NUR 2868 Assignment  Concepts for Clinical Judgment

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NUR 2868 Assignment  Concepts for Clinical Judgment

NUR 2868 Assignment  Concepts for Clinical Judgment

 

Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below:

Link to article

In at least three pages, answer the following questions:

What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?

In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?

Additional sources are not required but if they are used, please cite them in APA format.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Nursing Practice

· Directed toward what contributes to a normal concept and is thereby related to all factors involved in or with the concept. Not always needed to have a normal outcome.

Attributes

· Defining characteristics of the concept

· What property, quality, or data must be present for the concept to exist

Antecedents

· What precedes the concept for it to exist

· Events or incidents that must happen before the concept

Consequences

· Untoward events or outcomes that occur due to malfunction within the concept

· Positive events or outcomes that occur due to proper functioning within the concept

Interrelated Concept

· Concepts which can affect change in the other

· Concepts which work together to ensure a normal process

· Concepts which if depleted or impaired can cause a negative consequence in the other

Sub-Concept

· Critical components of major concept

Explanation of the Analysis Diagram for Clinical Judgment Concept. The definition of the concept is written in the middle (circle) of the diagram.

Nursing Practice is printed slightly above the rest of the Concept Diagram because it incorporates all aspects of the diagram prior to determining the care required. There are dotted arrows going out from Nursing Practice because nursing interventions are not always needed.

Before a concept exists certain entities must exist.

NUR 2868 Assignment  Concepts for Clinical Judgment

NUR 2868 Assignment  Concepts for Clinical Judgment

These entities are called Antecedents (ante means before). If these do not exist or are malfunctioning then the concept either does not exist or it does not exist at its optimal level. As shown, the Antecedents for Clinical Judgment Concept are sound judgment skills, analytical reasoning skills, awareness of patient and self, creativity/inquisitiveness, sound knowledge base, and persistence.

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To determine the level of effectiveness of Clinical Judgment the nurse assesses for certain concept Attributes. The assessment which would support optimum function for this concept would include the Attributes of appropriate response considering: holistic view of patient situation, process orientation, reasoning, interpretation, and reflection. Depending on the quality of the Attribute (assessment) findings, positive or negative consequences will occur. Positive Consequences for Clinical Judgment Concept might include effective nurse-patient relationship, effective patient education, evidence-based nursing care, and positive patient outcomes. Negative Consequences might include unsafe nursing care, “failure to rescue” patient, breach of professional boundaries, ineffective communication with patient/family, and breakdown in effective decision making process. .

Interrelated Concepts are concepts which either affect or are affected by the Concept being defined in the diagram. Therefore the arrow between Interrelated and the defined Concept goes both ways. The Interrelated Concepts for the concept of Clinical Judgment might include Safety, Patient-Centered Care, Professionalism, and Evidence-Based Practice.

Sub-Concepts are teaching points regarding the Concept being defined thus just a line is printed between the Concept and Sub-Concepts. The need for Nursing Care is triggered by: Compromised Antecedent(s), Decreased quality of Attribute(s), Negative Consequence(s), and/or a potentially negative impact from an Interrelated Concept(s).

When a Negative Consequence occurs the nurse will re-evaluate the Antecedents with the intent of identifying which Antecedent was compromised and then direct nursing interventions to strengthen the weakened Antecedent. The intervention would be considered effective when the Attribute(s) reaches optimal measurement and the outcomes are positive. Of course some will always have compromised Antecedents and therefore the Nursing Practice and Attributes would be modified accordingly. Nursing Practice would also take in consideration Interrelated Concepts to either strengthen the positive affect or limit the negative.

Nursing interventions are not always needed. However, continual assessment to determine if pro-active or follow-up interventions are required is ongoing.

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