Premium Essay

Clinical Reasoning

In: Science

Submitted By Nicolas2
Words 811
Pages 4
Clinical reasoning, evidenced based practice and my application of both in nursing practice

Clinical reasoning, evidenced based practice and my application of both in nursing practice
Simmons (2009) states “clinical reasoning guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect patient care” (p. 1151). I feel that without clinical reasoning nurses would just be going through the motion of caring for a patient with no specific outcome in mind. Because of the autonomous work of the nurse in many settings clinical reasoning is a skill that must be fine-tuned. There will not always be others to collaborate with on the care of patients and therefore the practicing nurse must feel confident in her decision of what type of care to provide, this is where her skills of clinical reasoning (cognitive process) come in and she is able to decide on the type of care to be given based off of her skills alone. The following are some of the different types of clinical reasoning out there.
1. Subjective expected utility theory, which explains how, decisions ‘ought’ to be made using mathematical estimation of highest probability. (Simmons, 2009, p. 1153).
2. Information processing theory, which focuses on how decisions are made, not how they should be made. (Simmons, 2009, p. 1153).
3. Hypothetico-deductive method which is a medical descriptive model based on information processing. (Simmons, 2009, p. 1153).
4. Benner’s model of skill acquisition in nursing which ranks a person’s performance according to five levels of proficiency includes clinical reasoning within this model as well.
There are many attributes of clinical reasoning as Simmons (2009) points out they are: data analysis, deliberation, heuristics, inference, metacognition, logic, cognition, information processing and intuition (p.…...

Similar Documents

Premium Essay

Reasoning Aptitude

...Reasoning Aptitude The career plan building activities involved responding to a series of questions related to identifying competencies, the ideal work environment, and reasoning aptitude. The most recent activity dealt with the reasoning. Based on the understanding of the results, I fell in the medium profile range indicating I am best suited for careers that use both cognitive abilities and practical skills. Further, the results suggested I prefer practical work, analytical work, or careers that combine practical skills and thinking. After completing the reasoning exercise, “My Career Plan” section included another tab labeled “Opportunities,” which I am not sure if it is directly related to the reasoning results or a byproduct of the results that was added to the competencies segment. The “Opportunities” section revealed additional scored competencies and suggested ways to improve, such as adapting to change, persuading, and networking to include relevant activities to conduct. The results revealed that my individual thinking styles centers on logical and practical thinking, which I find myself using most of the time instead of other styles like creative and relational. Thus far in fusing the entire career building exercises together, I have become more aware of my core competencies, often used thinking styles, and identified my preferred work culture preferences. Through the career planning exercises and the results it has helped me to understand how work is done in......

Words: 316 - Pages: 2

Premium Essay

Examination of Clinical Psychology

...EXAMINATION OF CLINICAL PSYCHOLOGY Examination of Clinical Psychology University of Phoenix PST/480 Karen Wilson Nov 14, 2011 Examination of Clinical Psychology Clinical psychology is a very important as well as popular part of the field of psychology that is used very often. To begin, a definition of clinical psychology will be included. According to APA (2009) “Clinical psychology attempts to use the principles of psychology to better understand, predict, and alleviate ‘intellectual, emotional, biological, psychological, social, and behavioral aspects of human functioning’” (Plante, 2011, p. 5). The following paper will first describe the history and evolving nature of clinical psychology. Second, the role of research and statistics in clinical psychology will be addressed. Finally, the differences between clinical psychology and other mental health professions will be examined. Clinical psychology provides an insight into the human psyche and how we as individuals can deal with different aspects of the world around us. The first item to be discussed is the history and evolving nature of clinical psychology. History of Clinical Psychology Clinical psychology has been around unofficially for hundreds of years. People have always had mental or emotional problems in the past, but there was never a name to go with the problem. Psychology has been around since 2500 B.C. but during that time period people used magic, herbs, reasoning and other......

Words: 1195 - Pages: 5

Premium Essay

Qrb Reasoning

...Running head: Quantitative Reasoning Quantitative Reasoning University of Phoenix Quantitative Reasoning Decision making for planning, management, and policy formulations relies increasingly on quantitative reasoning, which entails the collection, analysis and interpretation of data. Mathematics plays a huge part in quantitative reasoning but quantitative reasoning is still a skill with practical applications. From my readings, quantitative reasoning can be applied to daily contexts such as understanding the power of compound interest or the uses and abuses of percentages. Quantitative reasoning could also be used for statistical analysis to gauge the accuracy of a statistical study. While Quantitative Reasoning is not the most important component in a masters level education, it is however important for college students to become competent in quantitative reasoning. Many courses do not dive deep into sophisticated math skills but quantitative reasoning should give the student math tools to understand, interpret, critique, challenge and draw conclusions. As I pursue my masters’ degree I feel that the course in quantitative reasoning will prepare me in many of my other classes. The course has provided many examples of how quantitative reasoning is used with many different problems that one could be confronted with in the business world. Such problems include; what is our return on investment for this project? What price should we set to increase......

Words: 316 - Pages: 2

Premium Essay

Deductive Reasoning

...Deductive reasoning is one of the two basic forms of valid reasoning. It begins with a general hypothesis or known fact and creates a specific conclusion from that generalization. This is the opposite of inductive reasoning, which involves creating broad generalizations from specific observations. The basic idea of deductive reasoning is that if something is true of a class of things in general, this truth applies to all members of that class. One of the keys for sound deductive reasoning, then, is to be able to properly identify members of the class, because incorrect categorizations will result in unsound conclusions. For deductive reasoning to be sound, the original hypothesis or generalization also must be correct. A logical deduction can be made from any generalization, even if it is not true. If the generalization is wrong, though, the specific conclusion can be logical and valid but still can be incorrect.One can better understand deductive reasoning by looking at examples. A generalization might be something such as, "All wasps have stingers." The logical conclusion of a specific instance would then be, "That is a wasp, so it has a stinger." This is a valid deduction. The truth of the deduction, however, depends on whether the observed insect is, indeed, a wasp. People often use deductive reasoning without even knowing it. For example, a parent might say to a child, "Be careful of that wasp — it might sting you." The parent says this because he or she knows that......

Words: 265 - Pages: 2

Premium Essay

Reasoning Aptitude

...ReAnna DeSaint Joseph Scott BCOM/275 March 4, 2014 Reasoning Aptitude My Reasoning Aptitude Test shows I will work best in a career where success comes from applying practical skills, where thinking is used mostly to solve practical problems. I am attracted to very practical jobs and careers. Such as graphic arts, interpreting, architects, interior design, writers and authors, multimedia arts and graphics, and acting. I love to use my imagination to create things without having a strict job to do exactly, working at my own pace and creating ideas is what I love to do. I personally do photography and will one day open my own business in that field. Taking pictures of models, celebrities, and the world and its many places and landscapes. I cope with pressure very well while maintaining a positive attitude at work. I work productively in pressurized environments even when I dislike that atmosphere. I keep emotions under control and take criticism well to learn from it. I can adapt my personal style to fit into any group or setting, always showing interest in new people and ideas. I am good for producing new ideas and insights to creative projects or ideas. Produce a range of solutions for problems or issues that may arise. Priding myself in developing job knowledge through continual professional development. Also rapidly learning new tasks and understanding newly presented information. Learning from successes and failures while seeking staff and customer feedback...

Words: 617 - Pages: 3

Premium Essay

Differentiating Reasoning

...Differentiating Reasoning CRT/205 5/30/13 Chrishell, Lewis Differentiating Reasoning The deductive argument discussing the Embryotic Stem Cell Research is vague. The topic discusses how to do it and why it should be done, but there isn’t any proof that it has been done on a human in this particular article. There are several premises and claims. The first that I would like to discuss is the claim that “taking a small tissue sample from an individual and using cloning technology” generates new cells that can be created and inserted in the area where the destroyed cells will be replaced with new cells and the disease cells will possibly be repaired along with people that have spinal injuries. Their stem cells are inserted back into the individual, they could potentially replace the faulty cells that are responsible for stopping diseases such as “Parkinson's and Alzheimer's and could repair spinal cord injuries.” Cloning (2011) It has been stated that embryonic stem cell research has no human thoughts or limbs. This type of argument is category because the claims that are stated have not been proven, it is theory that stem cell replacement will cure diseases and helps rejuvenate dead brain cell activity and this is based on the embryonic cell would be placed into a donor egg where it would then multiply. The way the stem cell would multiply is by electrical stimulation. How this process would be done is a sample of cells would be taken from an individual, then the......

Words: 415 - Pages: 2

Free Essay

Reasoning Aptitude

...Career Plan Building Activity: Reasoning Aptitude Scott S. Smith BCOM/275 Version 2 26 May 2014 Ms. Linda Burr Career Plan Building Activity: Reasoning Aptitude Cooperating was my strongest selection from my Reasoning Aptitude. In working for one of the largest businesses in the world, respect for other co-workers views is critical in day to day operations. My individual thinking style has morphed many times in my career and still changes at times depending on the event or situation. I believe that the “Cooperating Aptitude” allows a quick and informed decision on most processes. I do not have many arguments within my daily operations due to the fact that I listen to others or at least care enough about co-workers to know how they think or perform. Sticking to ethics and values is fairly easy for an old Soldier. Our Army values are leadership, duty, respect, selfless service, honor, integrity and personal courage and most of us mature folks try to live by these on and off duty. By promoting and defending equal opportunity and holding all of my Soldiers responsible for their actions and setting the example for others to follow are key to being an effective leader. Persuasive communication is a very useful tool for me. Most of my persuasive communication comes when there is a mission or task that comes up that is tough or redundant and no one wants to perform. I do not always have time to plead or ask several times to complete the mission or task, but......

Words: 326 - Pages: 2

Free Essay

Reasoning

...Quantitative Reasoning 1. Create two sets.  Set A will be the list of the five items you personally need to buy the most (essential items).  Set B will be the list of the five items that you want to buy the most (fun stuff).  ANSWER: A = {CAR, GAS, WATER, FOOD, HOUSE} B = {CAR, COMPUTER, IPOD, HOUSE, TV} 2. List the items in Set A and Set B, and also list or state the items in the union and in the intersection of Set A and Set B. ANSWER: UNION = {CAR, GAS, WATER, FOOD, HOUSE, COMPUTER, IPOD, TV} INTERSECTION = {CAR, HOUSE} 3. Now assume that the prices of the items in your set A are 20, 40, 60, 70 and 80. Assume that the prices of the items in your set B are 90, 120, 30, 60 and 40. Note: if you have one or two identical items in both sets, then assume that the prices of the identical items are the same as the prices that appear in set A (instead of having two different prices to the same item.) ANSWER: A = {(CAR, $20) (GAS, $40) (WATER, $60) (FOOD, $70) (HOUSE, $80)} B = {(CAR, $20) (COMPUTER, $90) (IPOD, $120) (HOUSE, $80) (TV, $30)} 4. What will the total cost of Set A be if it contains one unit of each item? ANSWER: $270 5. What will the total cost of the union set be if it contains one unit of each item? ANSWER: UNION SET = $20 + $40 + $60 + $70 + $120 + $80 +$30 = $420 6. What will be the total cost of the intersection? ANSWER: ...

Words: 390 - Pages: 2

Premium Essay

Clinical

...nurse to assess professional competence through the analysis of a clinical encounter (Slater, 2003). The Gibbs Reflection Model is a six element cycle through which a professional service deliverer can identify, reflect on, and assess professional competency (Gibbs, 1998). A clinical encounter is assessed in this paper through application of the six element cycle of the Gibbs Reflective Model. The six elements of the cycle are (a) description, (b) feeling, (c) evaluation, (d) analysis, (e) conclusion, and (f) action plan (Gibbs, 1988). The service user in this case was a 52-year old white male who had been released from prison 12 months prior to the clinical encounter. The service user had been diagnosed as suffering from post-incarceration PTSD (post-traumatic stress disorder). The service user was receiving cognitive behavioural therapy as intervention designed to ameliorate the subject's behaviors involving (a) heightened levels of anxiety, (b) alcohol abuse, (c) failure the respond positively in interactions with family members, and (d) failure to honour employment commitments. Application of the Gibbs Reflective Model to clinical encounters requires (a) attention to the details of the encounter and (b) the use of critical thinking when reflecting on the encounte Reflective Essay On Teaching This assignment will critically reflect and analyse a microteaching session I presented to my peers in a clinical placement regarding Nursing management of chest drains. I will......

Words: 7488 - Pages: 30

Free Essay

Topic and Reasoning

...Topic and Reasoning Cynthia Belen Com/172 January 25, 2011 Michael Cunningham Topic and Reasoning Topic: The power of a mothers love. Reasoning: We all know that all mothers are needed and important in a child’s life. I believe that a mother’s love is very powerful in a child’s life. A mother’s love for her children is one of the strongest forces in this world. Who said being a mother would be easy? When I became a mother, there were a lot of things I did not know, but as my daughter grew so did i. My idea is to tell my story of a single mom, who struggle and made some poor choices in my life and also how I overcame it all. I want my readers to know and understand the power of a mother’s love, and how it can have an effect on a child’s life. The story I would be telling is from experience, not something I heard but something I have experience myself. My mother was never there for me the way I needed her to be. I did not feel my mother’s love. My mother was an addict; she was always in the streets, leaving me and my sister and brother to fend for ourselves. Don’t get me wrong I love my mother. I just did not like the things she was doing and how she was doing things. I told myself I was not going to be like my mom, and it seem like all the things I hated in my mother I began doing with my daughter. My aunt took her from me when she was two years old. She is now five and I just recently started getting myself together and right so I can get her back. When I lost......

Words: 381 - Pages: 2

Premium Essay

Clinical Reasoning Case Study #77 Endocrine Disorders

...Case study 76 Endocrine Disorders 1. Interpret Y.L.'s laboratory results • HbA1C is elevated at 8.8% and the goal for diabetics is to keep that value below 7% Hemoglobin A1c. Her number is concerning because it indicates that her blood sugar has been way too high over the past few months. The A1c is an indication of glycosylation in the body which is damaging to the blood vessels and peripheral nerves. It causes thickening of the basement membrane which will impair oxygen transport to the tissues and carbon dioxide removal. • High BP • Total Cholesterol is elevated at 256mg/dL, normal value is below 200mg/dL • Fasting glucose is high at 184mg/dL, normal value is below 126mg/dL • Triglycerides are elevated at 346 mg/dL, normal levels are below 150mg/dL. Y.L. indicates levels that are high. • LDL levels are elevated at 155mg/dL and ideal values are below 100mg/dL; LDL is the value you want to be the lowest. • HDL levels are low and the HDL levels need to be high, 40-60mg/dL is desired. • Urine Analysis indicates that Y.L. is spilling glucose into her urine. 2. Identify the three methods used to diagnose DM. - Fasting blood glucose of > 126 mg/dl - Random Glucose Level >200 mg/dl (plus presence of other symptoms) - A1C > 6.5% 3. Identify three functions of insulin. • regulates glucose metabolism • stimulates lipogenesis • stimulates growth 4. Describe the major pathophysiologic difference between type 1 and type 2 DM. • Type 1 diabetes,...

Words: 949 - Pages: 4

Premium Essay

Clinical Reasoning

...The aim of this essay is to examine and reflect upon a case study regarding a patient, by focusing on a clinical decision that was made by the author. This particular case study is based around the clinical decision making process of a patient being admitted to hospital for a surgical procedure. A description of the clinical decision making process related to the case study will be addressed; other factors that influenced this process will also be analyzed. Finally, the author will reflect on the decision made using the Gibbs Reflective Cycle. All aspects of this essay will be analyzed and supported by current literature related to the topic. Clinical decision-making is an important skill for all nurses to have, as they are more likely to have a positive impact on patient outcomes (Furze, Nelson, O’Hare, Ortner, Threlkeld & Jensen, 2013). Clinical reasoning can be defined as a “ complex cognitive process that uses both formal and informal thinking strategies to gather and analyze patient information, evaluate the significance of this information and weight alternative options” (Lavote, Pepin & Boyer, 2013, p36). The clinical reasoning cycle is a multi-staged process that nurses and professionals use to “collect cues, process information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, reflect and learn from the process” (Levett-Jones et al, 2010, p516). This eight-stage process......

Words: 308 - Pages: 2

Free Essay

Critical Reasoning

...Critical reasoning – is both active and open to alternative points of view Passive reading/listening – writing down notes in lecture, you are passive in the sense that you don’t evaluate which statements to accept and which to reject and you don’t consider the speakers pattern of reasoning. Mere disagreement – is both critical and active but is not open to alternative views. You enter with your own established beliefs already in mind. Cooperative enterprise – two people have opposing views; one person sets his beliefs aside and help the other to strengthen his argument. Critical reasoning misconceptions – it’s too rigid or linear, it supposes that there is a right and wrong point of view. Argument – reasons for believing something or acting in a certain way If the author is attempting to state what has happened, or what is the case, or what something is like, he is engaged in descriptive writing, not argumentation If he is trying to prove something by giving reasons, he is engaged in argumentative writing. Diatribe is bitter and violent criticism or invective Examples of diatribe are often found in letters to the editor, in which people tend to give vent to their strong feelings instead of backing up their opinions with arguments. Consider the following (fictitious) letter: The politicians are at it again. An election coming up, and new spending just “happens” to be needed. Name your favourite issue, and you will find money for it—health care, education, social......

Words: 4783 - Pages: 20

Premium Essay

Clinical Decision

...Clinical practice problem A survey of the nursing literature shows that supporting medical nurse staffing guarantees quality nursing watch over patients and has been a progressing test for attendant directors and executives. Inability to guarantee adequate numbers and empathetic medical attendant staff has been shown to adversely affect tolerant fulfillment and results. The medical nurse staffing issue is not restricted just to guarantee sufficient quantities of staff that are being lost in the intense consideration settings because of workaholic behavior, burnout, sympathy exhaustion and wounds; the attendant staffing issue additionally incorporates the effect to patient consideration and to the nursing work power when empathy and caring is truant and the negative impacts this has on both the patient and the medical attendant. Customary systems for tending to medical nurse staffing issues with monetarily based enrollment and maintenance arrangements have not determined these issues; be that as it may, applying the theory of human caring to the issue of attendant staffing gives critical knowledge and arrangements that can help supervisors, executives and associations to enhance the conveyance of consideration, bolster medical attendants as a profitable asset and enhance tolerant results. The deficiency of qualified nursing experts is frequently connected with the interest for nursing staff. To be sure, medical attendants speak to clinics' biggest work cost, containing the...

Words: 2715 - Pages: 11

Premium Essay

Clinical Reasoning

...accessory muscles, cyanosis, retraction of intercostal spaces - wheezing Predominant on expiration Emphasema - irreversible damage to alveoli, increase airway resistnece - enlargement of air sacs , on expiration - hyperinflated lungs - altered breathing - barrel chest, use of accessort muscles, tripod position, SOB - decreased breath sounds Pleural friction rub - inflammation of the pleura - pain Pneumothorax - free air in the pleural space of the lung causes a collapse - inspection: unqual chest expansion, tachynopnea, cyanosis, bulging in inerspaces - palpation: tracheal shift, unequal chest expansion, tachycardia, decrease B - no sound The clinical reasoning cycle - way of thinking that allows the nurse to make clinical judgements - has a positive impact in the patient normal steps are - patient situation, collect cues, process information, identify issues, establish goals, action, evaluate goals, reflect Patient context: within their context of care Cues: what already know, what new information is needed and recall what is needed Process information: - normal/abnormal - relevant and irrevant information - cluster cues - infer - match - predict a potential outcome indentify problems: synthesis the facts and inferences to make a definitive diagnosis about the patient and define the most urgent issue or problem for the patient establish goals: what you want to happen take action: select a course......

Words: 254 - Pages: 2