Clinical judgement within the South African clinical nursing environment: A concept analysis

Health SA Gesondheid

 
 
Field Value
 
Title Clinical judgement within the South African clinical nursing environment: A concept analysis
 
Creator van Graan, Anna C. Williams, Martha J.S. Koen, Magdalena P.
 
Subject — Clinical decision-making; Critical thinking; Clinical nursing environment; Clinical reasoning; Problem-solving
Description Reform in the South African healthcare and educational system were characterized by the ideals that the country needs to produce independent, critical thinkers. Nurses need to cope with diversity in a more creative way, defining their role in a complex, uncertain, rapidly changing health care environment. Quality clinical judgement is therefore imperative as an identified characteristic of newly qualified professional nurses. The objective of this study was to explore and describe clinical judgement through various data sources and review of literature to clarify the meaning and promote a common understanding through formulating the characteristics and developing a connotative (theoretical) definition of the concept. An explorative, descriptive qualitative design was used to discover the complexity and meaning of the phenomenon. Multiple data sources and search strategies were used, for the time frame 1982—2013. A concept analysis was used to arrive at a theoretical definition of the concept of ‘clinical judgement’ as a complex cognitive skill to evaluate patient needs, adaption of current treatment protocols as well as new treatment strategies, prevention of adverse side effects through being proactive rather than reactive within the clinical nursing environment. The findings emphasized clinical judgement as skill within the clinical nursing environment, thereby improving autonomous and accountable nursing care. These findings will assist nurse leaders and clinical nurse educators in developing a teaching-learning strategy to promote clinical judgement in undergraduate nursing students, thereby contributing to the quality of nursing care.
 
Publisher AOSIS Publishing
 
Contributor
Date 2016-10-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format application/pdf
Identifier 10.4102/hsag.v21i0.932
 
Source Health SA Gesondheid; Vol 21 (2016); 33-45 2071-9736 1025-9848
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://hsag.co.za/index.php/hsag/article/view/932/1127
 
Coverage — — —
Rights Copyright (c) 2016 Anna C. van Graan, Martha J.S. Williams, Magdalena P. Koen https://creativecommons.org/licenses/by/4.0
ADVERTISEMENT