What are the steps in clinical reasoning
If you are a nursing scholar then you may have heard the term “clinical reasoning”. Now, the question is, what does it mean? In Nursing, a concept is known as the Clinical Reasoning Cycle. It was promoted by Tracy-Levett Jones. He is a professor of Nursing at Newcastle.
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However, clinical reasoning refers to all the cognitive processes that are employed by clinicians, nurses, and other health professionals. It is mainly used to analyze the patient’s condition and clinical case, identify accurate diagnosis and take appropriate treatment plans. Thus, clinical reasoning is involved with the integration of all the gained knowledge, balancing evidence, and making conclusions to reach the accurate diagnosis of a patient’s condition. In other words, the thought processes used by clinicians or health professionals are called clinical reasoning. Clinical reasoning is also known as clinical judgment, critical thinking, problem-solving, and decision-making. Understand why Clinical Reasoning is ImportantThe term clinical reasoning is described as a thin line between a deteriorating patient’s health status and recovery. Clinicians and/or nurses having poor clinical reasoning might create a health condition at risk of death. The New South Wales Health Incident Management in the NSW Public Health System 2007 recognised the 3 leading reasons for adverse patient health results. It includes failure of health professionals while diagnosing a patient’s health condition, failure in identifying and taking accurate treatment plans, not up to the mark management of complications, etc. The advantages of having good clinical reasoning include making on-time diagnoses, making prompt to life-saving treatment plans, obviate unwanted investigations that reduce patient’s cost, and ultimately improve the health condition of a patient. Education and training as a nurse, a doctor, or a healthcare professional finally take a step close to their ability to practice clinical reasoning. Any lapse in judgment results in potential death or harm to the patient. Different Steps of Clinical Reasoning Cycle Explained By Nursing Assignment Help ExpertsThe whole clinical reasoning cycle in nursing follows the following stages. These stages are discussed below by the experts delivering nursing care plan assignment help in Australia. Stage 1: The first stage in the clinical reasoning cycle is necessary for nurses in order to explain the patient’s situation. While conducting clinical reasoning, nurses are required to be accurate at the time of considering the patient situation. Stage 2: Patient history is referred to as the second stage of the clinical reasoning cycle. This stage needs nurses to gather the patient’s medical history. For instance, identify the major ailment a patient has suffered before. Doing this helps in giving ideas of the ways in which the patient responds to a given medication. Stage 3: This stage involves processing the old and new data together so that it can decide further action course. Generally, while performing this stage, nurses are required to explicate both the discrimination, situations, predict, and relate results acquired from the method. Stage 4: Here, nurses generally determine the problems faced by patients through diagnosis. In proper diagnosis, identifying the exact problem is quite important. Stage 5: This is one of the most important stages in the clinical reasoning cycle as per the childcare assignment help professionals. The nurses are required to be clear of what they are trying to accomplish from the beginning. It helps them stick to their path and focus on their duties. These were the few things a student must understand. It will help them in writing their nursing assignments concerned with the clinical reasoning cycle. For more details, choose the best nursing assignment help experts. This is a Contributor Post. Opinions expressed here are opinions of the Contributor. Influencive does not endorse or review brands mentioned; does not and cannot investigate relationships with brands, products, and people mentioned and is up to the Contributor to disclose. Contributors, amongst other accounts and articles may be professional fee-based. During clinical encounters with patients, experienced physicians engage in numerous clinical tasks, including listening to the patient's story, reviewing the patient's past records, performing a physical examination, choosing the appropriate investigations, providing advice or prescribing medications, and/or ordering a consultation. These behaviors which provide the basis of clinical reasoning are influenced and driven by "what" physicians think about and "how" they think. Clinical Reasoning Principle:New knowledge is best acquired in the context of application of that knowledge in the cases (case based learning and longitudinal mentorships). Along with factual information stored in long-term memory, the learner continues to develop memory schemes for representing and relating the clinical problems in reasoning strategies. Clinical Reasoning:
Two-Process Model of Clinical Reasoning
Overview of the Clinical Reasoning ProcessObtain and filter information.
Formulate an initial set of hypotheses.
Obtain additional information as directed by initial hypotheses.
Use a reasoning strategy: Hypothetical- Deductive reasoning (deductive v. inductive) to process the information in the clinical context of the case.
The human body is very complex, and we cannot obtain all information we want, so that regardless of the reasoning process utilized, we can never absolutely prove or disprove most hypotheses in many cases. We derive the 'most likely' diagnosis, but we may need to eventually consider others if more information becomes available or the outcome is different than expected. Perform an analysis of hypotheses by probabilistic and cause-effect means.
Formulate a final diagnosis/hypothesis (Based on the above mentioned steps) and test the final diagnosis/hypothesis.
Consider other possible diagnoses.
Evaluate the process. (Stop, Think, Act, Review): Diagnostic time outClinical Reasoning Steps1. Patient’s story: 2. Data acquisition:
3. Accurate problem representation:
4. Illness scripts:
5. Hypothesis generation, prioritization and evaluation:
Hypothesis Generation:1. Hypothetical- Deductive Reasoning:
2. Compare and Contrast (Pattern recognition) ( as you advance from novice to expert you will be using this type of reasoning more often)
Prioritize the Hypothesis or Differential: Based on the most likely hypothesis prioritize your differential diagnosis:1. Compare and contrast two plausible hypotheses and prioritize among the competing options. 2. Compare/contrast different illness scripts with the patient’s problem representation looking for best match Test the final diagnosis/hypothesis (Hypothesis Evaluation): Perform an analysis of hypotheses by probabilistic and cause-effect means. Hypotheses are refined by cause-effect analysis to apply principles of pathophysiology (such as biomedical knowledge and knowledge about basic science concepts) and determine if a hypothesis is based upon a sound scientific basis.
Synopsis: The above detailed steps may not be immediately recognizable or flow in the same sequence in the context of actual clinical reasoning. Experts apply pattern recognition with non-analytic cognitive processing during the initial phases of considering a novel clinical case, and then apply analytic processing in hypothesis testing. Novices may work the other way round. However, these two forms of reasoning can be interactive and not sequential. They are complementary contributors to the overall accuracy of the clinical reasoning process, each one influencing the other. Persons who use both perform better than persons using either non-analytic or analytic approaches alone. What are the five stages of clinical reasoning?Clinical reasoning is the process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process.
What are the 4 steps of clinical reasoning?Clinical reasoning is the “thinking and decision making processes associated with clinical practice.”1 It involves pattern recognition, knowledge application, intuition, and probabilities.
What is the first step in clinical reasoning?During the first stage of the clinical reasoning cycle, the nurse begins to gain an initial impression of the patient and identifies salient features of the situation.
What are steps in clinical reasoning quizlet?What are the 8 main stages or steps in the clinical reasoning cycle?. Consider the patient.. Collect cues/info.. Process information.. Identify problems/issues.. Establish goals.. Take action.. Evaluate outcomes.. Reflect on process and new learning.. |