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Sound clinical judgment in nursing: A concept analysis
1Department of Nursing, University of Scranton, Scranton, Pennsylvania.
Nursing Forum
|November 1, 2018
Summary
This concept analysis clarifies sound clinical judgment in nursing, defining its attributes, antecedents, and consequences. It establishes clinical judgment as synonymous with decision-making, crucial for improving patient care outcomes.
Area of Science:
- Nursing Science
- Healthcare Decision-Making
Background:
- Sound clinical judgment is a critical component of nursing practice.
- Decisions made by nurses directly impact patient outcomes.
Purpose of the Study:
- To provide a clear understanding of clinical judgment in nursing.
- To define its attributes, antecedents, and consequences.
Main Methods:
- Concept analysis using Walker and Avant's framework.
- Systematic literature search of CINAHL, ProQuest, ERIC, and Health Source databases (1984-2017).
Main Results:
- Clinical judgment is identified as a surrogate term for decision-making.
- Key attributes, antecedents, and consequences were elucidated and supported by evidence.
Conclusions:
- Clinical judgment is synonymous with decision-making, stemming from critical thinking and clinical reasoning.
- Findings can guide educators and administrators in developing and measuring clinical judgment in novice nurses to enhance patient care.
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