What's the (Reasoning) Pattern?
Clinical Judgment Model
Type of Errors
The Situated Clinical Decision-Making Model
100

According to Tanner (2006), nurses use a variety of reasoning patterns. These patterns are what clinicians use to break down a situation into its elements.

What are Analytic Processes? 

100

According to the model, the overall process includes four aspects. This aspect is the perceptual grasp of the situation at hand.

What is Noticing? 

100

According to Saintsing et al. (2011), this is the most common type of error novice nurses commit, with 75% of novice nurses committing this error.

What is Medication Errors?

100

It is a complex process with potential to influence the quality of care provided and, subsequently, patient outcomes.

What is clinical decision-making? 

200

According to Tanner (2006), nurses use a variety of reasoning patterns. This pattern is characterized by immediate apprehension of a clinical situation and is a function of experience with similar situations.

What is Intuition? 

200

According to the model, the overall process includes four aspects. This aspect is concerned about deciding on a course of action deemed appropriate for the situation, which may include “no immediate action”.

What is Responding? 

200

According to Saintsing (2006), this is one of the most common errors committed by novice nurses. It can be defined as an unplanned descent to the floor with or without injury to the patient.

What is Client Falls? 

200

Foundational Knowledge is one of the tenets of this model. This is the knowledge of a client’s past experience in relation to health and illness, patterns in relation to personal response to pathology and treatment, preferences, supports and resources.

What is Knowing the Person? 

300

According to Tanner (2006), nurses use a variety of reasoning patterns. This pattern involves trying to understand the particular case and is viewed as human beings’ primary way of making sense of experience, through an interpretation of human concerns, intents, and motives.

What is Narrative Thinking? 

300

According to the model, the overall process includes four aspects. This aspect develops a sufficient understanding of the situation to respond.

What is Interpreting? 

300

In Saintsing's (2006) article, this error is the failure to administer in a prompt manner, the failure to recognize and failure to intervene in relation to patient care

What is Delay in Patient Care?

300

According to this model, nurses make clinical decisions within a multi-layered context. What level concerns lines of communication with the unit? 

What is meso level? 

400

According to Tanner (2006), nurses use a variety of reasoning patterns. When a nurse lacks essential knowledge and there is a mismatch between what is expected and what actually happens, what reasoning pattern is utilized? 

What is Analytical Processes?

400

According to the model, the overall process includes four aspects. This aspect attends to patients’ responses to the nursing action while in the process of acting.

What is Reflecting? 

400

In the article of Saintsing (2006), this is the primary reason for delay in care. 

What is lack of experience?

400

_______ underpins nurses’ inquiry and generative thinking and has been linked to effective clinical decision-making; becomes evident in nurses’ ability to identify and challenge assumptions, values, and beliefs that they bring to a situation.

What is Critical Thinking? 

500

According to Tanner (2006), nurses use a variety of reasoning patterns. This pattern is an important tool of reflection, that having and telling stories of one’s experience as clinicians helps turn experience into practical knowledge and understanding

What is Narrative Thinking?

500

According to the model, the overall process includes four aspects. This aspect involves reviewing the outcomes of the action, focusing on the appropriateness of all of the preceding aspects.

What is Reflecting? 

500

This is another common error committed by nurses; This occurs when nurses are not able to communicate observations, decisions, actions and outcomes of client care to the other nurses, usually written in the chart

What is Documentation Error? 

500

This is the best conclusion a nurse can reach at a point in time, given the information available.

What is Judgment? 

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