Read The Article: Thinking Like A Nurse, A Research-Based Mo

Read The Article Thinking Like A Nurse A Research Based Model Of Cli

Read The Article Thinking Like A Nurse: A Research-Based Model of Clinical Judgment in Nursing. In at least three pages, answer the following questions: What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things? In your opinion, what part does intuition play in clinical judgment? How do you think you'll be able to develop nursing intuition?

Paper For Above instruction

Clinical judgment is a critical component of effective nursing practice, encompassing the decision-making processes nurses utilize to deliver safe and effective patient care. According to Christine Tanner's research-based model, clinical judgment is influenced by a complex interplay of various factors, primarily experience, knowledge, and intuition. Understanding these influences is vital for developing proficient nursing practitioners capable of making sound clinical decisions even in complex and unpredictable situations.

The greatest influence on clinical judgment, as emphasized in Tanner's model, is the combination of experience and knowledge. Experience allows nurses to recognize patterns, remember previous cases, and develop a rich repository of practical insights, which enhances their ability to interpret patient cues accurately. For instance, an experienced nurse can distinguish subtle changes in a patient's condition that a novice might overlook, leading to timely interventions. Knowledge, derived from education and ongoing learning, provides the foundation for understanding pathophysiology, pharmacology, and disease processes, enabling nurses to assess situations accurately and anticipate possible outcomes.

However, experience alone does not suffice; the integration of knowledge ensures that clinical judgments are grounded in scientific evidence and best practices. The synergy of these two factors fosters critical thinking, allowing nurses to adapt their judgment to unique patient scenarios. Tanner's model highlights that experienced nurses often develop the ability to synthesize knowledge and experience intuitively, thus improving their diagnostic accuracy and clinical reasoning. Therefore, clinical judgment is best viewed as an evolving skill that grows continuously with practice and education.

Intuition also plays a significant role in clinical judgment, particularly in high-pressure or complex situations where quick decision-making is necessary. Tanner acknowledges that intuition, sometimes referred to as the "tail-end" of deliberate reasoning, involves subconscious pattern recognition developed through extensive experience. For example, an experienced nurse might sense that a patient is deteriorating despite seemingly normal vital signs, based on subtle behavioral cues or non-verbal signs. This intuitive insight can prompt further assessment or intervention, potentially preventing adverse outcomes.

Developing nursing intuition involves deliberate practice, reflection, and continuous learning. Engaging in diverse clinical experiences allows nurses to encounter varied cases, deepening their pattern recognition abilities. Reflective practice, where nurses analyze their decisions and outcomes, helps solidify these intuitive insights and enhances critical thinking skills. Additionally, pursuing ongoing education, staying current with research findings, and seeking mentorship from seasoned practitioners are vital strategies for fostering intuition. Over time, these efforts enable nurses to trust their gut feelings judiciously while maintaining evidence-based reasoning as the foundation for clinical judgments.

In conclusion, clinical judgment is a dynamic process influenced heavily by experience and knowledge, with intuition serving as a valuable, albeit sometimes subconscious, component. Developing strong nursing intuition requires intentional effort, ongoing education, and reflective practice, ultimately leading to improved patient care and outcomes. As nurses continue to grow professionally, their ability to integrate experience, knowledge, and intuition will become more refined, enhancing their overall clinical decision-making capabilities.

References

• Tanner, C. (2006). Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing. Journal of Nursing Education, 45(6), 204-210.
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• Levett-Jones, T., & Sutton, A. (2012). The Role of Intuition in Clinical Reasoning. Contemporary Nurse, 41(2), 252-260.
• Gerrish, K., & Lacey, A. (2010). The Research Process in Nursing (6th ed.). Wiley-Blackwell.
• Care, W. D. (2014). Developing Clinical Judgment in Nursing Practice. Nurse Education Today, 34(2), 280-285.
• Benner, P., Tanner, C., & Chesla, C. (1996). Expertise in Nursing Practice: Caring, Clinical Judgment and Ethics. Springer Publishing Company.
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