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Clinical reasoning and decision making
Essay on clinical reasoning
Effective reasoning in clinical practice
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Recommended: Clinical reasoning and decision making
INTRODUCTION
Clinical teaching is the act that provides the learners with the opportunity to transform classroom theories into the practical application of their profession (REF). The role of clinical teachers includes guiding the students for a rigorous response to professional practices by bridging the gap of theoretical application, to guarantee safe demonstration of their skills gained during the instruction time to their workplaces (REF). This aims at producing personnel that is qualified to handle patient problems after the period of training and assessment. Therefore, all levels of medical students are aimed to be equipped with the professional skills, knowledge and the attitudes for the quality provision of services to their patients.
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Therefore, reasoning gives the ability to the physicians to synthesise information from varied sources and comprehend its professional knowledge while applying it to make the useful decisions that are in a relationship either skills gained from the laboratory or knowledge gain from the class while performing the tasks one has been assigned (REF). Teaching clinical or communication skills via small or large group sessions with critical reasoning prepare medical undergraduates for the workplace while dealing with actual patients (REF) as seen in this case. Consequently, with critical reasoning, the data and information received from the patients provide the critical information that is useful in medical diagnosis (REF). Hence, gaining clinical skills along with intellectual reasoning forms the bases for the future physicians’ deep …show more content…
Thus, clinical reasoning is useful in practice for treatment and the way the patients are handled. The diagnostic reasoning model and integrative model of clinical reasoning act as strategies for the student-physicians to be fully prepared and competent in handling the patient to get enough information that will contribute towards giving the right type of approach in treatment and diagnsis. Healthcare sector is one of the sensitive areas; students are expected to acquire skills not to mess with the life of patients instead of treating and recommending the right medication. Rising to the occasion, teaching is aimed to offer necessary skills through the teaching of clinical reasoning for future application in the workplaces during the period of practising the skills learnt in
This essay will demonstrate an understanding of the clinical reasoning cycle which describes the procedure by which nurses gather prompts, process the data, come to an understanding of a patient’s problem, design and implement interventions, assess results, and reflect on and learn from the process (Hoffman, 2007; Kraischsk & Anthony, 2001; Laurie et al., 2001). The clinical reasoning cycle consists of five main stages, it comprises of; considering the persons condition, collecting indications and data, processing the information, recognizing problems/issues and detailing the assessment (Levett-Jones 2013). Throughout this essay these five main parts of the clinical reasoning cycle will be discussed and put into context. The first step of
In his piece Basic Clinical Skills, Konner explores important topics related to a medical student’s first encounters with patients. He talks about humanity in medicine and the role of a physician.
It is important that students have the ability of being competent in a clinical setting. To be deemed competent in skills according to nursing regulations and requirements. This is a challenging factor for many students, as they enter transition period. This is due to students feel they do not have the desired clinical competency that promotes the skills and authorities of a registered nurse (Harsin, Soroor & Soodabeh, 2012). Clinical research studies have found that students do have the required expected levels of knowledge, attitude and behaviour’s. However, the range of practical skills aren’t sufficient for the range of practice settings (Evans, 2008). This research has also found that other evidenced based studies found that competency in nursing skills is still lacking (Evans, 2008). These skills are lacked by students and newly graduated nursing how are in the first or second year of
It is true that as medical students we may never have to make decisions regarding the treatment plan of patients and that we will always be supervised when carrying out procedures. The chances of inflicting harm on patients is quite slim as a result of this but in the rare cases that it happens we should abide the duty of candour and inform our supervisors immediately. Since the role of a medical student is quite trivial in a multi disciplinary it is often the responsibility of the team leader to inform the patient of the error (4). When working in groups in medical school if we make a mistake or fail to do something that was expected of us to do we must not hesitate to own up to it. These are the situations in which we can develop the quality of candour before walking in to clinics and hospitals as
Define a critical thinking task that your staff does frequently (Examples: treat high blood sugar, address low blood pressure, pain management, treating fever etc.). Create a concept map or flow chart of the critical thinking process nurses should take to determining the correct intervention. Include how much autonomy a nurse should have to apply personal wisdom to the process. If the critical thinking process was automated list two instances where a nurse may use “wisdom” to override the automated outcome suggested. Note the risks and benefits of using clinical decision making systems.
Nurses play a very important role in managing a patient from the moment of his admission up to making a discharge plan. Each part of the nursing process is vital to the wellbeing of the person he is taking care of. Clinical reasoning is always essential in each part of the nursing process from assessment, setting up goals and intervention. Effective nursing management is done when a nurse looks for the early and right cues at the right patient and implementing it at the right time. This essay will delve deeper into the case of Rob Geis, a patient who was suffering from angina, given his history and the signs and symptoms he experienced up to the time when his condition worsened to Myocardial Infarction. This essay will also look into how the nurse should provide effective nursing care to the patient with this condition.
Together with the patient care, patient teaching is also important to increase patient satisfaction, ensure continuity of care, promote patient’s compliance to the treatment and care plan. Nurses have responsibilities to assess patients’ educational needs to design an appropriate plan and interventions. Overcoming the existing obstacles in teaching and patient’s learning ability will bring about the success of a patient education. The application of cognitive and humanistic learning theories will help health care professionals in general, or nurses in particularly to reach the predefined goals of the teaching process.
Implementing the terms that encompass clinical reasoning will teach students to take all aspects of each patient into account and will follow the occupational therapy holistic approach. The elements that make up clinical reasoning as a whole are narrative reasoning, interactive reasoning, procedural reasoning, pragmatic reasoning, and conditional reasoning (Neistadt, 1996).
Manipulative behaviour is a dominant characteristic for people with antisocial personality disorder. When in hospital, a patient diagnosed with ASPD may use manipulation tactics on a nurse to alter protocols that will meet their own needs. This may have a negative impact on the hospital unit. In order to prevent the potential that the hospital unit may become compromised, a precise care plan must be implemented and followed by all staff members to manage unwanted behaviour. The nurse must be able to engage in clinical reasoning that will lead to the development of an effective care plan.
Professionalism is an adherence to a set of values comprising both a formally agreed-upon code of conduct and the informal expectations of colleagues, clients and society. The key values include acting in a patient's interest, responsiveness to the health needs of society, maintaining the highest standards of excellence in the practice of medicine and in the generation and dissemination of knowledge. In addition to medical knowledge and skills, medical professionals should present psychosocial and humanistic qualities such as caring, empathy, humility and compassion, as well as social responsibility and sensitivity to people's culture and beliefs. All these qualities are expected of members of highly trained professions.
Lunney, M. (2010). Use of critical thinking in the diagnostic process. International Journal Of Nursing Terminologies & Classifications,21(2), 82-88. doi:10.1111/j.1744-618X.2010.01150.x
I have chosen this topic because I just feel that teaching clinical skill is one of the most important strategies which have been used in medical schools, it enhances students to build a confidence which helps them in their future career.
What connections can you make between what you are learning in class and what you observe in clinical practice?
I have in all my undergraduate study been told what to do as student. All the information, tasks and assignment were delivered and dictated by the teachers in charge of the subject or the modules, and as students I had to follow the instruction giving, however, since I came to Cardiff university to do my master degree on health care science, the attitudes of the teachers and the way the modules structured which was different form the way I used to and had influence (presage) in my view the way we teach our Operating Department Practitioners ODPs and students nurses coming to the operating theatre for their post qualification internal ship and hoping that I will introduce a change in order to assist new ODPs and nurses graduates in order to help them building their capabilities to work independently and safely, the aim of the internal ship period is to produce competent theatre practitioners in term of skills, knowledge, confidence and learning responsibility Quinn et al. (2007). Therefore a lot of effort must be utilised to help them in the transition period form students to qualified staff (Simelane et al.1997).
Reasoning is one of the characteristics to be a qualified nurse. What renders a nurse’s thinking dissimilar from another professional? It is how nurses view the patients and the kinds of problems that the nurses manage in practice while they engage in patient care. To reason critically like a professional nurse necessitates that nurses learn nursing content; the notions, theories and concepts of nursing, plus develop their intellectual skills and capacities so that they become self-directed and disciplined critical thinkers. In the nursing practice, critical thinking for medical decision-formulating is the capacity to contemplate in a logical and systematic way with readiness to question plus reflect upon the thinking process utilized to guarantee safe practice of nursing plus quality patient care. (Facione, Facione & Sanchez, 2010).