Thinking like a nurse: a research-based model of clinical judgment in nursing

This article reviews the growing body of research on clinical judgment in nursing and presents an alternative model of clinical judgment based on these studies. Based on a review of nearly 200 studies, five conclusions can be drawn: (1) Clinical judgments are more influenced by what nurses bring to...

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Published in:The Journal of nursing education 2006-06, Vol.45 (6), p.204-211
Main Author: Tanner, Christine A
Format: Article
Language:English
Subjects:
Aging (Individuals)
Clinical Competence
Cognitive Processes
Coping
Critical thinking
Decision Making
Decision theory
Elder Abuse
Ethics, Nursing
Evidence-Based Medicine
Family Needs
Hospitals
Humans
Information Processing
Intuition
Judgment
Language Research
Literature Reviews
Logic
Medical Evaluation
Models, Nursing
Morals
Needs Assessment
Nurse's Role - psychology
Nurse-Patient Relations
Nurses
Nursing
Nursing Assessment
Nursing Education
Nursing Evaluation Research - organization & administration
Nursing Process
Nursing Students
Older Adults
Organizational Culture
Patients
Problem Solving
Research Methodology
Studies
Teaching Methods
Thinking
Thinking Skills
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description This article reviews the growing body of research on clinical judgment in nursing and presents an alternative model of clinical judgment based on these studies. Based on a review of nearly 200 studies, five conclusions can be drawn: (1) Clinical judgments are more influenced by what nurses bring to the situation than the objective data about the situation at hand; (2) Sound clinical judgment rests to some degree on knowing the patient and his or her typical pattern of responses, as well as an engagement with the patient and his or her concerns; (3) Clinical judgments are influenced by the context in which the situation occurs and the culture of the nursing care unit; (4) Nurses use a variety of reasoning patterns alone or in combination; and (5) Reflection on practice is often triggered by a breakdown in clinical judgment and is critical for the development of clinical knowledge and improvement in clinical reasoning. A model based on these general conclusions emphasizes the role of nurses' background, the context of the situation, and nurses' relationship with their patients as central to what nurses notice and how they interpret findings, respond, and reflect on their response.
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source ProQuest Social Science Premium Collection; Education Collection
subjects Aging (Individuals)
Clinical Competence
Cognitive Processes
Coping
Critical thinking
Decision Making
Decision theory
Elder Abuse
Ethics, Nursing
Evidence-Based Medicine
Family Needs
Hospitals
Humans
Information Processing
Intuition
Judgment
Language Research
Literature Reviews
Logic
Medical Evaluation
Models, Nursing
Morals
Needs Assessment
Nurse's Role - psychology
Nurse-Patient Relations
Nurses
Nursing
Nursing Assessment
Nursing Education
Nursing Evaluation Research - organization & administration
Nursing Process
Nursing Students
Older Adults
Organizational Culture
Patients
Problem Solving
Research Methodology
Studies
Teaching Methods
Thinking
Thinking Skills
title Thinking like a nurse: a research-based model of clinical judgment in nursing
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