Module 05 Written Assignment – Concepts for Clinical Judgment

Module 05 Content

1. Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below:

   Link to article

   In at least three pages, answer the following questions:

   1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
   2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?
   3. Additional sources are not required but if they are used, please cite them in APA format.

      Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

      Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Week 3 Key Populations and Ethical Considerations

· Points 50

 This week, compose the key population and ethical considerations portion of your research. In this section, address the following: 

1. Describe the key populations in your study, both the participants and the researchers. 

2. Describe any ethical considerations in relation to recruitment of the participants and your plans to address them. 

3. Explain any ethical concerns related to data collection/intervention activities (these can include participants refusing participation or early withdrawal from the study and response to any predicable adverse events) and your plan to address them.

4. Describe the treatment of data, who has access to the research data and the protection of confidential material. 

5. Explain any conflicts of interest that may arise if your study were to be implemented. 

This section of your research should be 3–4 pages in length, written in APA format with cited references. 

Review the rubric for grading criteria.

Points Possible: 50

CASE INTRODUCTION – Charlotte Greene, a registered nurse, is discharging a pediatric patient, Joey Slater, to home care under the supervision of his mother. The child returns to the hospital five weeks later with some concerning issues

Brief Summary of Case

SCENE 1: Joey Slater, an 8-year-old child who received blood transfusion for femur, is now ready for discharge. Stacey, a licensed practical nurse/licensed vocational nurse (LPN/LVN), offers to take care of discharge teaching about cast care, while Charlotte, an RN, calls home health care to arrange a home visit.

SCENE 2: Five weeks later, Joey is readmitted to the pediatric floor. On assessment by the RN, maggots were coming out of the cast, and perineal skin breakdown was noted. As Charlotte and the mother discuss the situation, it’s clear that there was a lack of education. The mother also states that home health nurses never contacted her. Later, Charlotte calls the agency and discovers that they tried repeatedly to contact the family without success.

SCENE 3: Charlotte tells Joey that the doctor says he can go home, but he seems worried and scared. Later, Charlotte calls social services to involve them in the patient’s care. Charlotte advocates for the patient by delaying his discharge and reporting subjective and objective findings to social services.

Instructions:

1. Read the case study above and then, answer the following questions for 
Scene 1:

a. What primary violation of the Code of Ethics in Nursing did you witness in this scene?

b. What evidence do you see for proper delegation, if any, by the RN in the video case?

· What improper delegation took place?

· What would you as the nurse have delegated in this scene?

2. Now, answer the following questions for 
Scene 2:

a. What evidence do we have of the potential for professional negligence and malpractice in the care delivery for this patient? 

b. Which of the nine Code of Ethics for Nursing provisions were upheld by the registered nurse in this scene?

3. Your paper should be:

. One (1) page

. Typed according to 

APA Writing StyleLinks to an external site.
 for margins, formatting and spacing standards.

please follow all directions and  use attached article