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CHAPTER 2 Clinical Judgment
■ Nursing process. (Assessment) The nurse observed the glass of ice water on the table. The nurse asked, “How long since you’ve taken a drink of water?” The nurse also observed the environmental data (e.g., ice water at the bedside). (Implementation/Take Action) The nurse returned later and took the client’s temperature. Caring The scenario does not say this, but a caring nurse, even a very busy one, would not be annoyed with the client for the inconvenience of having to come back again to take the temperature. ■ Self-knowledge might include the nurse’s awareness that she is tired and feeling irritable. ■ Ethical knowledge would tell her that she has an obli- gation to get an accurate temperature from the client rather than thinking, “Oh, I’ll just record the reading a degree or two higher, as it doesn’t matter that much.” As a full-spectrum nurse, you will apply thinking, doing, and caring to client situations to achieve good outcomes. Clinical Judgment The nurse’s actions presented under the dimensions of the full-spectrum nurse incorporated critical thinking
and decision making to facilitate the development of clinical judgment. Each bullet shows the synthesis pro- cess the nurse used to decide on the safe action for the client. The full-spectrum nurse integrates a compre- hensive and systematic approach that fosters clinical reasoning to make and prioritize decisions regarding the appropriate actions to promote quality care and client safety. As you progress through your nursing program, you will develop and expand your clinical judgment.
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