Clinical judgement in nursing - An evolutionary concept analysis

J Clin Nurs. 2023 Jul;32(13-14):3328-3340. doi: 10.1111/jocn.16469. Epub 2022 Jul 25.

Abstract

Aims: The aim of this concept analysis was to develop a contemporary operational definition of Clinical Judgement in nursing.

Design: Concept analysis.

Methods: Rodgers' evolutionary method of concept analysis. Throughout the study, the authors followed the SRQR checklist.

Results: This concept analysis guided the development of an operational definition of clinical judgement, within the context of nursing, articulated as Clinical judgement is a reflective and reasoning process that draws upon all available data, is informed by an extensive knowledge base and results in the formation of a clinical conclusion.

Conclusion: The purpose of this concept analysis was to propose a detailed definition of clinical judgement in nursing, that reflected its theoretical base within today's contemporary healthcare system. Using Rodgers' evolutionary method of concept analysis, surrogate terms, attributes, antecedents and consequences were identified, and a contemporary definition was developed. No patient or public contribution was required to design or undertake this research.

Keywords: clinical judgement; clinical reasoning; critical thinking; decision-making; nurse; nursing.

Publication types

  • Review

MeSH terms

  • Clinical Reasoning*
  • Concept Formation
  • Delivery of Health Care
  • Humans
  • Problem Solving*
  • Research Design