Nursing 1070A/B Lecture Notes - Lecture 3: Staccato, Abstraction, Isight
Document Summary
Week 3: tanners clinical judgement model and general survey. Thinking about the patients bring to the interaction, and what do you bring. Three significant defining attributes of clinical judgement: recognize the uniqueness of each patient using a holistic view. Willingness to consider all factors involved in patient care: understand the clinical situation (reasoning and interpretation) Three types of reasoning depending on situation and nurse experience; analytic, intuitive, narrative. Analytic reasoning: consider possibilities and deduce solution, unfamiliar situation. Narrative form: recognizing the significance of the situation at hand and patients experience. Intuitive reasoning: identifying the situation immediately with illness, filling in the blanks: u(cid:374)de(cid:396)sta(cid:374)d the (cid:374)u(cid:396)se"s (cid:272)o(cid:374)t(cid:396)i(cid:271)utio(cid:374) to the patie(cid:374)t (cid:272)a(cid:396)e situatio(cid:374) (cid:894)p(cid:396)o(cid:272)ess o(cid:396)ie(cid:374)tatio(cid:374) Nurse employs a deep understanding of the individual patient situation and his or her own back-ground, experience and values. While nurses see patients response, the nurses understands the next steps. Selection from options mutually exclusive possibilities, implying that there is only one right decision.