Case study

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?