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Clinical reasoning, clinical judgement, etc
Evaluation of clinical reasoning
Clinical reasoning, clinical judgement, etc
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• In this Assignment I will
• Define my understanding what clinical reasoning means to me.
• How do I make a clinical judgement?
• How do I solve my patient’s clinical problem?
• How do I critically think and make a professional judgement.
• How do I practice safe clinical decision in a supportive organizational environment?
• Clinical reasoning process.
• I will be relating the implication of developing critical thinking aptitudes in order to practice, safe nursing diagnostic and professional judgment in my daily nursing process. I will also converse the approaches and skills that are required to develop clinical thinking and safe clinical problem solving in the environment I work in. The main focus will be on the responsibilities and
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As nurses, we have very clear guidelines of our professional and ethical responsibility in providing safe, competent and effective care in various settings that provide health care to public. Nursing Council of New Zealand (2011) clearly defines a professional boundary for nurses and the guidelines to provide safe health care to their patients and their partner and family and other people nominated by the health consumer to be involved in their care. This emphasizes and brings greater understanding the importance of critical thinking and making accurate and effective decisions in order to provide adequate care to the patients. Clinical reasoning encourages us nurses to learn, think, reasons and develop skills that assists us in making decisions and solve problems effectively. It gives practical, in-depth thinking that focuses on what to believe or do. My interpretation of clinical reasoning is it can be seen as the art of thinking which when clearly drawn can give clear, accurate and dependable resulting in focusing purposeful goal’s. Clinical reasoning can also be defined as a process of decisive, self-regulatory decision and the cognitive engineering that drives problem-solving and …show more content…
Smith is 89years old female who was admitted to residential aged care one year ago as requiring Rest Home level care. While doing my medication round one morning, I found her very distressed and crying. My immediate response was to calm Mrs. Smith and started having a conversation regarding her concerns. Mrs. Smith specified that all night she did not sleep due to pain on her lower abdomen and urge to go to the toilet all night to pass urine. Her main concern was that she did not want to eat and drink as this will force her to get up and keep going to toilet. She also voiced her dissatisfaction towards the dinner meal that was provided to her on the previous day and felt her special diet for diverticulitis was not monitored by care staff.Mrs. Smith past medical history includes Arthritis, Diverticulitis, Hypertension and arterial fibrillation. Her current medication is felodipine, quinapril, aspirin, and warfarin. She is also is charted Panadol tablet as required. She has no medication or food allergy and very compliance with taking her
LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-surgical nursing: Critical thinking in patient care (5th ed.). Upper Saddle River, NJ: Pearson Education, Inc.
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
Rubenfeld, M. G., & Scheffer, K. B. (2015). Critical thinking tactics for nurses: Achieving the IOM competencies (3rd ed.). [VitalSource Bookshelf Version]. http://dx.doi.org/9781284059571
The nurse must be committed to integrating these safety practices in her care for the clients. Critical thinking skills are also essential. The use of critical thinking enables the nurse to identify any current or potential problems that might jeopardize the patient safety. In addition, the nurse must also have the resources and supplies available to deliver safe care. For example, the nurse used the family assessment questionnaire provided to her to do an assessment on the safety of the home environment. She also needed supplies like hand sanitizer and disinfectant
Clinical decision making involves the gathering of information, awareness, experience, and use of proper assessment tools. The term is often used when describing the critical role of nurses. The process is, therefore, continuous, contextual, and evolving. Authentic practices and experienced people are required to offer guidelines when needed. Effective decision making in clinical environment combines skills such as pattern recognition, excellent communication skills, ability to share, and working as a team, reflection, use of the available evidence and guidelines as well as application of critical thinking. A Clear understanding of this term contributes to consistency, broadening of the scope and improving the skills. However, this paper aims at providing an opinion on clinical decision making and how it is connected to nursing practices.
This paper will discuss three theories of decision-making that can be adopted in nursing practice, additionally how decision-making theories are able to be implemented and used. Decision-making in nursing is adopted through the critical thinking process that provides each nurse a model to make the best choices, solve problems and to meet goals in clinical practice (Berman & Kozier 2018, pp. 199-200; Levett-Jones & Hoffman 2013, pp. 4-5). Effective decision-making in nursing is a vital component and part of the role of a registered nurse; each year a substantial number of patients die due to medical errors and poor decision-making (Levett-Jones & Hoffman 2013, pp. 4-5; Nibbelink & Brewer 2017, p. 3). Through the use of effective decision making
Clinical reasoning is an integral component of the occupational therapy profession. It is “the thought process that guides practice” (Rogers, 1983). The ability to effectively problem solve in a clinical work environment is a skill that must be practiced in order to master. In an ever-changing, diverse profession such as occupational therapy, it is imperative to remain knowledgeable and current of any changes or medical advances that may improve clinical competence. Clinical reasoning skills cannot be mastered solely with a textbook filled with examples of diagnoses and treatment interventions. Clinical competence is built on experience and opportunities to apply knowledge and learn from mistakes in a hands-on environment. Despite being exposed
Preusser, B. (2008). 4th Ed. Winningham and Preusser’s critical thinking in nursing: Medical-surgical, pediatric, maternity, and psychiatric case studies. New York: Elsevier/Mosby Inc.
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
Yildirim, B. & Ozkahraman, S. (2011). Critical Thinking in Nursing and Learning Styles. 1. Retrieved from http://www.ijhssnet.com/journals/Vol_1_No_18_Special_Issue/15.pdf
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 believe that nursing should be a holistic approach, dealing with a patient’s body, mind, and soul. It is definitely a physically demanding job, but equally as important is the demand for emotional input. My past academic performance, as well as my personal qualities, provides the foundation for my career. A core characteristic of a successful nurse is teamwork and the ability to act as the liaison between the patients and the doctors. Besides working well in a team, it is also important to seek out help when necessary. Another vital quality is the understanding of diversity and the importance of acknowledging and honoring, rather than judging or ignoring, what makes people different. Critical thinking allows nurses to take action and make referrals. Nurses must be able to obtain autonomy through critical thinking skills that arm them with the ability to respond to the constant changes and needs of a patient in their charge. As nurses build on practical knowledge, gain experience and continue educational endeavors, the intellectually disciplined process allows the nurse to recognize possible patient problems. Lastly, the saying, “Measure twice, cut once” goes a long way when discussing safety in nursing. Regardless of how stressed or overwhelmed a person might feel, it is imperative to pay attention to detail to avoid sentinel events or near misses. These are the crucial qualities that I hope to attain as a nurse and important goals to conform to throughout my years as a registered
Knowledge can be seen as the main focus of nursing qualities as it is a lifelong skill that is learned throughout a nurse’s career. In nursing, knowledge can be classified as theoretical or practice-based. Practice-based knowledge is attained through the nurse-patient encounter. According to Mantzoukas and Jasper (2008), a nurse’s nonverbal and verbal communication exhibits the nurse’s practice- based knowledge. When nurses demonstrate appropriate communication patients feel understood and comfortable within the relationship. It is difficult for a nurse to obtain this knowledge without taking an autonomous and individual approach for each patient (Mantzoukas & Jasper, 2008). Taking an autonomous approach allows for the nurse’s critical thinking to improve as well. Good critical thinking skills increases the chances of achieving desired patient outcomes as the nurse is able to analyze the situation effectively. Theoretical knowledge is acquired through education. This type of knowledge is expressed through what nurses know and the logical information the nurse possess in relation to their practice. Theoretical knowledge is also important as it makes the nurse competent and capable of carrying out simple tasks. From the coat of arms, it is evident that knowledge is a unifying quality that is the foundation for acquiring other qualities necessary for
In theory and practice, the focus of nurses is on the response of the individual and the family to actual or potential health problems. To evaluate patient care steps has to be taking that incorporates the collection of data and processing that data through critical thinking. The nursing process is essential because it incorporates this concept into a well throughout steps ...
Compared with medical professionals, nurses appear to be reluctant to rely on professional rationales for their actions, preferring to use managerial justifications and implementing ‘top down’ approach to care. (Adamson, 2013). When a gap in nursing care is perceived, theory is often used to improve these outcomes. Theory provides an overall vision and understanding of the profession of nursing by offering guidance. Not only in nursing, but theory can be applied to any profession as it serves as a tool for guidance of practice. The legitimacy of a profession is based on its ability to generate and apply theory (McCrae, 2012). Without nursing theory, nursing would be a profession guided by by medicine and physicians. Theory guides nurses by shaping its professional boundaries and helps nurses make decisions on current and potential patient needs.