Clinical judgment a known and forgotten nursing concept: review

Authors

  • Jyoti Kathwal College of Nursing, AIIMS Bilaspur, HP, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20250338

Keywords:

Clinical judgement, Nursing, Nursing education, Nursing practice, Skills

Abstract

Nurses perform clinical judgment now and then and history has revealed the expertise of the nursing fraternity in clinical judgment however the emergence of technology and handy investigations and evidence-based practice, there has been a growing concern that clinical judgment is being overshadowed and, in some cases, even forgotten. Hence, it is time that the nursing community assesses the challenges in the implementation & inculcation of clinical judgment in nursing practice and reinvent the strategies to sharpen the skill. This article aims to explore the significance of clinical judgment in nursing, its historical roots, the challenges it faces in contemporary healthcare, and strategies to revitalize its importance.

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References

Benner P, Tanner CA, Chesla CA, editors. Expertise in nursing practice: Caring, clinical judgment, and ethics. Springer Publishing Company. 2009. DOI: https://doi.org/10.1891/9780826125453

Coles C. Developing professional judgment. J Continuing Edu Health Profess. 2002;22(1):3-10. DOI: https://doi.org/10.1002/chp.1340220102

Pesut DJ. Education: clinical judgment: foreground/background. J Prof Nurs: Official J Am Assoc Coll of Nurs. 2001;17(5):215-9. DOI: https://doi.org/10.1053/jpnu.2001.26303

Jang KS, Hwang SY, Park SJ, Kim YM, Kim MJ. Effects of a Web-based teaching method on undergraduate nursing students’ learning of electrocardiography. J Nurs Educ. 2005;44(1):35–9. DOI: https://doi.org/10.3928/01484834-20050101-07

Ko Y, Issenberg SB, Roh YS. Effects of peer learning on nursing students’ learning outcomes in electrocardiogram education. Nurse Educ Today. 2022;108(2):105182. DOI: https://doi.org/10.1016/j.nedt.2021.105182

Bendall E. 30th anniversary commentary on Bendall E. (1976). Learning for reality. J Adv Nurs. 2006;53(1):34. DOI: https://doi.org/10.1111/j.1365-2648.2006.03658.x

Bendall E. Learning for reality. 1975. J Adv Nurs. 2006;53(1):14–7. DOI: https://doi.org/10.1111/j.1365-2648.2006.03657.x

Glick M. Clinical judgment: a requirement for professional identity. J Am Dental Assoc. 2011;142(12):1333-4. DOI: https://doi.org/10.14219/jada.archive.2011.0120

Hoeve YT, Jansen G, Roodbol P. The nursing profession: Public image, self‐concept and professional identity. A discussion paper. J Adv Nurs. 2014;70(2):295-309. DOI: https://doi.org/10.1111/jan.12177

Tanner CA. Clinical judgment and evidence-based practice: Toward pedagogies of integration. J Nurs Edu. 2008;47(8):335-6. DOI: https://doi.org/10.3928/01484834-20080801-03

Jerak-Zuiderent S. Certain uncertainties: modes of patient safety in healthcare. Social Studies of Science. 2012;42(5):732-52. DOI: https://doi.org/10.1177/0306312712448122

Tanner CA. Thinking like a nurse: a research-based model of clinical judgment in nursing. J Nurs Educ. 2006;45(6):204–11. DOI: https://doi.org/10.3928/01484834-20060601-04

Gerdeman JL, Lux K, Jacko J. Using concept mapping to build clinical judgment skills. Nurse Education in Practice. 2013;13(1):11-7. DOI: https://doi.org/10.1016/j.nepr.2012.05.009

Pongmarutai T. Application of a judgment model toward measurement of clinical judgment in senior nursing students. Las Vegas: University of Nevada. 2010

Falzer PR. Valuing structured professional judgment: Predictive validity, decision‐making, and the clinical‐actuarial conflict. Behav Sci law. 2013;31(1):40-54. DOI: https://doi.org/10.1002/bsl.2043

Légaré F, Stacey D, Gagnon S, Dunn S, Pluye P, Frosch D, et al. Validating a conceptual model for an inter‐professional approach to shared decision making: a mixed methods study. J Eval Clin Prac. 2011;17(4):554-64. DOI: https://doi.org/10.1111/j.1365-2753.2010.01515.x

Yaghoubi M, Javadi M, Rakhsh F, Bahadori M. A study of determining factors affecting the performance of nurses based on the achieve model in selected hospital of Isfahan (Iran). J Edu Heal Prom. 2013;2(1):49. DOI: https://doi.org/10.4103/2277-9531.119033

Glynn DM. Clinical judgment development using structured classroom reflective practice: A qualitative study. J Nurs Edu. 2012;51(3):134-9. DOI: https://doi.org/10.3928/01484834-20120127-06

Morton PG. Academic education. Creating a laboratory that simulates the critical care environment. Critical Care Nur. 1996;16(6):76-81. DOI: https://doi.org/10.4037/ccn1996.16.6.76

Traynor M, Boland M, Buus N. Professional autonomy in 21st century healthcare: Nurses’ accounts of clinical decision-making. Social science & medicine. 2010;71(8):1506-12. DOI: https://doi.org/10.1016/j.socscimed.2010.07.029

Thompson C, Yang H, Crouch S. Clinical simulation fidelity and nurses’ identification of critical event risk: A signal detection analysis. J Adv Nurs. 2012;68(11):2477-85. DOI: https://doi.org/10.1111/j.1365-2648.2012.05945.x

Kantar L, Alexander R. Integration of clinical judgment in the nursing curriculum: Challenges and perspectives. J Nurs Edu. 2012;51(8):444-53. DOI: https://doi.org/10.3928/01484834-20120615-03

Fero LJ, O’Donnell JM, Zullo TG, Dabbs AD, Kitutu J, Samosky JT, et al. Critical thinking skills in nursing students: Comparison of simulation‐based performance with metrics. J Adv Nurs. 2010;66(10):2182-93. DOI: https://doi.org/10.1111/j.1365-2648.2010.05385.x

Thompson C, Aitken L, Doran D, Dowding D. An agenda for clinical decision making and judgement in nursing research and education. Inter J Nurs Stud. 2013;50(12):1720-6. DOI: https://doi.org/10.1016/j.ijnurstu.2013.05.003

Davis AH, Kimble LP. Human patient simulation evaluation rubrics for nursing education: Measuring the essentials of baccalaureate education for professional nursing practice. J Nurs Edu. 2011;50(11):605-11. DOI: https://doi.org/10.3928/01484834-20110715-01

Marc W, McKnight P. Department of curriculum and teaching and the graduate faculty of the university of Kansas in partial fulfilment of the requirements for the degree of doctor of philosophy. Available at: http://kuscholarworks. Accessed on 21 August 2024.

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Published

2025-01-31

How to Cite

Kathwal, J. (2025). Clinical judgment a known and forgotten nursing concept: review. International Journal Of Community Medicine And Public Health, 12(2), 1155–1158. https://doi.org/10.18203/2394-6040.ijcmph20250338

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Section

Review Articles