NUR 155 Exam 1
Clinical judgement
The observed outcome of critical thinking and decision making
Benner's Model
Novice, advanced beginner, competent, proficient, expert
Novice
Beginner; one who lacks experience and confidence to demonstrate safe
practice and requires continuous physical and verbal cues
Advanced Beginner
One who demonstrates marginally acceptable performance because the nurse
has had prior experience in actual situations. Knowledge is still developing.
Competent
One who is able to demonstrate efficiency, is coordinated and has confidence in
his/her actions. Care is completed within a suitable time frame without supporting
cues.
Proficient
One who perceives situations as wholes rather than in terms of chopped up parts
or aspects. The Proficient nurse learns from experience what typical events to
expect in a given situation and how plans need to be modified in response to
these events.
Expert
One who has an intuitive grasp of each situation and zeroes in on the accurate
region of the problem without wasteful consideration of a large range of unfruitful,
, alternative diagnoses and solutions. His/her performance becomes fluid and
flexible and highly proficient.
Critical Thinking
thinking with a purpose
SWIPE
State your name
Wash your hands
Identify patient (2 identifiers)
Provide privacy
Explain what you are doing
BRN COW
Bed Rails-safe position/Needs
Call light in reach
Open door or curtain
Wash hands
What are the 5 steps of the Caputi Clinical Judgement Framework?
Getting the Information
Making Meaning of the Information
Determining Actions to Take
Taking Action
Clinical judgement
The observed outcome of critical thinking and decision making
Benner's Model
Novice, advanced beginner, competent, proficient, expert
Novice
Beginner; one who lacks experience and confidence to demonstrate safe
practice and requires continuous physical and verbal cues
Advanced Beginner
One who demonstrates marginally acceptable performance because the nurse
has had prior experience in actual situations. Knowledge is still developing.
Competent
One who is able to demonstrate efficiency, is coordinated and has confidence in
his/her actions. Care is completed within a suitable time frame without supporting
cues.
Proficient
One who perceives situations as wholes rather than in terms of chopped up parts
or aspects. The Proficient nurse learns from experience what typical events to
expect in a given situation and how plans need to be modified in response to
these events.
Expert
One who has an intuitive grasp of each situation and zeroes in on the accurate
region of the problem without wasteful consideration of a large range of unfruitful,
, alternative diagnoses and solutions. His/her performance becomes fluid and
flexible and highly proficient.
Critical Thinking
thinking with a purpose
SWIPE
State your name
Wash your hands
Identify patient (2 identifiers)
Provide privacy
Explain what you are doing
BRN COW
Bed Rails-safe position/Needs
Call light in reach
Open door or curtain
Wash hands
What are the 5 steps of the Caputi Clinical Judgement Framework?
Getting the Information
Making Meaning of the Information
Determining Actions to Take
Taking Action
