Fall 2020
Laboure College
Concept: Clinical Judgement Student Reflective Journal for Virtual Clinical Assignment
Use the guide for reflection as a way to tell the story of the situation . The guide provides you with a way of thinking about patient care that supports the development of your clinical judgement based on Tanners Model (Noticing, Interpreting, Responding, and Reflection).
Instructions: Think about the clinical assignment this week and answer the questions.
Phases
Questions
Situation
Background
Describe how the virtual clinical assignment assisted you in understanding the role of the nurse (e.g. link to previous experiences or clinical contact).
Describe your formal knowledge (e.g. physiology, psychology, and communication skills), previous experiences that helped guide your work in this situation.
(Patient-Centered Care, Teamwork and Collaboration)
Noticing
What did you notice initially?
As you worked through the virtual assignment (case study) how did what you noticed changed?
(Patient-Centered Care)
Interpreting
Describe what you thought about the situation (e.g. cause, patterns).
Describe any similar situations you have encountered before in your experience including similarities/differences compared to this situation.
What other information (e.g. assessment data) did you decide you needed? How could this information be obtained?
(Patient-Centered Care, Informatics and Technology, Safety and Quality Improvement)
Conclusion
What did your observations and data lead you to believe? Include pertinent pathophysiology and /or psychopathology.
Responding
After considering the situation, what was the goal for your patient/family/staff? What was your nursing response and/or interventions? List priority actions..
(Patient-Centered Care, Professionalism, Safety and Quality)
Reflection
What worked and what did you find challenging with the virtual clinical assignment and why?
Describe 3 ways your nursing care and/or skills can be expanded during this experience.
Describe any changes in your values of feelings as a result of this experience. (Safety and Quality Improvement, Professionalism)
Nielsen, A.et al. (2007). Guide for Reflecting Using the Clinical Judgement Model. Journal of Nursing Education, Vol. 46. No. 11
Revised 5-12-2020, R 6-24-2020, R 9-2020
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