1 ( p . 204 )
Clinical reasoning is defined by Simmons as “
a complex cognitive process that uses formal and informal thinking strategies to gather and analyze patient information, evaluate the significance of this information and weigh alternative actions
”.
What is the meaning of clinical reasoning?
A definition of clinical reasoning includes
an ability to integrate and apply different types of knowledge, to weigh evidence
, critically think about arguments and to reflect upon the process used to arrive at a diagnosis.
What is clinical reasoning and why is it important?
Clinical reasoning is an
important aspect of advanced practice
and involves the use of problem-solving to establish differential diagnoses for patients’ presenting medical conditions. A stages approach to clinical problem-solving provides a clear structure for developing coherent clinical reasoning strategies.
Why is clinical reasoning important?
WHY IS CLINICAL REASONING IMPORTANT? Nurses with
effective clinical reasoning skills have a positive impact on patient outcomes
. Conversely, those with poor clinical reasoning skills often fail to detect impending patient deterioration resulting in a “failure-to-rescue” (Aiken, Clarke, Cheung, Sloane, & Silber, 2003).
What does clinical reasoning mean in nursing?
Clinical reasoning may be defined as “
the process of applying knowledge and expertise to a clinical situation to develop a solution
” [Carr, S., 2004. A framework for understanding clinical reasoning in community nursing. … In nursing, clinical reasoning skills are an expected component of expert and competent practise.
What are the types of clinical reasoning?
- Scientific Reasoning. This type of reasoning focuses on the facts such as impairments, disabilities, and performance contexts. …
- Diagnostic Reasoning. …
- Procedural Reasoning. …
- Narrative and Interactive Reasoning. …
- Pragmatic Reasoning. …
- Ethical Reasoning.
How do you improve clinical reasoning?
- Prioritize. Apply. …
- Use formative assessment. …
- Work around clinical shortages. …
- Personalize the experience. …
- Tell a story. …
- Maximize manikin-based simulations. …
- Apply real-world, evidence-based scenarios. …
- Flip the classroom and the sim lab.
What are the steps of clinical reasoning?
- Consideration of facts from the patient or situation. This is the phase where you are first presented with a clinical case. …
- Collection of information. …
- Processing gathered information. …
- Identify the problem. …
- Establish goals. …
- Take action. …
- Evaluation. …
- Reflection.
What factors influence clinical reasoning?
The factors affecting clinical reasoning include not only
the individual mental processes of therapist
but also the specific tools of practice and subtle influences such as cultural expectations embedded in the practice settings and client perceptions of what constitutes “good therapy” (21, 22).
Which is the first step in clinical reasoning?
There are eight steps of the clinical reasoning cycle (Levitt-Jones, 2018). The first step of the clinical reasoning cycle is
to consider the patient situation in which a nurse acquires an initial impression of the patient that may be negatively influenced by the nurse’s preconceptions, assumptions, and biases
.
What is the difference between clinical reasoning and critical thinking?
Critical thinking is the
cognitive processes
used for analyzing knowledge. Clinical reasoning is the cognitive and metacognitive processes used for analyzing knowledge relative to a clinical situation or specific patient.
What are good clinical skills?
- Open-minded.
- Broad perspective.
- Good communicator.
- Motivation to mentee.
- Willing to develop new teaching skills.
- Learns from peers and students.
- Patient with learners.
- Passionate sharer of knowledge.
Who made the clinical reasoning cycle?
516). The clinical reasoning cycle (Figure 1.1) is informed by a body of research undertaken by
Hoffman
(2007) and Levett-Jones et al. (2010).
Why do nurses use the clinical reasoning cycle?
The Clinical Reasoning Cycle requires
health care professional to examine and discuss the steps in a clockwise direction to facilitate decision-making, enabling the clear formulation of a care plan
(Levett-Jones, et al., 2010). This cycle has been applied in the current scenario involving patient Russell Stanton.
What is the final step in the clinical reasoning process?
The final step in the process is
to evaluate the decision through monitoring, troubleshooting, and feedback
.
Which is an example of clinical Judgement?
Examples of clinical judgement range from the monumental
(such as whether to discontinue life-support for a patient on dialysis)
to the banal (such as whether to discontinue a telephone call when on hold with nephrology).
