1. Tanner's Model of Clinical Judgement: A model based on how a nurse THINKS,
it explains the 4 steps in the critical thinking process that nurses use to solve any
problem:
Noticing
Interpereting
Responding
Reflecting
2. Nursing Process: Uses the Scientific Method to complete a Step by step ap-
proach to PROVIDE PATIENT centered care: ADPIE
Assessment
Diagnosis -RN only
Planning/Outcomes
Implementation
Evaluation
3. Why study Critical Thinking?: Thinking with a purpose, know why you do what
you do.
Discipline specific reasoning process that ensures a nurse is generating, implement-
ing, and evaluation approaches.
4. Benner's Theory of Stages of Clinical Competence: 5 Stages of developing
nursing clinical competence:
Stage 1: Novice
Stage 2: Advanced Beginner
Stage 3: Competent
Stage 4: Proficient
Stage 5: Expert
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,Credit to nursing-theory.org
5. Stage 1: Novice: Nursing Student in first year of clinical education; limited and
inflexible, rule based, limited ability to predict what might happen in a particular
situation.
Credit to nursing-theory.org
6. Stage 2: Advanced Beginner: New grads in their first jobs, nurses have more ex-
perience and are able to recognize recurrent, meaningful components of a situation.
They have the knowledge and the knowhow but not the in-depth experience.
Credit to nursing-theory.org
7. Stage 5: Expert: Nurses that are able to recognize demands and resources in
situations and attain their goals. No longer do they rely solely on rules to guide
actions under certain situations. They area able to intuitively grasp the situation
based on their deep knowledge and experience.
Credit to nursing-theory.org
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, 8. Noticing: First step of Tanner's model of clinical judgement.
1. Identifying signs and symptoms
2. Gathering complete and accurate data
3. Assessing systematically and comprehensively
4. Predicting and managing potential complications
5. Identifying assumptions
9. Noticing-1. Identifying signs and symptoms: The ability to recognize that a
situation is different, changed, and not of a normal state. Indcates that something is
different than expected.
10. Noticing-2. Gathering complete and accurate data: Collecting pertinent data
from various sources. This data is used as the basis for identifying issues/concerns,
solving problems, and making decisions. Must verify that data is complete and
accurate.
11. Noticing-3. Assessing systematically and comprehensively: An organized
manner to collect data to make sure nothing is omitted or forgotten. Examining the
whole, piece-by-piece in a thorough manner.
12. Noticing-4.Predicting and managing potential complications: Looking at
the big picture to consider possible complications for an individual patient. Must
know common complications and consider individual differences. In Noticing, you
are predicting complications, which means you are identifying possible problems.
13. Noticing-5. Identifying assumptions: Taking something for granted or hastily
arriving at a conclusion without supporting evidence. A misconception.
14. Nursing Process Assessment: Observe and report to Charge Nurse or HCP.
Determine risk for injury or infection.
15. Nursing Process Diagnosis: Assist with accurate diagnosis. Gather data to
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