What cues do you notice on the patient and their environment that are of concern?Analyze and group the related cues.What is the significance of the information that you gathered?

CONCEPTUAL APPROACH to NURSING PROCESS for CLINICAL JUDGMENT
By Manny Ramos based on Tanner’s Model of Clinical Judgment

ASSESSMENT

• Noticing: What cues do you notice on the patient and their environment that are of concern?

IDENTIFY PROBLEM
• Interpreting:

o Analyze and group the related cues.
o What is the significance of the information that you gathered?
o What problem(s) were you able to identify?
o Which concept and interrelated concepts do the problems relate with?

PLANNING
• Responding:

o How will the problem(s) be solved?

o What are the goals of patient care?

o What evidence-based information will you include in planning the care of your patient?

o Write the nursing and collaborative plans of intervention that address the problem(s) to achieve the goals of care.

IMPLEMENTATION

• Responding: Implement the plan of care

EVALUATION

• Reflecting:
o What were the outcomes of the interventions?
o Were the goals met?
o Were the problems resolved?
o Which interventions worked and did not work?
o What would you do differently?

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