Changes in the 2nd Edition of Think Like a Nurse: The Caputi Method for Learning Clinical Judgment
Formalized the Caputi Clinical Judgment Framework
- The 4-step Tanner Clinical Judgment Model has been replaced with the 5 step Caputi Framework that provides a more complete approach to clinical judgment.
- The term thinking skills and strategies has been replaced with the term clinical judgment competencies.
- The original 19 thinking skills (clinical judgment competencies) have been retained with the addition of 4 new ones for a total of 23 clinical judgment competencies.
- The entire framework forms the basis for what students need to learn to use the 6 cognitive processes of the Next Generation NCLEX. The 23 clinical judgment competencies represent the actual detailed thinking needed to demonstrate use of the 6 cognitive processes when taking the Next Gen NCLEX.
Throughout the book are various call-out boxes to emphasize important thoughts and ideas. Safety and patient-centered care are two major categories of information found in these call-out boxes. These call-out boxes emphasize that clinical judgment supports both safety and patient-centered care. Other call-out boxes focus the students on important definitions and emphasize various aspects of clinical judgment.
Throughout the book there are many examples of clinical judgment applied to nursing. These examples use nursing knowledge that may be new to beginning nursing students. For this reason, the content mentioned in examples and activities does not represent the full depth and breadth of information on that topic. The intention is to use basic and introductory content so students can focus on learning clinical judgment without the burden of heavy nursing content. Students will learn the nursing content in more depth throughout the nursing program. However, if the book is introduced later in the program, used in an RN-to-BSN program, or in a Nurse Residency program, the student should be expected to use the depth and breadth of nursing content they have learned. This expectation enhances the learning of clinical judgment for these more advanced students.
There is an additional chapter that presents six reasons for learning clinical judgment. The common reasons such as preparing for the licensing exam, dealing with unexpected occurrences, and reducing errors are included. But also addressed in the 2022 edition are other very important reasons such as developing resiliency and becoming a self-directed thinker. Learning clinical judgment extends beyond the licensing exam!