The Nursing Process, Really
March 9, 2025 --
Every nursing student has drummed into them the so-called nursing process.
This is this cycle: assess/diagnose, plan, implement, evaluate (did it work?),
repeat as needed. Is this an effective strategy?
In her ground-breaking 2006 paper,
Thinking
Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing,
Chris Tanner (of whom I've written before) writes in the
Journal of Nursing Education,
[This is] one type of systematic problem solving [but]
...it fails to adequately describe the processes of nursing judgment...
this model fails to account for the complexity of clinical judgment
and the many factors that influence it, complete reliance on this
single model to guide instruction may do a
significant disservice to nursing students.
The diagram at left depicts Tanner's more realistic model:
- A perceptual grasp of the situation at hand, termed noticing.
- Developing a sufficient understanding of the situation to respond, termed interpreting.
- Deciding on a course of action, termed responding.
- Attending to patients' responses to the nursing action while acting, termed reflecting.
- Reviewing the outcomes of the action, focusing on the appropriateness of all of the preceding
aspects (i.e., what was noticed, how it was interpreted, and how the nurse responded).
Nurses must "think like a nurse." What does that mean?
From her extensive literature review (120 articles) with keywords
"clinical judgment" and "clinical decision making," and of course
her own experience at the bedside, Tanner concludes
that in reality, nurses' judments and decisions are reached through
processes that are considerably more nuanced than the tired assess/plan/implement/evaluate
model:
- Clinical judgments are more influenced by
what nurses bring to the situation than the objective data
about the situation at hand;
- Sound clinical judgment
rests to some degree on knowing the patient and his or
her typical pattern of responses, as well as an engagement
with the patient and his or her concerns;
- Clinical judgments are influenced by the context in which the situation
occurs and the culture of the nursing care unit;
- Nurses
use a variety of reasoning patterns alone or in combination; and
- Reflection on practice is often triggered by a
breakdown in clinical judgment and is critical for the development
of clinical knowledge and improvement in clinical reasoning.
Paraphrasing all this -- dumbing it way down --
I would say her more accurate description
of the nursing process is:
- When I've seen this before, I did X and it worked;
- My patient wants/doesn't want X;
- In this unit/hospital we do it this way;
- Other nurses might do this differently; let me consider
their approaches; and
- We learn from our mistakes.
After all, what is the goal of nursing education? Good nurses!
And good nursing requires good thinking. To teach that, we must
first understand it. Tanner is getting us there.
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