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Clinical Judgement: 9 Key Questions - 🧠ANSWER ✔✔*1. What major
outcomes (observable beneficial results) do we expect to see in this
particular patient, family, or group when the plan of care is terminated?* If
using standardized/pre-determined plan, that it is appropriate for the client;
or else have to create a personalized one for them that is realistic.
,*2. What problems or issues must be addressed to achieve the major
outcomes?* Answering this question helps you prioritize
*3. What are the circumstances?* Who is involved? Child, parent, group?
How urgent are the problems? Client's beliefs, values, cultural influences?
*4. What knowledge is required?* Regarding diagnoses, disease
physiology, symptoms, complications that may occur, etc.
*5. How much room is there for error?* Depends on the condition of the
overall health of the client; this is where clinical judgement comes in bc the
orders for postop ambulation may be the same for two clients who have
different comorbidities and overall health
*6. How much time do I have?* Time frame depends on urgency of the
problem, planned length of contact, etc.
*7. What resources can help me?* Human resources like CNS
,*8. Whose perspectives must be considered?* Important to consider
client's perspective; also family members, SOs, caregivers, relevant third
parties (insurers)
*9. What is influencing my thinking?* Identifying personal biases and other
factors influencing your critical thinking, and ergo, your clinical judgement
Flexner (Sociologist, 1910) - 🧠ANSWER ✔✔Flexner's Report inspected and
critiqued medical schools around the country and found that they are
unequal; called on medical schools to implement high standards for
admission and graduation
*Flexner Report (1915)* published a list of criteria that he believed were
characteristic of all true professions:
1. Is basically intellectual (as opposed to physical) and is accompanied by
a high
degree of individual responsibility
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, 2. Is based on a body of knowledge that can be learned and is developed
and
refined through research
3. Is practical, in addition to being theoretical
4. Can be taught through a process of highly specialized professional
education
5. Has a strong internal organization of members and a well-developed
group
consciousness
6. Has practitioners who are motivated by altruism (the desire to help
others)
and who are responsive to public interests
Hall (Sociologist, 1968) - 🧠ANSWER ✔✔Published his work on
professionalism; similar to Flexner's criteria, described a professional
model with 5 attributes of professions:
1. Use of a professional organization as a primary point of reference