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Sound clinical judgment in nursing: A concept analysis.

Wendy Manetti1

  • 1Department of Nursing, University of Scranton, Scranton, Pennsylvania.

Nursing Forum
|November 1, 2018
PubMed
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.

Keywords:
clinical judgmentclinical reasoningconcept analysiscritical thinkingdecision makingnursingproblem solving

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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.