Question

BOX 11-9 Self-Assessment: Developing Sound Clinical Judgment Answer the following questions honestly. When finished, make a list of the items you need to work on in your quest to develop sound clinical judgment. Keep the list with you and review it frequently. Seek opportunities to practice needed activities. 1. Use high-quality references and resources. Do I look up new terms when I encounter them to make them part of my vocabulary? Do I familiarize myself with normal findings so that I can recognize those outside the norm? Do I use research findings and base my practice on scientific evidence? Do I learn the signs and symptoms of various conditions, what causes them, and how they 2. Use the nursing process Do I always assess before acting, stay focused on outcomes, and make changes as needed? Do I always base my judgments on fact, not emotion or speculation? 3. Assess systematically Do I have a systematic approach to assessing patients to decrease the likelihood that I will overlook important data? 4. Set priorities systematically Do I evaluate both the problem and the probable cause before acting? Am I willing to obtain assistance from a more knowledgeable source when indicated? 5. Refuse to act without knowledge. Do I refuse to act when I do not know the indication, why it works, and what risks there are for harm to this particular patient? 6. Use resources wisely Do I look for opportunities to learn from others, such as teachers, other experts, my colleagues, and continuing education? Do I seek help when needed, being mindful of patient privacy issues? 7. Know standards of care. Do I know facility policies, professional standards, school policies, and state board of nursing rules and regulations with regard to DoI know the clinical agency's policies and procedures affecting my particular patients? Do I attempt to understand the rationales behind policies and procedures? Do I follow policies and procedures carefully, recognizing that they are designed to help me use good judgment? Do I recognize that no workplace policy or procedure can override my state's limits on scope of practice? 8. Know technology and equipment. Do I routinely learn how to use patient technology such as intravenous pumps, patient monitors, and ofther equipment? Do I learn how to check equipment for proper functioning and safety? 9. Give patient-centered care. " Do I always remember the needs and feelings of the patient, family, and significant others? Do I value knowing my patients health beliefs and values within context of their own culture? Am I willing to "go the extra mile" for patients? Do I demonstrate the belief that every patient deserves my very best efforts? Modified from Allaro-LeFevre R: Critical Thiuking in Nursing: A Practical Approach, ed 2, Philadelphia, 1999, Saunders, pp. 85-92. Used with permission. are managed? my legal scope of practice?

Answer 1

1. Self-assessment can provide insight into students' true comprehension and can help to identify gaps in students' knowledge.

• It encourages to take more responsibility for learning.
• Self-assessment is a highly effective critical thinking exercise.
• Students are usually frank and honest in their assessment of their own performance and that of their peers.
• It reduces the assessment workload on the teacher.
• It promotes deep understanding of content topics and learning styles.
• Self-assessment lets students consider their decisions, reflect on actions, and consider/plan future processes.

2. The patient will not be expected to get any harm while giving care knowingly or unknowingly and improves the quality of care in all aspects.

a.By using effective evidence while giving patient care can assure patient safety and quality.

b. We have to suspect to follow a good and standard nursing process by the application of NANDA diagnoses can be improvised our intervention and outcome.

c. While during the assessment process we have to follow a systematic view in the initial and latent assessments.

d. While setting the priorities for the care first give importance to the exact problem than to the other problems.

e. If we don't have a thorough knowledge regarding a particular problem don't act over it and avoid getting harm to the patient and other ones.

f. If we don't have adequate knowledge with a particular problem get an expert from someone who knows it well.

g. When work in an organization follows all the standards and protocols for the procedures to avoid harm and maintain the quality.

h. We have to grow with our technological advancements thus improves the quality of care.

i. While working with the patient we have to give importance and respect to the patient values, beliefs and cultures.