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    Clinical Nursing Judgement Paper

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    1) Clinical nursing judgement is the process of collecting patient data, interpreting it, problem solving, and using critical thinking to make decisions that improve patient outcomes. It involves applying knowledge and experience over time. 2) Nursing students find it challenging to learn clinical judgement, and faculty have difficulty evaluating their thought processes. Teaching methods like case studies, questions, and debriefing can help students develop these skills. 3) Two examples of nursing students demonstrating clinical judgement are intervening when a fetal heart rate decelerated during labor induction, and holding blood pressure medication for a patient with low vital signs.

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    Clinical Nursing Judgement Paper

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    1) Clinical nursing judgement is the process of collecting patient data, interpreting it, problem solving, and using critical thinking to make decisions that improve patient outcomes. It involves applying knowledge and experience over time. 2) Nursing students find it challenging to learn clinical judgement, and faculty have difficulty evaluating their thought processes. Teaching methods like case studies, questions, and debriefing can help students develop these skills. 3) Two examples of nursing students demonstrating clinical judgement are intervening when a fetal heart rate decelerated during labor induction, and holding blood pressure medication for a patient with low vital signs.

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    1) Clinical nursing judgement is the process of collecting patient data, interpreting it, problem solving, and using critical thinking to make decisions that improve patient outcomes. It involves applying knowledge and experience over time. 2) Nursing students find it challenging to learn clinical judgement, and faculty have difficulty evaluating their thought processes. Teaching methods like case studies, questions, and debriefing can help students develop these skills. 3) Two examples of nursing students demonstrating clinical judgement are intervening when a fetal heart rate decelerated during labor induction, and holding blood pressure medication for a patient with low vital signs.

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    Download as docx, pdf, or txt
    88 views5 pages

    Clinical Nursing Judgement Paper

    Uploaded by

    api-663930784
    1) Clinical nursing judgement is the process of collecting patient data, interpreting it, problem solving, and using critical thinking to make decisions that improve patient outcomes. It involves applying knowledge and experience over time. 2) Nursing students find it challenging to learn clinical judgement, and faculty have difficulty evaluating their thought processes. Teaching methods like case studies, questions, and debriefing can help students develop these skills. 3) Two examples of nursing students demonstrating clinical judgement are intervening when a fetal heart rate decelerated during labor induction, and holding blood pressure medication for a patient with low vital signs.

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    1

    Clinical Nursing Judgement

    Autumn L Gettings

    Centofanti School Of Nursing, Youngstown State University

    NURS:4852 Senior Capstone

    Dr. Kim Ballone, Miss. Randi Heasley

    March 13th, 2023


    2

    Clinical Nursing Judgement

    How does a nurse provide care for patients who are critically sick while also providing

    emotional support and interventions to the public? Nursing is a broad scope of practice and

    includes a variety of tasks, skills, and delegations that occur daily within the profession. Nurses

    make important decisions every shift that impact the quality and care of patients. Nursing clinical

    judgement is a skill that is used to collect data about a patient, interpret the data, problem solve,

    and use critical thinking skills (Martin, et al. 2020). Clinical nursing judgement is a vital tool that

    is used to improve quality of care in health care settings.

    According to the article, “Imparting clinical judgement leading to sound clinical decision-

    making and patient advocacy,” Embler states, “Clinical judgment is the accumulation of

    knowledge and skills over time, which contributes to the nurse’s ability to analyze and

    synthesize the patient presentation, objective, and subjective data, and then provide evidence-

    based nursing interventions to improve patient outcomes; clinical decision making

    (para 7. 2021). The nursing process is a vital step in the task of using clinical nursing judgement.

    The steps to the nursing process include assessment, diagnosis, planning, intervention, and

    evaluation (Williams, et al.2016). Nursing clinical judgment is a combination of many different

    factors including knowledge, years of experience in the medical field, and education levels

    making it an ongoing learning process. The evolution of health care environments also makes

    nursing judgement change and adapt throughout years. According to the article, “Professional

    nurses’ understanding of clinical judgement: A contextual inquiry” Williams, Van Graan, Koen,

    state, “As the acuity of hospitalized patients and the prevalence of chronic illness increase, the

    length of hospital stays shortens” (para. 5, 2016). Therefore, making judgement decisions for a

    nurse even more difficult let alone a new graduated nurse with not much experience.
    3

    The idea of clinical nursing judgement is believed to need to be taught in nursing school.

    According to “Teaching Circle to Improve Nursing Clinical Judgement in an Undergraduate

    Nursing Program”, Martin, Greenawalt, Palmer, Edwards, state,” Establishing a clear

    understanding of nursing students’ cognitive thought processes when participating in activities

    assessing higher-order cognitive constructs of nursing clinical judgement and understanding how

    to influence this process, poses a challenge for many faculty” (para 7, 2020). Nursing faculty

    often have a difficult time deciphering and measuring a nursing students underlying cognitive

    thought process of decision making. It is vital that nursing faculty implement strategies such as

    teaching circles, case studies, NCLEX style questions, and debriefing in both clinical and

    classroom (Martin et al. 2020). Additionally, students should expand on their skills of basic

    assessments in the clinical scene and work to use their own critical thinking for their patients.

    Post-clinical conference with both clinical faculty and other students allows for reflection and

    students can learn from each other (Embler, 2021). A nurse must think quick on their feet when a

    patient’s status and vital signs are declining rapidly. A nurse with good clinical judgement can

    choose the best response to a problem among alternative options and intervene smoothly.

    Without these skills, quality of care is limited within the nurse’s practice (Martin et al. 2020).

    A situation that we the nursing staff used clinical nursing judgment was in the labor and

    delivery unit. During a precepting shift the nursing student was assigned to titrate the Pitocin drip

    as normal protocol to 10 mU/ min after 30 minutes to continue induction of labor. However,

    upon assessment of the fetal heart rate decelerating along with each contraction the student

    decided to consult with the nursing staff and ask to half the Pitocin and reposition the mother to

    promote fetal heart rate while continuing to monitor the patient and intervene with the physician.
    4

    Another situation that the student got to use clinical nursing judgement included a

    medical surgical clinical. After getting a morning baseline set of vitals the nursing student

    performed the daily clinical duties including bathing, feeding, and then administering medication

    with a faculty member. Upon reassessment the nursing student noticed the patient’s blood

    pressure was 99/65 with a pulse of 62 and informed the instructor they should hold the patient’s

    daily dose of metoprolol until they could assess the situation more.

    Using clinical judgement is important in many situations and can prevent an accidental

    harm to a patient. Nursing students and staff must continue to be educated on the importance of

    using evidence-based practice to improve outcomes of patients (Williams et al. 2016). Clinical

    nursing judgement is a vital tool that is used to improve quality of care in health care settings.
    5

    References

    Embler, P. (2021, March 9). Imparting clinical judgment leading to sound clinical decision

    making and patient advocacy. Wolters Kluwer . Retrieved March 13th 2023, from

    https://www.wolterskluwer.com/en/expert-insights/imparting-clinical-

    judgement#:~:text=Clinical%20judgment%20is%20the%20accumulation,patient%20outcomes

    %3B%20clinical%20decision%20making

    Martin, B., Greenawalt, J. A., Palmer, E., & Edwards, T. (2020). Teaching circle to improve

    nursing clinical judgment in an undergraduate nursing program. Journal of Nursing

    Education,  59(4), 218-221. doi:https://doi.org/10.3928/01484834-20200323-08

    Van Graan, A.,C., Williams, M. J. S., & Koen, M. P. (2016). Professional nurses' understanding

    of clinical judgement: A contextual inquiry. Health S A, 21(1), 280-293. Retrieved March 10,

    2023, from https://doi.org/10.1016/j.hsag.2016.04.001

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