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Inaddition,theninedomainsofcriticalcarenursingpracticeareusedasbroadthemesindatainterpretationfortheidentificationanddescriptionofsixaspectsofclinicaljudgmentandskilledcomportment. Thesesixaspectsareasfollows:Reasoning in transition:PracticalreasoninginanongoingclinicalsituationSkilledknow how:Alsoknownasembodiedintelligentperformance;knowingwhattodo,whentodoit,andhowtodoitResponse basedpractice:AdaptinginterventionstomeetthechangingneedsandexpectationsofpatientsAgency:OnessenseofandabilitytoactonorinfluenceasituationPerceptualacuityandtheskillofinvolvement:TheabilitytotuneintoasituationandhoneinonthesalientissuesbyengagingwiththeproblemandthepersonLinksbetweenclinicalandethicalreasoning:TheunderstandingthatgoodclinicalpracticecannotbeseparatedfromethicalnotionsofgoodoutcomesforpatientsandfamiliesBenneretal. ,1999Benneridentifiesanddefinesthefourmetaparadigmconceptsofnursinginadditiontotheconceptspreviouslydiscussed. Theconceptsofperson,atmosphere,health,andnursingasdefinedbyBenneraresummarizedinTable2 4. doesnotcomeintotheworldpre definedbutgetsdefinedinthecourseoflivingalifeBennerandWrubel,1989,p. 41.
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