2024/2025Hondros-exam 1 critical
thinking Updated/graded A+
Tanner's Model
Noticing
Interpreting
Responding
Reflecting
clinical judgment
"Thinking Like A Nurse". integral to the Safety of pt. Interpretation or conclusion about a patient's needs, concerns, or health
problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as deemed
appropriate by the patient's response.
Database
Completed health history and physical examination, large store or bank of info
clinical reasoning
is the thinking process by which a nurse reaches a clinical judgement. an iterative process of noticing, interpreting, and
responding- reasoning in transition with a fine attunement to the patient and how the patient responds to the nurses action
Psychosocial history
Psychological and social factors
evidence-based practice
clinical decision making that integrates the best available research with clinical expertise and patient characteristics and
preferences
1st method of data collection
,Nur 200Critical thinking latest
2024/2025Hondros-exam 1 critical
thinking Updated/graded A+
Interiew patient, health history. Patient is your primary source
Tanner's Model
Noticing
Interpreting
Responding
Reflecting
2nd method of data collection
Physical examination ( guided by subjective and objective)
noticing (tanners model)
identify s/s, gather complete and accurate data, assessing systematically and comprehensively, *predicting (and managing)
potential complications, identifying assumptions
Concepts of clinical judgment
1. Safety
2. Healthcare quality
3. Leadership
4. Patient education
5. Evidence
6. Professionalism
7. Care coordination
objective data (noticing)
information that is seen, heard, felt, or smelled by an observer; signs
, Nur 200Critical thinking latest
2024/2025Hondros-exam 1 critical
thinking Updated/graded A+
Analytic reasoning
Situation is unfamiliar
subjective data (noticing)
things a person tells you about that you cannot observe through your senses; symptoms
Intuitive reasoning
Able to recognize the situation immedialy. Pattern based
factors that influence "Noticing"
-intrapersonal characteristics of the nurse
-theoretical and experiential knowledge of the nurse
-knowing the patient
-context or environment of care
Narrative reasoning
Situation to patient experience with illness.
Interpreting (tanners)
comparing and contrast data, clustering related information, recognizing inconsistencies, checking accuracy, distinguishing
relevant from irrelevant, determine importance of info, judge how much ambiguity is acceptable (ie b/p dt condition),
determine legal ethical professional guidelines, (predicting and) *managing potential complications