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What is clinical judgment? Clinical judgment can be defined as the ability to make sound decisions based on a thorough assessment of a patient’s condition and the application of evidence-based knowledge and critical thinking. It goes beyond simply recognizing symptoms and diagnoses.
This article provides an update on the state of the science of clinical reasoning and judgment in nursing, describes the influence of clinical judgment on patient safety, and identifies the academic, practice, and regulatory implications for promoting sound clinical judgment in new graduate and existing nurses.
In recent years, nursing education has also evolved to better train nurses to critically think and use clinical judgment in practice. To achieve this, the clinical judgment measurement model (CJMM) was developed. This model allows nurse educators to teach, assess, and measure the development of clinical judgment skills of nursing students.
Benner, Tanner, and Chesla (1996) suggest that “clinical judgment refers to the way in which nurses come to understand the problems, issues, or concerns of patients, attend to salient information, and respond in concerned and involved ways.”
Discover strategies nurses use to enhance clinical judgment, including exposure to scenarios, ongoing education, and critical thinking exercises.
As one of the key attributes of professional nursing, clinical judgment refers to the process by which nurses make decisions based on nursing knowledge (evidence, theories, ways/patterns of knowing), other disciplinary knowledge, critical thinking, and clinical reasoning.
This concept analysis adds a contemporary and authentic explanation and illumination of clinical judgement in nursing, one that has been developed from the data using Rodger's method, and that can be applied to the advancement of registered nursing education, practice and research.
In this model, clinical judgment is viewed as a problem-solving activity, beginning with assessment and nursing diagnosis, pro-ceeding with planning and implementing nursing inter-ventions directed toward the resolution of the diagnosed problems, and culminating in the evaluation of the effec-tiveness of the interventions.
Clinical judgement is the big buzz in nurse education right now. Rightfully so. The NCSBN’s Next-Gen Clinical Judgement Measurement Model (CJMM) is the new standard that will move us forward in safe clinical practice. According to research from the NCSBN, nursing students lack clinical judgement, the cornerstone of safe practice.
In nursing, the purpose of health assessment is to facilitate clinical judgment, which is defined as: A determination about a client’s health and illness status. Their health concerns and needs. The capacity to engage in their own care. The decision to intervene/act or not – and if action is required, what action (Tanner, 2006).