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Sound clinical judgment in nursing: A concept analysis

机译：护理中的声音临床判断：概念分析

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Objective: The intent of this concept analysis is to offer a clear understanding of the definition, defining attributes, antecedents, and consequences of sound clinical judgment pertaining to nursing practice. Background: Sound clinical judgment is essential in nursing because decisions made influence patient outcomes. Design: This concept analysis guided by Walker and Avant's framework, dissects the concept to promote clarity and consensus. Data Source: CINAHL, ProQuest for Nursing and Allied Health, ERIC, and Health Source/Nursing Academic Edition databases were searched using the keyword clinical judgment. Review Methods: Articles in peer reviewed, scholarly journals written in English were considered from 1984 to 2017. Results: The author concluded that decision-making is a surrogate term for clinical udgment. The attributes, antecedents, and consequences are discussed and supported by evidence. Cases illustrate the essence of the concept. Conclusions: Clinical judgment is an ambiguous term that is synonymous with the term decision-making. It results from critical thinking and clinical reasoning. 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.
机译：目的：这一概念分析的意图是为了清楚地了解对护理实践有关的声音临床判决的定义，定义属性，前一种和后果。背景：声音临床判断在护理方面是必不可少的，因为决策会影响患者结果。设计：沃克和前瞻框架指导的这一概念分析，解剖了促进清晰度和共识的概念。数据来源：使用关键字临床判断搜索CINAHL，Proquest，用于护理和盟友健康，埃里克和健康来源/护理学术版本数据库。综述方法：对同行的文章审查，由英语编写的学术期刊从1984年到2017年被审议。结果：作者得出结论，决策是临床委员会的代理术语。证据讨论和支持属性，前书，后果。案例说明了概念的本质。结论：临床判断是一种模糊的术语，即决策术语。它来自批判性思考和临床推理。使用这些调查结果，教育工作者和管理员可以使用有效且可靠的方法来识别存在，培养发展，并衡量新手护士中的临床判断存在的存在，以改善患者护理。

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