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In nursing, we define nursing clinical judgement as, having an idea or clear opinion
following a period of reflexion that is related to the patient ( Cazzell, Anderson, 2016). While
working in our scope of practice of nursing, one must be able to use both clinical reasoning and
judgement to care for their patients. We have learned since the first year of nursing how to
clinically judge scenarios and how to use the clinical judgement to properly take care of our
patients on a daily basis. Beyond critical judgement, nurses most also poses the ability to
critically think. According to the article “ The Impact of critical thinking on clinical judgement
during simulation with senior nursing students”, critical thinking is thinking based on reflection.
To me this means that when we enter patients rooms each day we must use our own personal gut
feelings on what we think is right for our patients because we, the nurses, are with the patients
most throughout the day. By critically thinking we must reflect on what we know and do what
we feel is right even if others are telling us we may be wrong.If one has a gut feeling that the
care needed to be given is what they're doing, they need to not stray from giving that care.
Anderson, 2016). During our days in the hospital we must notice things going on with our
patients, we need to understand why their here and their plan of care. Next, we must interpret the
information we have on the patient using the assessment skills we have learned. Responding
involves, once we get all the information we need and see the doctors orders for the patient we
must respond to those orders and give the care we need to the patient. Finally, we must reflect on
how the patient responded to the care given, and we as nurses must reflect on our own care we
gave and was that enough for the patient. On a daily basis nurses must make clinical judgements
on multiple patients and multitask with giving care. We are the eyes and ears for these patients in
order for them to get the care they need. We advocate for the patients by making our own clinical
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judgements and give our own feedback to doctors so that our patient gets the best care while in
the hospital. “Stacking” involves organizing, prioritizing, and decision-making about patient care
on a daily basis ( Manetti, 2019.) Nurses must be able to understand the context of each patient
situation and develop a nurse-patient relationship in order to give the best care for each
individual. The attitude of a nurse can either be positive or negative to a patients outcome. That
is why clinical judgement comes into play into everything we, as nurses do. Reflection-on-action
In order to provide safe and effective care to patients, we as nurses must continually
adapt and change our skills with the fast evolving ways to give care in the hospital systems.
Thats why using our clinical judgement always comes into play. When we sit back and evaluate
each patients situation we can competently care for them by using the skills we have learned in
our practice through the years. In recent years, clinical judgement in nursing has become
synonymous with the nursing process model of practice viewed as a problem solving activity (
van Graan, Williams, Koen, 2016.) In order for nurses to adapt to the ever changing health care
environment, nurses must critical think everyday in order to give the appropriate interventions
needed for each patients situation. Going through the motions, taking assessments, and
performing interventions is not enough in the evolving, high tech health care world. Nurses need
to adapt to these changes and do more. Going through the motions of standard care doesn’t
always guarantee proficient and good clinical judgement ( van Graan, Williams, Koen, 2016.)
Going through nursing school it is believed that once we graduate we aren’t as competent in
clinical nursing judgement and thinking because we are not exposed to as many real life patients.
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That is why the Department of Health, 2011 demanded nursing students go from 3000 clinical
In my own experience with clinical judgement in our clinical is that we do get practice
with utilizing our own clinical judgement and thinking. We as the nursing students are doing our
own assessments on patients and are with one patient throughout the whole day so it allows us to
competently analyze and evaluate the individual patient’s situation,. I feel as if we do see enough
real life patients where we can start to obtain the proper clinical judgment nurses need in order to
care for patients in the hospitals. We are able to work with the nurse that is assigned to the
patient and our clinical instructor to learn how they clinically judged the situation and they
explain to us how they got to that conclusion., This helps us as students start to think in the way
they do.
In conclusion. Clinical judgment uses both the nursing process and clinical thinking to
fully care for and treat each patient the right way. It involves noticing the patients situation,
interpreting the data collected on a patient, evaluating the interventions given, and finally
reflecting on the whole scenario. We as nurses must constantly adapt to the changing health care
systems and fully utilize our nursing judgement in order to give our patients the best care they
can get. Nurses need to be confident in what they feel is right for the patient y using their
“nursing gut” . This allows us to utilize our critical thinking skills we have gained while in
nursing school.