Clinical Judgement Flashcards
A interpretation or conclusion about a PTs needs, concerns, health problems
Decision to take action (or not)
Clinical judgment
Clinical judgment can be based on
Gut feeling/experience
Components of clinical judgment
Noticing
Interpreting
Responding
Reflecting
Noticing is defined as what?
Context Background Relationship Expectations “Initial grasp”
Interpreting has what in it?
Analytic
Intuitive
Narrative
Reflection in action
Nurses ability to judge how the pt responding to intervention & to adjust the intervention based on the assessment
Reflection on action
Clinical learning-deciding what was learned from this clinical situation
More deliberate & even routinized, pervasive habit of thought and action
Clinical forethought
Four habits of thought & action for clinical forethought
Future think—anticipating likely immediate future
Clinical forethought about specific pt populations
Anticipation of risks
Seeing unexpected
Making qualitative distinctions
Engaging & detective work
Clinical grasp
Hypothetical-deductive reasoning pattern
Analytic in interpreting
Immediate recognition of a pattern & responding intuitively & tacitly
Intuitive in interpreting
The meaning people attribute to their illness & their way of coping
Narrative of interpreting
application of knowledge & experience to identify pt problems involves what?
Critical thinking
Critical thinking is direct
clinical judgements & actions –> positive outcomes
