NUR 2058 Discussion Developing Clinical Judgment

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NUR 2058 Discussion Developing Clinical Judgment

NUR 2058 Discussion Developing Clinical Judgment

One of the most important skills a nurse needs is clinical judgment. This is a skill that can be learned. Reflect on your own ability to critically think and the reading for this module.

When see yourself as a nurse and giving care, discuss what qualities and behaviors you possess that make you a person that would have good clinical judgment. What three strategies can you use to develop better clinical judgment? As a nurse, what areas of the nursing process do you think might be more challenging to you given the critical thinking and clinical judgment skills you have now?

Clinical Judgment and Nursing Practice
▪ Nurses gain understanding of problems, issues and
concerns of clients to attend to salient information and
respond in concerned and involved ways (Fido &
Dreifuerst, 2017).
▪ Clinical Judgment must be used effectively to ensure
client safety, quality nursing care, and strong nurse patient relationships (Fido & Dreifuerst, 2017).
▪ Lack of communication and poor Clinical Judgment result
in medical errors causing 250,000 deaths annually.
• 3rd leading cause of death, following heart disease
and cancer (COLA, 2016).

 

Importance of Clinical Judgment
▪ Knowledge and clinical judgment are essential to nursing practice (Muntean et al., 2016).
▪ Clinical judgment is an essential skill for novice nurse
▪ Client care and nurse errors can be improved by enhancing clinical judgment skills in
nurses
▪ Attainment of content knowledge does not imply the possession of clinical judgment
skills.

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Recommendations to
Improve Clinical Judgment
• Incorporate discussion, mentoring, and
meaningful feedback
• Emphasize what is most important
• Encourage thinking out loud and
reflection

Use cognitive and experiential strategies that promote higher level thinking
▪ Make assignments that are appropriate yet realistic for the student’s level
▪ Provide students with meaningful feedback
• One-on-one interaction and coaching with instructor
• Interaction with healthcare team member
▪ Incorporate quality feedback characteristics

NUR 2058 Discussion Developing Clinical Judgment

NUR 2058 Discussion Developing Clinical Judgment

• Timely
• Specific
• Identify strengths and deficits
• Share alternative perspectives
• Recommend ways to improve
(Bussard, 2015; Jesse, 2018)
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