Therefore, if the clinician doesn’t include the patient in the decision-making process, they could take risks or make recommendations that the patient would not otherwise agree to. Served as a clinical expert and mentor for staff, regularly assisting with direct patient care as needed. How this mental shortcut can mislead: clinicians may make inaccurate predictions based on “vivid memories” of death or complications of a few patients with a disease process. It is the clinician’s experience that hones their ability to diagnose and manage individual patient care situations. The development of neonatal nursing standards of practice for Cambodia: a Delphi study. Alcohol and other drug (AOD) staffing and their workplace: examining the relationship between clinician and organisational workforce characteristics and treatment outcomes in the AOD field. Benner, along with coauthors Christine Tanner, PhD, RN, FAAN, and Catherine Chesla, DNSc, RN, FAAN, expanded on these themes in the second edition of their book “Expertise in Nursing Practice: Caring, Clinical Judgment, and Ethics.”8 The Benner model help nurses gain insight into how nursing expertise develops and what needs to be done to nurture new nurses through clinical challenges. The problem for those of us who seek out the “expert” to help us with a patient problem is that we can never be sure (unless we ask) if the expert advice is evidence-based and authoritative or merely their opinion and authoritarian-based. Clinical nursing expertise is central to quality patient care. 2, Manuscript 4. Professional nursing accountability is when a nurse takes responsibility for their actions, judgments, and omissions when caring for patients. Healthcare professionals’ perspective can guide post-marketing surveillance of artemisinin-based combination therapy in Uganda. “Science and proven experience”: How should the epistemology of medicine inform the regulation of healthcare?. If there is no hard research evidence to guide decisions, it is possible that nurses will rely on their imperfect clinical intuition or cognitive heuristics. Recommended Design and Direction of Development for Humanoid Nursing Robots Perspective from Nursing Researchers. It’s a construct that can be associated with expert nurses and healthcare providers because clinical reasoning seems to occur without conscious thought. Nurses’ Beliefs About Caring for Patients With Traumatic Brain Injury. Educational background and clinical nursing tasks performed by nurses in Indonesian hospitals. Nurses' characteristics and organisational factors associated with their assessments of individualised care in care institutions for older people. A survey on the training needs of caregivers in five European countries. Cognitive heuristics are mental shortcuts or “rules of thumb” can assist in many situations, but may be misinterpreted or mislead in specific ones. Plus, a nurse believes in life-long learning! Our personal clinical observations from patient encounters are unsystematic and therefore they are considered weaker forms of evidence according to the strength of evidence scales. So you are reading the literature, using your skills to search for answers to clinical problems, and then evaluating the evidence. First, we can’t know everything, right? No clinician’s clinical experiences or reading list will ever include the variety of diagnoses and problems of all the potential future patients that one might encounter. Next week I’ll finish up this series with explaining how patient preferences are used in EBP. Clinical Expertise. 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