarios related to the Nursing Process

Objectives

1. Define the concept of Clinical Judgment.

2. Recognize the relationship between the nursing process, critical thinking, and the

clinical judgment.

3. Describe the four key aspects of the Clinical Judgment Model (Tanner, 2006) and the

sequence in which they occur.

4. Discuss two situations which place a patient at risk as a result of error in clinical

judgment.

Assignments

Prior to class:

1. Review definitions of interrelated concepts on concept analysis diagram.

2. Review concept analysis diagram.

3. Required assigned reading:

*Page numbers, assignments, and other lecture information will be posted on

Blackboard.

·  Giddens, J.F. (2017). Concepts for nursing practice. (2nd ed). St. Louis. MO: Mosby Elsevier.

§  Chapter 40: Clinical Judgment

·  Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2014). Medical surgical

nursing (9th ed). St. Louis: Mosby Elsevier.

§  Chapter 1: Professional Nursing Practice

·  McKinney, E, James, S., Murray, S. Nelson, K., & Ashwill, J. (2013). Maternal-child nursing (4thed.) St. Louis: Elsevier Saunders.

§  Preface: Concepts, Features, Objectives, Nursing Process

·  Yoost, B. L., & Crawford, L. R. (2015). Fundamentals of nursing: active learning for collaborative

practice. St Louis MO: Mosby Elsevier.

§  Chapter 4: Critical Thinking in Nursing

§  Unit II Nursing Process: Chapters 5, 6, 8, 9

§  EAL & EAQ: Chapters: 4 – 9, and 20

Concept content outline:

Concept: Clinical Judgment

Exemplar: Scenarios related to Nursing Process

1. Steps in the Nursing Process

2. Purpose and Benefits

3. Critical Thinking

Assessment Phase

·  Types of Assessment

·  Types of Data

Diagnosis/Patient Problem Phase

·  Components

·  Types

Planning Phase

·  Process

·  Goals and Expected Outcomes

o  Components

o  Patient specific

Interventions/Implementation Phase

·  Types

·  Scientific Rationale

Evaluation Phase

·  Patient specific

·  Goal Attainment

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