Integrating
reliable evidence from multiple perspectives and using that to guide
practice and make reasonable judgments can sometimes be difficult. I
have found that in my practice, before I go to see a patient I will read
the transcribed history on the computer, the history submitted by the
patient, and progress notes. This allows me to not only go into the
patient room with a better understanding of why they are here, but what
everyone did while working with them.
If I come across a particular illness, medication, or procedure that I am not familiar with I will research it so I can be familiar with it. I have not always done this and found myself guessing or making assumptions about patient care. Once I learned to prioritize my time so that I could use different people’s perspectives and research in my practice, I found my patients were happier, I was more confident and my peers started to look to me for advice and help.
While I cannot pinpoint one specific course that has helped me with this particular situation, I can say that nursing research, and leadership helped me to hone my research skills and become a better leader/teacher for my peers and also for my patients.
Clinical judgment isn’t something that everyone has, but I do believe that it can be learned and that it can be honed if you work at it. By making time to research, read histories, review progress notes from the dietitians/physical therapists/ and other members of the interdisciplinary team, and talk to the patient about their concerns, clinical judgments will be more accurate and patients will be better cared for.
If I come across a particular illness, medication, or procedure that I am not familiar with I will research it so I can be familiar with it. I have not always done this and found myself guessing or making assumptions about patient care. Once I learned to prioritize my time so that I could use different people’s perspectives and research in my practice, I found my patients were happier, I was more confident and my peers started to look to me for advice and help.
While I cannot pinpoint one specific course that has helped me with this particular situation, I can say that nursing research, and leadership helped me to hone my research skills and become a better leader/teacher for my peers and also for my patients.
Clinical judgment isn’t something that everyone has, but I do believe that it can be learned and that it can be honed if you work at it. By making time to research, read histories, review progress notes from the dietitians/physical therapists/ and other members of the interdisciplinary team, and talk to the patient about their concerns, clinical judgments will be more accurate and patients will be better cared for.
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