Errors in clinical judgement and decision making are said to account for more than half of adverse clinical events (Tomlinson, 2015).
The focus of the nurse clinical judgement has to be on quality evidence based care delivery, therefore, observational and reasoning skills will result in sound, reliable, clinical judgements.
They concluded that nurse managers with stronger critical thinking skills were better able to create positive practice environments that correlated with higher job satisfaction and better retention of staff nurses.
Nurses who work in a positive environment are thought to be less susceptible to the effects of burnout, putting them in a better position to deliver high-quality care and keep patients safe.
At all times, nurses are responsible for their actions and are accountable for nursing judgment and action or inaction.
The speed and ability by which the nurses make sound clinical judgement is affected by their experience.discussion about the critical thinking skills needed by nurse managers, who also must function in a highly complex environment.Many nurse managers have risen to their current positions based on their competence in a clinical role, without any formal training or experience in leadership and management skills.Without these skills, a manager may fall back on reactive, automatic responses to problems – and miss the opportunity to make changes that are visionary and goal-driven.In 2010, a group of nurse researchers designed a study that would allow them to measure the effects of a manager’s critical thinking skills on the attitude of the floor nurses that person was managing.Novice nurses may find this process difficult, whereas the experienced nurse should rely on her intuition, followed by fast action.Therefore education must begin at the undergraduate level to develop students’ critical thinking and clinical reasoning skills.Clinical judgement, a concept which is critical to the nursing can be complex, because the nurse is required to use observation skills, identify relevant information, to identify the relationships among given elements through reasoning and judgement.Clinical reasoning is the process by which nurses observe patients status, process the information, come to an understanding of the patient problem, plan and implement interventions, evaluate outcomes, with reflection and learning from the process (Levett-Jones et al, 2010).A Medscape article about critical thinking skills for nurse managers illustrated, with a hypothetical example, the difference a strong leader can make.It presented a case study about a manager facing a scheduling conflict over the holidays.