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Medical-Surgical Nursing (OpenStax)
4: Clinical Judgment in the Nursing Process

4: Clinical Judgment in the Nursing Process

Last updated

Feb 13, 2025
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- 3.9: References
- 4.0: Introduction

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4.0: Introduction
The page discusses the importance of clinical judgment and critical thinking for new nurses in practice. It illustrates this through a scenario involving a nurse recognizing the need for intervention when a patient's potassium levels are low due to diuretic use, potentially preventing serious complications like cardiac arrest.
4.1: Critical Thinking and the Nursing Process
This section outlines the objectives and components of the nursing process, highlighting its importance in patient care. It explains the steps of the nursing process, known as ADPIE: Assessment, Diagnosis, Planning, Implementation, and Evaluation. The text emphasizes the role of clinical judgment in guiding patient care, promoting positive outcomes, enhancing patient safety, and improving satisfaction.
4.2: Clinical Judgment Measurement Model Overview
The page outlines the NCSBN Clinical Judgment Measurement Model (CJMM), developed to enhance clinical judgment measurement in nursing exams like the NCLEX. It is used in nursing education to foster high-level critical thinking. The CJMM expands on traditional processes by providing measurable components for clinical judgment, involving cognitive skills that nurses apply to make informed patient care decisions.
4.3: Recognizing and Analyzing Cues
This section focuses on the integral role of recognizing and analyzing cues in nursing assessments, which are foundational for patient care. It emphasizes the comprehensive nature of nursing assessments, involving both subjective and objective data collection, incorporating cultural awareness, and addressing psychological, sociocultural, and environmental factors.
4.4: Prioritizing Hypotheses, Generating Solutions, and Taking Action
This section outlines the key steps in nursing care, focusing on the development and prioritization of hypotheses, generating solutions, and implementing interventions to address patient needs and achieve care goals. It emphasizes the importance of clinical judgment and critical thinking in identifying and refining nursing hypotheses based on patient assessments.
4.5: Evaluating Outcomes
The page discusses the process of nursing care, emphasizing the importance of evaluation in achieving patient outcomes. It outlines how nurses should evaluate, analyze, and modify care plans to ensure optimal patient recovery, using the case of Mr. Silva's knee surgery as an example. Additionally, a real-life story from nurse Junot illustrates the necessity of adapting care plans based on patient responses.
4.6: Summary
The document discusses the integration of critical thinking into the nursing process, which is foundational to nursing practice and includes assessment, diagnosis, planning, implementation, and evaluation. The Clinical Judgment Measurement Model (CJMM) enhances traditional nursing processes, aiding students in developing critical thinking skills.
4.7: Key Terms
The page provides an overview of key concepts related to nursing assessment and clinical judgment. It discusses the systematic process of data collection and analysis for evaluating a patient's health, touching upon the Clinical Judgment Measurement Model (CJMM) used in nursing education. It also explains deductive and inductive reasoning, evaluation of patient progress, formulation of hypotheses, inference, and the distinction between objective and subjective data.
4.8: Assessments
4.9: References

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