Abstract
Nurses must be enlightened that clinical reasoning, clinical decision making, and clinical judgement are the key elements in providing safe patient care. It must be incorporated and applied all throughout the nursing process. The impact of patients’ positive outcomes relies on how nurses are effective in clinical reasoning and put into action once clinical decision making occurs. Thus, nurses with poor clinical reasoning skills frequently fail to see and notice patient worsening condition, and misguided decision making arises that leads to ineffective patient care and adding patients suffering. Clinical judgment on the other hand denotes on the outcome after the cycle of clinical reasoning. Within this context, nurses apply reflection about their actions from the clinical decision making they made. The process of applying knowledge, skills and expertise in the clinical field through clinical reasoning is the work of art in the nursing profession in promoting patient safety in the course of delivering routine nursing interventions. Nurses must be guided with their sound clinical reasoning to have an optimistic outcome and prevent iatrogenic harm to patients. Nurses must be equipped with knowledge, skills, attitude and values but most importantly prepared to face the bigger picture of responsibility to care for every patient in the clinical field.
Highlights
Nurses must be enlightened that clinical reasoning, clinical decision making, and clinical judgement are the key elements in providing safe patient care
Clinical decision making is a period where actions are chosen to perform after a comprehensive investigations and examinations and identifying appropriate management to address the patient condition; whereas clinical judgment is the outcome of every actions that takes place in clinical reasoning and clinical decision-making in the process of nursing care
The Practice Rationale Care Model is system of clinical reasoning and clinical decision yielded by clinical judgment
Summary
Many of our nurses are confused on the differences between critical thinking, clinical reasoning and clinical judgment, and how it affects clinical decision. Clinical reasoning is thought-provoking and interesting to know; it requires simultaneous methodologies in learning nursing procedures that is essential in the delivery of safe patient care This is an important aspect in order to come up with a constructive clinical decision making. Critical thinking is comprehensive and broad; it is a process of revealing unseen problems, determining goals, investigating assumptions, identifying appropriate actions and evaluating proofs of evidences It denotes the significance of recognizing queries, issues and concerns and finding correct action and solution. The maintenance of leaders for execution of practice revolutions is essential in establishing a conservational belief that implements and values evidence-based practice [4]
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