What does practical wisdom in nursing involve?

Practical wisdom in nursing is fundamentally about the ability to apply knowledge and experience in a way that goes beyond simply following rules or procedures. It involves critical thinking, ethical reasoning, and the capacity to make informed decisions in complex and often unpredictable clinical situations.

When considering the essence of practical wisdom, it emphasizes the importance of experience in differentiating ethical actions. This includes understanding the nuances of patient care, the context of a situation, and making judgments that may not be explicitly outlined in policies or guidelines. Nurses use their practical wisdom to assess situations, weigh outcomes, and advocate for the best interests of their patients, often finding innovative solutions to unique challenges encountered in practice.

In contrast, strict adherence to procedures and following established guidelines may limit a nurse's ability to adapt to the individual needs of patients and the dynamics of real-world scenarios. Similarly, while supervision by senior nurses supports development and learning, practical wisdom requires the individual nurse to synthesize their own experiences and ethical discernment to deliver care effectively. Thus, experience in making ethical decisions is central to the concept of practical wisdom in nursing.