For this Assignment, you return to Neighborhood Clinic, the community health center where you will engage with Mursion avatars representing patients and clinic staff. There are two separate scenarios and you are required to analyze both. Your purpose is gathering data to inform making clinical judgments.
To complete the Assignment:
Use the Decision Making for Clinical Judgment template document to develop a 1- to 2-page response for each part. Your submitted document should be 3–4 pages plus a reference page and address the following:
Part 1 – Patient Scenario: Serena Miranda and her 1-month-old son, Jorge
Summarize the information you learned from Serena Miranda that would inform your examination of Jorge and application of clinical judgment.
Based on this information, what concerns would you have about Jorge’s condition?
If your concern were failure to thrive, what questions would you ask to understand more?
When you examine Jorge, explain what you would look for and pay particular attention to in your examination based on the information you gather.
Explain aspects of clinical judgment that would support your decision making: noticing, interpreting, responding, reflecting.
Explain your next steps for Jorge and Serena Miranda based on components of the nursing process and your reasoning.
Part 2 – Nurse Scenario: Atsumi Yoshida and returning patient Mr. Teo Kimura
Summarize the information you learned from Atsumi Yoshida about Teo Kimura and his previous appointment at Neighborhood Clinic.
Evaluate the nurse’s application of clinical judgment based on what she stated and explain your reasoning.
In your appointment with Teo Kimura, explain what you would look for and pay particular attention to based on the information you received from Atsumi Yoshida and your assessment of her clinical judgment.
What questions would you ask Mr. Kimura to understand his physical symptoms?
What questions would you ask Mr. Kimura to understand other factors that may affect his health?
Explain aspects of clinical judgment that would support your decision making: noticing, interpreting, responding, reflecting.
Explain your next steps for Teo Kimura based on components of the nursing process and your reasoning.
Are there questions about nursing ethics in this scenario? Explain your thinking.
Learning Resources:
Manetti, W. (2019). Sound clinical judgment in nursing: A concept analysisLinks to an external site.. Nursing Forum, 54(1), 102–110. https://doi.org/10.1111/nuf.12303
Narayan, M. C. (2019). CE: Addressing implicit bias in nursing: A reviewLinks to an external site.. American Journal of Nursing, 119(7), 36–43. https://doi.org/10.1097/01.NAJ.0000569340.27659.5A
Tanner, C. A. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education, 45, 204–211. https://doi.org/10.3928/01484834-20060601-04
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