Penerapan Penilaian Klinis dalam Pelayanan Keperawatan di Instalasi Gawat Darurat

Siti Nurlaelah (RSUPN Dr Cipto Mangunkusumo)
Fatriani Fatriani (RSUPN Dr Cipto Mangunkusumo, Jakarta, 10430, Indonesia)
Yovitasari Yovitasari (RSUPN Dr Cipto Mangunkusumo, Jakarta, 10430, Indonesia)
Suleli Rekso (RSUPN Dr Cipto Mangunkusumo, Jakarta, 10430, Indonesia)
Arcellia Farosyah Putri (RSUPN Dr Cipto Mangunkusumo, Jakarta, 10430, Indonesia)

NERS Jurnal Keperawatan
Vol 20, No 1 (2024)

The ability of nurses in clinical judgments in emergency departments is really important. One reason is that the judgements can affect response time and patients’ condition. However, the ability to conduct such judgements among nurses varies. Therefore, continuously improving nurses' ability in clinical judgements is important. This article is a discussion conceptual-application paper. The aim of this article was to explain the concept of clinicaljudgment based on the NCSBN Clinical Judgement Measurement Model (NCJMM) and its implementation in the emergency department. The model consists of six cognitive processes: (1) recognize cues, (2) analyze cues, (3) prioritize hypotheses, (4) generate solutions, (5) take action, and (6) evaluate outcomes. The NCJMM model can be used to improve nurses’ ability in clinical judgements in emergency settings and others. Keywords: Clinical Judgement, Cognitive, Model, Nurses