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Flashcards in Clinical Judgement Deck (20)
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1
Q

What is clinical judgement?

A

Clinical judgement is practical, reasoned direction towards solving a problem. the processes by which nurses reach their decisions by choosing what to observe, interpreting the observations and taking appropriate actions by modifying approaches & improvising new ones for patient needs.

2
Q

What does clinical judgement in nursing lead to?

A

Identification & logical interpretation of symptoms
Planning care to alleviate or prevent complications/relapses
Partnering with the patient to do for them what they would do themselves given the strength & knowledge
Partnering with the patient to satisfy physical, psychological & spiritual needs
Assisting the patient in dying with dignity PRN

3
Q

Describe practical reasoning of patient conditions that is necessary for clinical judgement.

A

Practical reasoning of patient conditions:

Knowing what to observe
Interpreting the observations
Paying attention to subtle changes in conditions
Taking appropriate actions by modifying the approach or improvising as necessary

4
Q

What are the four key elements of clinical judgement?

A

Knowledge base (academic)
Practical knowledge (practice based)
Knowledge of patient (their story)
Cognitive skills

5
Q

What are the three cognitive skills required for clinical judgement?

A

Intuition
Conscious decision making
Critical thinking

6
Q

What is intuition?

A

The immediate apprehension that something is so without the benefit of conscious reasoning.

7
Q

What are four factors involved in intuition?

A

Pattern recognition
Sequence
Common sense
Deliberate rationality

8
Q

How is intuition achieved?

A

It is achieved by learning to describe accurately common patient responses in nursing care situations and based on logical thinking and hunches which you then utilize your logic and experience to make a well-reasoned conclusion.

9
Q

What are three issues with intuition?

A

Prejudging
Snap Judgements
Forming opinions too early

10
Q

What are some nursing factors that influence clinical judgement?

A
Cognitive ability
Values and Biases
Notion of good practice
Emotional attunement
Practical knowledge
Relationship with patient.
11
Q

What are some contextual factors that influence clinical judgement?

A

Demands of the situation
Meaning of tasks
Workplace culture
Workload

12
Q

How are clinical judgement and decision making different?

A

Clinical judgement is needed to make decisions. Decision making is the identification of a course of action.

13
Q

What are the two key questions you need to answer in order to critically think?

A

What are the exact results you need?

What are the problems or risks that you must address to get the results?

14
Q

What is critical thinking?

A

The intellectually disciplined process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and evaluating the information gathered from or generated by observation, experience, reflection, reasoning, or communicating, as a guide to belief or action.

15
Q

What is critical reflection?

A

A process that critically examines one’s experience to make meaning, to interpret, and to develop insight and understanding, thereby improving one’s practice.

16
Q

What is the purpose of critical reflection?

A

It is a tool used to reflect on meaning of experiences. It is used to build scenarios to prepare for future experiences. It is an aspect of clinical judgement.

17
Q

What is critical analysis?

A

To examine ideas, situations, arguments, and data to identify elements/factors & their possible relationship.

18
Q

What is the relationship between clinical judgement, critical thinking, and critical reflection?

A

Critical thinking and critical reflection are tools utilized in the process of clinical judgement. All three involve patient care, a consious process, observing, attending to selected data, analyzing, and responding to patient needs.

19
Q

What are some ways to increase your clinical judgement skills?

A
Knowledge
Follow policies and procedures
Comprehensive and systematic assessments
Determine a system
Perform interventions
Learn from others
Learn new technology
Professional caring
20
Q

What are critical pathways and clinical guidelines?

A

Tools that provide direction in care for a population of patients, to improve quality of care and patient outcome.