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RNSG 1324Concept-Based Transition to Professional Nursing PracticeConcept – CLINICAL JUDGMENTConcept DefinitionClinical Judgment is an interpretation or conclusion about a patient’s need, concerns, or health problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as deemed appropriate by the patient’s response. (Tanner, 2006) ExemplarsScenarios Applying the Nursing ProcessClinical Skills (Assessing Wound/Dressing Decisions; Timing and Clustering of Daily Care)Urgent/Emergent Situations (Start Oxygen, Recognize Anaphylaxis, Failure to Rescue, Rapid Response Team)Medication ManagementWhen to Contact Physician or other Health Care ProviderObjectivesExplain the concept of Clinical Judgment (including definition, antecedents, and attributes).Recognize the relationship between the nursing process, critical thinking, and the clinical judgment.Describe the four key aspects of the Clinical Judgment Model (Tanner, 2006) and the sequence in which they occur. Discuss two situations which place a patient at risk as a result of error in clinical judgment.Discuss (including definitions) the factors of context, background and relationship per Tanner’s model, in terms of their impact on nurses’ clinical reasoning patterns in the clinical environment.Describe the three (3) components of knowledge as described by Tanner from which the nurse’s “expectation”, or “noticing”, of the clinical situation is derived. Explain the terms “interpreting” and “responding” as defined by Tanner. Discuss “reflection-in-action” and “reflection-on-action” as described by Tanner.Explain the application of Clinical Judgment to the exemplars Clinical Skills, Urgent/Emergent Situations, Medication Management, and When to Contact Physician or Other Health Care Provider.AssignmentsPrior to classFollow the “Read Me” File under the Clinical Judgment Module on CanvasReview the Clinical Judgment Concept Analysis Diagram with explanation Complete the assigned readings*Page numbers, assignments, and other lecture information will be posted on blackboard.Jarvis (2016) Chapters 1 -20 (normal findings only)Giddens (2017) Chapter 40Lewis (2014) Chapter 1Yoost (2015) Chapters 4 – 9, 20“Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” Journal of Nursing Education, 45(6), 204-211.Concept content outline:Nursing Process1. Steps in the Nursing Process 2. Purpose and Benefits3. Critical ThinkingAssessment PhaseTypes of AssessmentTypes of DataDiagnosis/Patient Problem PhaseComponentsTypesPlanning PhaseProcessGoals and Expected OutcomesComponentsPatient specificInterventions/Implementation PhaseTypes Scientific RationaleEvaluation PhasePatient specific Goal AttainmentClinical Judgment ModelFactors of context, background and relationship per Tanner’s model, in terms of their impact on nurses’ clinical reasoning patterns in the clinical environment.The three (3) components of knowledge as described by Tanner from which the nurse’s “expectation”, or “noticing”, of the clinical situation is derived. Clinical SkillsMedication managementInterpreting and responding as defied by Tanner.Clinical skillsUrgent/emergent situationsMedication managementWhen to contact physician or other health care provider.“Reflection-in-action” and “reflection-on-action” as described by Tanner.Clinical skillsMedication managementUrgent/emergent situationsWhen to contact physician or other health care providerN:ADN Syllabus/CBC Curriculum/Transition Summer 2017/RNSG 1324/Clinical Judgment Revised 3/17 ................
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