According to Tanner (2006), the terms, "clinical judgement," "problem solving," and "critical thinking" are often used together. However, Tanner (2006), defines clinical judgement in nursing to mean an interpretation about a patient's concerns or health challenges and/or the decision to take action, use accepted approaches or improvise new ones as considered by a patient's response.
According to Tanner (2006), clinical judgement in nursing involves four aspects:
Caputi (2015) adds to this model by recommending that the development of clinical reasoning or judgement is the core of nursing education and allows nursing students to become self-directed thinkers who are able to make effective patient-centered health care decisions. Furthermore, effective clinical reasoning or judgement is crucial for preserving nursing care standards and good patient outcomes. Caputi's Clinical Judgement Framework includes these five steps:
L. McMaster (personal communication), March 9, 2023)
RNAO.(n.d.). Information and knowledge management. https://rnao.ca/sites/rnao-ca/files/eHealth_Section_4.pdf
Schoessler, Mary. (2013). Tanner's model of clinical judgement applied to preceptorship: part 1. Journal for Nurses in Professional Development, 29(5), 274-275. https://oce-ovid-com.georgian.idm.oclc.org/article/01709760-201309000-00012/HTML
This illustration from the Registered Nurses Association of Ontario's Framework for Therapeutic Relationships breaks down the key aspects of therapeutic relationships for nurses including knowledge of culture, person, health/illness and systems.
The following guidelines are very helpful in understanding more about therapeutic nurse-patient relationships:
RNAO. (2006). Establishing therapeutic relationships supplement. https://rnao.ca/sites/rnao-ca/files/storage/related/943_BPG_TR_Supplement.pdf
Communication is an extremely important skill for the nursing profession. According to the RNAO Best Practice Guidelines: Intra-Professional Collaborative Practice Among Nurses (2016), Recommendation 1.6 states that "Nurses promote open, honest and transparent communication" by:
RNAO. (2016). Intra-professional collaborative practice among nurses, second edition. https://rnao.ca/sites/rnao-ca/files/Intra-professional_Collaborative_Practice_7.pdf