Clinical judgement is of complex because nurses are needed to have prior training in that he/she can have a better understanding of the subject. This relies on the ability of the nurse to make observation, identify information which is relevant and good reasoning. The process entails a cycle of sensory activities which are starting with perception
It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005). The nursing assessment is the foundation to building a therapeutic patient-nurse relationship. The patient-nurse relationship begins to form at the first encounter. Nursing assessment is the first encounter between patient and nurse. First impressions are made and these judgements can greatly affect how a client perceives a nurse (Patrick, 2013).
Reflecting on this clinical practice has been unquestionably beneficial to me. It is helped me ascertain further information about dignity and the importance of it. It has also allowed me to evaluate the care I give and develop personally and professionally. Using the Gibbs (1988) reflective framework has enabled me to look at all aspects of the clinical practice and gain essential information relating the maintenance of dignity. I have found this assignment of reflecting extremely interesting and have enjoyed learning new things about myself and the care I give in clinical practice.
105). Effectual clinical judgement enables a nurse to clearly identify changes in patients and assessments through past experiences and knowledge; through analysing and evaluating objective and subjective data allows for a judgment to be made that will help prevent or reverse a deteriorating patient (Alfaro-LeFevre 2016, p. 105). Each nurse has a different level of expertise and knowledge that makes clinical judgement very individual and unique (Cappelletti, Engel & Prentice 2014, p. 4). When making a clinical judgment a nurse must ensure they stay within their scope of practice, maintain professionalism, are aware of their legal obligations and understand their workplace policies (Alfaro-LeFevre 2016, pp. 105-6).
To support this claim Watson stated that ‘nurses who are not able to practice caring can become hardened, brittle, worn down, and robot like. (Watson p.467). Watson calm that patients heal are directly affected by how they feel about their current situation. Therefore, it is the nurses and healthcare practitioners’ duty to ensure that patients are comfortable and are properly cared for. Due to overload, nurses and practitioner experience reoccurring errors, which place patients and healthcare workers’ life, at risk.
Lack of documentation can alter the nursing intervention, such as in the scenario which stated medication was not discontinued when the resident was at high risk for bleeding. This can put a patient to danger and at risk for injury. Hence, they must make sure to record down all the patient’s evaluation findings, information and findings. Other than that, nurses should also be discreet, stay educated and follow proper procedure and
During a health assessment, a nurse may become aware that a patient is lacking information that may help improve his condition. This provides the nurse with an opportunity to impart this information before he is discharged. (Oguejiofo, 2008). There are eight critical characteristics that a nurse should use in their final summary of any symptoms the client has. The first characteristic is location is interprets the point from which the pain originates from.
By making the client the undisputed focus of the endeavor, a nurse brings forth a one-to-one relationship in which the client is an active partner and participant in crucial decision making. It provides a means of assessing nursing’s economic contribution to the totality of client care. Because evaluation is an integral component of the nursing process, both the effectiveness and the amount of nursing performance can be determined and economically valued. It enables the nurse to realize her potential as an independent decision maker who has command over competencies, which before now were not used in carrying out predominantly assistance-type
It provides the basis for selecting and implementing nursing interventions. Accurate nursing diagnoses can improve the quality of nursing interventions and lead to better nursing care being provided to the patient (Kurashima et al, 2008). A thorough analysis of the collected data is required in order to make an appropriate nursing diagnosis. Determining the priority of each nursing diagnosis requires clinical reasoning and applied knowledge. The nurse along with other members of the healthcare team then determines the urgency of the nursing diagnoses identified and prioritises care as appropriate.