Discussion: Daily Routine Clinical Judgment
NOW FOR AN ORIGINAL PAPER ASSIGNMENT:Discussion: Daily Routine Clinical Judgment
Week 4 discussion Daily Routine Clinical judgment in our daily practice can influence how we (nurses) take care of our patients. Our everyday care of our patients also incorporate ethical care and charting. Why should nursing include evidence-based practice into their daily routine?
This qualitative study was conducted in 2013 at hospitals of Kurdistan University of Medical Sciences, located in the Sanandaj city of Iran. The data were collected based on semi-structured interviews and the study included 24 participants. Data analysis was carried out concurrently with data collection using the grounded theory method.
The study participants’ main concern was ‘being non-professional in clinical judgment’. In response to this concern, they were struggling for gaining professional autonomy, striving for integrating clinical judgment skills, scrambling to make effective educational interventions and striving for professional and inter professional collaboration in clinical judgment. The core category was ‘struggling for becoming professional in clinical judgment development’. When nurses were supported professionally, they were able to develop their professional clinical judgment.
The findings of this study provided critical information about nurses’ professionalization in clinical judgment. Accordingly, the participants adopted different strategies to develop their clinical judgment ability. Integrating these strategies into nursing theory and clinical education can improve nurses’ clinical judgment ability.
Clinical judgment is one of the key attributes of professional practice (1). It is a prerequisite for establishing professional identity (2) and is mainly based on nurses’ knowledge and experience as well as their reasoning, intuition, clinical thinking, and evidence-based practice skills (3, 4). Nurses use these skills to assess patients and the environment and to process and interpret patient information in order identify and fulfill patient needs (5). This process results in the establishment of nursing diagnoses, effective clinical decision-making, problem solving and the improvement of care quality (6). Tanner (5) noted that only professional nurses could go through this process. Such a structured approach to patient care is an important characteristic of structured professional judgment (7). Professionalization (8) in clinical judgment is a major challenge of modern nursing (7) and despite its critical importance, it is still poorly understood.
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