Question

Read the article "Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing" by Christine Tanner,

In at least three pages, answer the following questions: using your own words

1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
2. In your opinion, what part does intuition play in clinical judgment? How do you think you'll be able to develop nursing intuition?

Additional sources are not required but if they are used, please cite them in APA format.

Answer 1

Answer 1

Nurses have to deal with a broad range of issues related to the condition of each patient, including complications and improvements, as well as annotations to clinical records and communications with physicians. As such, the nurse’s judgment is at the heart of care delivery so nursing education emphasized critical thinking as an essential nursing skill for many years. The definitions of critical thinking have evolved over a few years. There are several key definitions for critical thinking to consider. The American Philosophical Association (APA) defined critical thinking as a purposeful, self-regulatory judgment that uses cognitive tools such as interpretation, analysis, evaluation, inference, and explanation of the evidential, conceptual, methodological, or contextual considerations on which judgment is based.

so, A more expansive general definition of critical thinking is

. . . in short, self-directed, self-disciplined, self-monitored, and self-corrective thinking. and entails effective communication and problem-solving abilities and a commitment to overcome our native egocentrism and sociocentrism. Every clinician must develop rigorous habits of critical thinking, but they cannot escape completely the situatedness and structures of the clinical traditions and practices in which they must make decisions and act quickly in specific clinical situations.

observation -------- reasoning----------------clinical thinking with subject knowledge ========== clinical judgement

Answer 2

Intuition is a controversial concept and nurses believe that there are difficulties in how they should explain their nursing actions or decisions based on intuition. Much of the evidence from the body of research indicates that nurses value their intuition in a variety of clinical settings. More information on how nurses integrate intuition as a core element in daily clinical work would contribute to an improved understanding of how they go about this. Intuition deserves a place in evidence-based activities, where intuition is an important component associated with the nursing process.

intuition is is a human ability for knowing or doing without adequate reasons also, is a way to recognition of the truths without rational thinking

Recently intuition has been considered as a way of learning, also as a type of legitimate knowledge in nursing, this differs from determined philosophical underpinnings of other disciplines. Nursing knowledge is achieved through empirical, aesthetic, personal, and ethical knowledge, while intuition demonstrated as “art of nursing” or aesthetic knowing, other believed intuition is a “tacit or personal knowledge” Benner stressed on using intuition by expert nurses for providing patient care, but there are low evidences to verify it