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CHAPTER 2 Clinical Judgment
Table 2-4 ➤ Five Components of Caring
CARING COMPONENT
DEFINITION
EXAMPLES
Knowing
Striving to understand what an event means in the life of the client
Illness A new baby Loss of loved one Making eye contact Active listening
Being With
Being emotionally present for the client
Doing For
Doing what clients would do for themselves if they were able
Bathing Feeding Calling the client's pastor Hospitalization Birth of a premature infant Adapting to a new colostomy Adapting to loss of a limb Cardiac rehabilitation
Enabling
Supporting the client through coping with life changes and unfamiliar events
Maintaining Belief
Having faith in the client’s ability to get through the change or event and to find fulfillment and meaning (Swanson, 1990)
Table 2-5 ➤ Full-Spectrum Nursing Concepts
THINKING
DOING
CARING
CLIENT SITUATION
Critical Thinking Enables you to fully use your knowledge and skills Clinical Reasoning Enables you to synthesize knowledge, experience, and information from various sources to develop an effective plan of care for a client Clinical Judgment Enables you to make the sound clinical decision for action. It is the outcome of critical thinking and clinical reasoning.
Practical Knowledge Skills, procedures, and processes (including the nursing process)
Self-Knowledge Awareness of your values, beliefs, and biases
Client Data Physical, psychosocial, spiritual
THEORETICAL KNOWLEDGE
CLIENT PREFERENCES AND CONTEXT
NURSING PROCESS
ETHICAL KNOWLEDGE Understanding your obligations; sense of right and wrong
Assessment and Evaluation: Everything you know about the client, including context Planning and Implementation: What you do for the client
Principles, facts, theories; what you have to think with
Context for care
includes individual and environmental factors (e.g., time pressures, support, relationships, culture, resources)
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