Honours Bachelor of Science - Nursing Degree

Bachelor of Science in Nursing BScN nursing nurses

Nursing Relational Practice

What is clinical judgement in nursing?

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:

  • Noticing
  • Interpreting
  • Acting
  • Reflecting

More specifically, noticing is the process of perceiving important parts of the situation. Interpreting is making sense of what is noticed and determining a course of action. Responding includes acting on the situation while reflecting on the action and the results of the action to allow for revising the intervention. Reflecting includes both reflecting in action (for corrections) and reflecting on action, enabling the nurse to learn from the experience.

Caputi (2015) recommends that promoting the development of clinical reasoning is the core of nursing education. Nurses who are adept at clinical reasoning will be able to make effective patient-centered health care decisions. Furthermore, effective clinical reasoning is crucial for preserving nursing care standards and good patient outcomes.

The listing of eBooks in this section will provide great information on clinical judgment, clinical reasoning, critical thinking and evidence-based practice for nursing relational practice.





This is requisite knowledge for establishing therapeutic relationships: background knowledge, knowledge of caring, knowledge of culture, diversity, knowledge of person, knowledge of health care and knowledge of systems



Communication is an extremely important skill for the nursing profession.  According to the RNAO's Intra-professional Collaborative Practice Among Nurses Best Practice Guidelins (2016), Recommendation 1.6 states that "Nurses promote open, honest and transparent communication" by:

  • Promoting a culture of effective communication
  • Establishing processes for verbal, written and electronic communication

The Ebooks and links to effective communication skills provide excellent information for people studying relational practice in nursing



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