NURSING ASSIGNMENT.

Modify clinical judgment within an iterative, outcome-based cycle of clinical reasoning and client needs. Scenario As part of the clinical portion of your BSN Capstone course in your senior semester, you have the opportunity to attend a two-day seminar with senior nursing students from other academic institutions. The theme of this seminar is the application of clinical judgment to determine the best evidence-based solutions for nursing practice. Instructions For a clinical judgment roundtable with faculty and students that is sponsored by your academic institution, you must prepare one scenario based handout to promote robust discussion regarding the application of clinical judgment as an outcomes-based dynamic cycle of clinical reasoning and client needs. The handout must contain these components: Describe a clinical situation where you applied an outcome-based cycle of clinical reasoning to select what you considered the “best” client intervention based on information available. In

Running head: NURSING ASSIGNMENT 1
Nursing Assignment
Student’s Name
Institutional Affiliation

NURSING ASSIGNMENT 2
Nursing Assignment
Scenario
In your continued struggle to adapt to your new job as a precepting nurse, you feel
understaffed in your fifth week of training. You take an extra patient making your day very busy.
The patient you are assigned has been in the facility for four months without any improvements.
He develops complications daily. He frustrates the staff and is specific on how he should take
medication and does not comply at times. Your preceptor wants to take short cuts to get it done.
She gives him all the drugs and tells him, "we have a busy morning, and we don't have time to do
that, here are all your medications. You can take them separately, and we will check back after
the break to make sure you took them all". It is your fifth day in training, and you know it is bad.
First option – you say, "I will separate them into med cups and wait for you to take them
individually so we don't leave the bedside." The preceptor agrees and leaves.
The second option – leave the room with the preceptor and later realize all medications
were not taken.
Hypothesis- stay with the patient as he takes the medication so that he takes them. Take
BP before drug administration.
The quick way is bad practice in medicine. It increases medical errors (Norman et al.,
2017). There was a conflict about whether to administer medication or not. Leaving the
medication on the bedside and not seeing them take medicine is a common practice in nursing
(Breckenridge et al., 2017). However, you followed the right protocol and ensured the patient
received all medications. This is an appropriate intervention.

NURSING ASSIGNMENT 3
Speak as a new nurse, and show you know what is wrong vs. right. Shortcuts are not
good practice and may end up bad for you. The nurse spoke and became an excellent advocate
for the patient.

NURSING ASSIGNMENT 4
References
Breckenridge, A., Aronson, J. K., Blaschke, T. F., Hartman, D., Peck, C. C., & Vrijens, B.
(2017). Poor medication adherence in clinical trials: consequences and solutions. Nature
Reviews Drug Discovery, 16(3), 149.
Norman, G. R., Monteiro, S. D., Sherbino, J., Ilgen, J. S., Schmidt, H. G., & Mamede, S. (2017).
The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual
process thinking. Academic Medicine, 92(1), 23-30.