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Evaluation in nursing
Clinical reasoning in nursing practice essays examples
Difficulty with clinical reasoning in nursing
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Reflective Practice
In nursing education essential elements are required to be taught in order to produce competent nurses. Each of those fundamentals are then evaluated to ensure understanding has taken place. One such key component is critical thinking. This skill is most used in the clinical setting where thoughtful decision making is needed. In the clinical setting the instructor determines the level of the student’s ability through clinical evaluation. Clinical evaluation is a tool that allows for the facilitation of learning by giving the student feedback on performance of their abilities as future nurses. Although, clinical evaluation is a tool that instructors use to gage performance, students can gage their own performance by using
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This is called clinical reasoning and it is used as part of the nursing process (Hunter & Authur, 2016). As nursing are caring for a patient they must ensure this process is placed into practice allowing for greater care. Clinical reasoning can be a difficult concept to grasp for nursing students (Hunter & Authur, 2016). In one study conducted, nursing students felt their decision-making abilities were not at the level necessary to care for patients adequately (Hunter & Authur, 2016). Therefore many techniques are used to enhance reasoning such as, concept based activities, outcome testing and reflective activities (Hunter & Authur, 2016). As the student begins to grow it is vital to assess their ability to reason through clinical appraisal. This assessment includes the students understanding of fundamental concepts, ability to problem solve and their critical thinking skills (Rafiee, Moattari, Nikbakht, Kojuri, & Mousavinsab, 2014). Clinical evaluation is a complex process for both the instructor and the student. Many methods should be used to determine if the student is achieving the outcomes. One such method which is performed by the student is through
(2014). Problems and Challenges of Nursing Students’ Clinical Evaluation: A Qualitative Study. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3917184/
Define a critical thinking task that your staff does frequently (Examples: treat high blood sugar, address low blood pressure, pain management, treat fever, etc.). Create a concept map or flow chart of the critical thinking process nurses should take to determine 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.
There are certain barriers in using reflective practice such as lack of proper resources to improve their learning experience. Some nurses are not aware of how to undertake reflective practice due to their lack of knowledge and also may be worried about documenting experiences and emotions. Furthermore, time is one of the main barrier for reflective practice, learning through reflective practice can be time consuming, and if a nurse is reluctant or shows lack of motivation to spend time in improving their skills or knowledge through reflection or reflective practices, it will not benefit in making any changes in their profession and also in their patient care. According to Forneris et al, (2009) lack of time can cause beginner nurses to become
Critical thinking and clinical judgment are important skills that professional nurses use in every day clinical setting. In 2012, a mix method qualitative study by Dr. Jeanne Mann was done to evaluate the effectiveness of educational strategy to develop clinical judgment skills in nursing students. In this study, the population was identified as volunteered Level II baccalaureate nursing students from a Midwest nursing program. The variables identified in this article are the relation between critical thinking and clinical judgment. The title of the article clearly indicated the focus of the study and created an interest in reading the research due to nurses utilize their ability to critical think and clinical judgment in all aspect of their practice.
Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. Practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity to change our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work. In this way, we develop self-awareness and skills in critical thinking and problem solving (Rich & Parker 2001). Critical incidents? ?
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).
“Everyone should try to make themselves more empathetic, sympathetic, compassionate, loving, and caring and less indifferent, hostile and prejudice”, (Williams, C. & Arrigo, B., 2008). Ethics of care teaches professionals to cultivate the appropriate feelings and emotions. Today people are brusque, short, rushed and irritated on a daily basis because of time. They should instead take a step back and think of how others would feel or take the conversation and plan the appropriate approach. This is what makes me strive to be a critical thinker through retaining information and beliefs that are generated by skills and to have a habit of intellectual commitment to guide my behavior. Can human beings use reasoned thinking to gain knowledge and understanding about reality? Effective reasoning and critical thinking requires the use of knowledge, skills, and tools necessary for critical reflection as well as analyze and work through ethical dilemmas. Effective reasoning is a form of moral reasoning which will aid me in recognizing moral considerations and cope with conflicts. Reasoning is responsibly conducted thinking that will guide my assessments and rationality in order to attempt a well-supported/well-defined question/answer. Reasoning is absolute and yields clarity. Critical thinking leads to an examined life which is when a human being reflects on their own life and strives to change wrong behaviors. An examined life requires us to maintain a healthy degree of skepticism, keep an open mind, step back to see what is in front of us, and see beyond categories, labels, stereotypes, and other performed ways of sorting. An unexamined life is not worth living if you are closed minded and cannot see beyond people’s face value. ...
One of the most essential aspects of doing a job well, no matter what job it is, is the ability to think critically about a situation. Finn (2011) defines critical thinking as “the ability and willingness to assess claims and make objective judgments on the basis of well-supported reasons and evidence rather than emotion or anecdote”. The difference between assessing a certain situation critically and assessing it without any evidence to corroborate your claims is that when you look at something critically, you are using your ability to “come up with the alternative explanations for events, think of research findings and apply new knowledge to social and personal problems” (Finn, 2011). When you can come up with other explanations using evidence, you can also create an alternative way of enhancing the situation. Critical thinking skills are especially important to nurses in a fast-paced setting. Nursing is a very demanding and rewarding field to enter into; it becomes enjoyable when you are good at it. In order to be good at their jobs, nurses need to learn the skills required to think critically and also, relate those skills to their everyday routines. This is known as evidence-based practice. Evidence-based practice is defined as “using the best scientific evidence available to guide clinical decisions and interventions with the goals of fostering self-management skills and improving health outcomes” (Miller, 2011). This paper examines the skills required for critical thinking, how to learn these skills, and how to apply them in clinical settings. (Miller, 2011; Finn, 2011; Noonan, 2011; Lunney, 2010; Wangensteen, Johansson, Bjorkstrom & Nordstrom, 2010; Chitty & Black, 2011).
Reflective accounts help nurses become more self-aware and develop a deeper understanding of themselves. Through reflective practice, the nurse can develop skills such as critical thinking and a greater understanding of interpersonal relationships (Sommerville, 2004). Reflective practice can increase the quality of care and promote good practice.
Being a nurse I strongly feel that when a nurse uses critical thinking in her/his daily work, she/he would solve the issues faster and easier and they would make more appropriate decisions for their patients. It is not a denying fact that, decision making about patients care is one of the important roles of nurses and by having critical thinking it would surely help the nurse to make the appropriate decision. It is believe that the main aim of developing critical thinking in nursing is to improve the independent decision making ability by the nurses (Salehi, et. al.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Clinical Reasoning The clinical reasoning process is defined
This clinical experience emphasized the relevance of the critical thinking process in making sound clinical judgement. The direct patient care experience, however, taught me not only the importance of keeping routines but also emphasized the need to occasionally diverge from it as needed in certain
Reflective practice is seen as a means that enables the nurse to ask the right questions, at the right time within a clinical setting and to also recognise slight changes of a deteriorating patient (Picard & Henneman, 2007; Barbour, 2013). Graduate nurses who utilize reflective practice have the prospective to decrease or limit the stress within their professional lives (Palmer, et al., 1994; Barbour, 2013). Bjarnason (2009), (as cited in Barbour, 2013) states that refection can promote qualities such as integrity, balance, and morality within a graduates nursing career, and has also been proven to encourage the development of intuition, an essential quality in an expert nurse (Benner, 1994; Hannigan, 2001; Barbour,
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