Clinical Judgment In Nursing Discussion Paper
RSQL Module 05
What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
The integration of knowledge and experience, in my opinion, has the biggest impact on clinical judgment. Solid clinical judgment is based on a thorough understanding of the patients and their normal reactions, as well as active involvement with them and their issues (Tanner, 2006). Since it is a required attribute for all healthcare practitioners, they must have the requisite experience and skills to make rational judgments. Nurses’ actions, especially in emergency situations, have an impact on clinical choices. Due to this reason, they must be able to recognize a vast range of health conditions, comprehend the issues, and respond quickly. As a result, while knowledge is needed to fully comprehend the issues, experience is critical in developing an effective treatment strategy to address the challenges that patients encounter. Therefore, informed clinical judgments can be drawn from both knowledge and experience Clinical Judgment In Nursing Discussion Paper.
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The input of nurses and other healthcare practitioners is critical in shaping clinical decisions. As such, clinical judgments entail different kinds of knowledge, including descriptive, generalizable, and situation-specific knowledge. These types of knowledge come from science and theory, and they develop with time as experience bridges the gaps left by scientific abstract concepts. Experience and knowledge aid in the fast recognition of clinical situations. Highly personalized and confined knowledge is gained by recognizing common human perceptions and specific clients (Tanner, 2006). Although nurses’ clinical decisions are based on their knowledge of the patient, experience is also essential. The key justification for this is that clinical encounters serve as a guide for both patient care and career growth. Healthcare practitioners who lack clinical experience are unable to act independently as patient supporters while still participating in public health programs Clinical Judgment In Nursing Discussion Paper.
There are moral considerations in clinical judgment. Nurses may have extensive knowledge of a given case, but their biases can affect their treatment and care. As a result, under-treatment of pain can be seen as a moral issue, with practitioners’ perceptions toward pain, the importance of offering relief, and political and institutional impediments to moral intervention determining action rather than a thorough analysis of the patient’s pain experience. According to certain studies, nurses’ personal sentiments regarding a patient, instead of documented assessments, affect their pain management decisions (Craig, 2014). It is frightening to think that a nurse’s judgment in delivering treatment might be influenced based on how they think, however, I think it occurs sometimes, if not daily, in the healthcare setting. As necessary as it is to establish clinical judgment by experience, it is also critical to remain morally fair and reasonable to the patients. Especially if one has extensive experience in the profession, handling patients with fairness, integrity, and within the code of care is crucial in nursing. This also helps one avoid making suppositions regarding patients, even if they have dealt with similar circumstances in their nursing profession. Clinical judgment involves seeing all patients as individuals, without bias.
In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition? Clinical Judgment In Nursing Discussion Paper
In clinical judgment, intuition, in my view, is critical. The instant comprehension of clinical circumstances is referred to as intuition, and it is a result of repeated encounters with similar circumstances. Intuition is essential in clinical judgment since it assists in making decisions through identifying trends (Tanner, 2006). When experienced nurses come into a circumstance they are acquainted with, they quickly seek out the necessary knowledge and respond instinctively based on their clinical understanding. In clinical practice, intuition is viewed as a critical asset since it is a cornerstone of the nurses’ synergistic approach to incidents and patients. Nurses with a wealth of experience and a wealth of knowledge are most inclined to use intuition when making choices or analyzing patients’ problems. Nurses embrace intuition in a variety of healthcare settings but, when planning treatment and assessing medical needs, intuition must be aligned with objective and empirical data. As such, nurses use intuition in clinical judgment to make well-informed clinical judgmentsClinical Judgment In Nursing Discussion Paper.
Nursing intuition develops over time as a result of a high degree of expertise and knowledge. As a result of their continued use of knowledge and experience in a multitude of contexts, nurses are capable of knowing everything instantly. With experience, nursing intuition grows and becomes more important in clinical practice, guiding judgments and decisions. Furthermore, it enables nurses to take steps within the caring interaction. With a lot of practice, nurses can easily establish a trend, analyze it, and respond implicitly and instinctively (Tanner, 2006). The understanding of patterns may be verified by observing the patients’ reactions to the treatment Clinical Judgment In Nursing Discussion Paper.
References
Craig, J. A. (2014). Nursing knowledge and attitudes toward pain management. https://digitalcommons.gardnerwebb.edu/cgi/viewcontent.cgi?article=1008&context=nursing_etd
Tanner, C. A. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of nursing education, 45(6), 204-211. https://doi.org/10.3928/01484834-20060601-04
Clinical Judgment In Nursing Discussion Paper