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It goes beyond simply recognizing symptoms and diagnoses. The nursing process is the foundation of clinical judgment As one of the key attributes of professional nursing, clinical judgment refers to the process by which nurses make decisions based on nursing knowledge (evidence, theories, ways/patterns of knowing), other disciplinary knowledge, critical thinking, and clinical reasoning.

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Tanner’s model (2004) defines clinical judgment as Although the understanding of clinical reasoning and judgment in nursing has advanced during the past 2 decades, widespread improvement in clinical judgment remains elusive. An interpretation or conclusion about patient needs, concerns or health problems and the decision to take action (or not), use or modify standard approaches, or improvise new ones based on the patient’s responses.

To help nursing students understand the aspects of their job that affect their clinical judgment, the ncsbn identified additional factors — environmental and individual — that impact the clinical situation.

Using these findings, educators and administrators can use valid and reliable methods to identify the presence, foster the development, and measure the existence of clinical judgment in novice nurses with an ultimate goal to improve patient care.