explain the clinical reasoning behind your decisions and tasks

1 While they share certain characteristics, each have their own distinctive components. International Journal of Nursing Practice, 21: 820830. Define the event as having an ethical dimension. Fundamental questions may be asked about the part the patient should or can play in these processes and how this may be achieved. The collaborative dimensions of clinical reasoning include the co-production of reasoning and decision-making in the patient's own health care process (Batalden et al., 2016). There are 3 basic strategies for clinical reasoning with hypothetico-deductive reasoning forming the foundation of clinical reasoning skills. (shadowhealth/patents), Reflections - Lecture notes Lecture notes, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Unguided Intermediate Patient Case Results | T, Pharmacology - Remediation/Refresher - January 2021, CCE 705 and 701. Values enter our clinical reasoning and decision-making as ethical reasoning. Purposes are critical to patient safety and the visibility of professional nursing practice: In reasoning and decision-making we draw on all relevant knowledge but are concerned particularly with knowledge related to Careful Nursing philosophical principles and professional practice model dimensions and concepts. His teachers complain of behavior problems and he has difficulty concentrating. . Goethals, S., Gastmans, C. & de Casterle, B. Identify how your performance could be improved and how you can apply lessons learned within the. Situational awareness raises the importance of practical reasoning, that is, deliberating on the best course of action attainable in a given clinical practice situation where there is lack of clarity, uncertainty, and likelihood of on-going change based on particular concrete realities. Maritain offers a philosophical explanation of intuition as a type of reasoning; he proposes that a natural, semi-conscious, intuitive reasoning is deeply embedded in human persons. Ethical Reasoning and Individual Rights. Statement & Course of Action Demonstrate your strategic thinking abilities when answering this question, and explain your planning and organizing techniques. Making decisions around escalation of treatment . Community 2. But, even an attempt to read his work, or read about it, is likely to produce an "oh, yes" response because he explains what many nurses see and experience in nursing practice but find it hard to describe and explain. 2. (2012). Broadly speaking, a clinical decision support system (CDSS) is a program module that helps medical professionals make decisions at the point of care. Educational 4. CDSS basics: types, tasks, and structure. which I thought of privacy which I have never touched before in my nursing career. You can always request for revisions on your assignment might you feel like something has been omitted. Clinical reasoning (CR) is the thinking and decision-making process used by practitioners. A therapeutic nurse-patient relationship, and the Therapeutic Milieu of the practice setting, may enhance clinical reasoning and decision-making skill. Honderich, T. (2005). This paper presents a formal method of cognitive-semantic . Trying to maximize my time with the patient in order to come to a conclusion of a diagnosis. 2014, Nibbelink & Brewer 2018) and decisions based on intuition can be biased and inaccurate (Tiffen et al. The party making the decision also has to take responsibility, and accept penalties if the outcome. Digital Clinical Experience A wide variety of technologies and tools are involved in the diagnostic process (see Figure 5-1), but the primary focus of the chapter is on health information technology (health IT) tools.Health IT covers a broad range of technologies used in health care, including electronic health records (EHRs), clinical decision support, patient . Of particular interest for our clinical reasoning and decision-making is that Maritain, in The Range of Reason (1952), emphasizes that how human persons interact with one another and the context in which they interact has an important influence on their perception and understanding. 3. Student Response: I think i did well. The collaborative dimensions of clinical reasoning include the co-production of reasoning and decision-making in the patient's own health care process (Batalden et al., 2016). In: Saint S, Drazen J, Solomon C, editors. KINDLY ORDER NOW FOR A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER. What assessments and tests would you perform and why? Philosophical examination of moral reasoning faces both . However, disease severity and patient safety concerns may overrule decisions based on clinical evidence and lead to . Explain the clinical reasoning behind your decisions and tasks. Care Plan We know this view very well as the scientific method. A increase knowledge and understanding of advanced practice physical assessment skills and techniques b . . Explain the clinical reasoning behind your decisions and tasks. Explain the clinical reasoning behind your decisions and tasks. Return to Assignment (/assignments/432434/). learn more. Search across a wide variety of disciplines and sources: articles, theses, books, abstracts and court opinions. Stage 1 (Obedience and Punishment): The earliest stages of moral development, obedience and punishment are especially common in young children, but adults are also capable of expressing this type of reasoning.According to Kohlberg, people at this stage see rules as fixed and absolute. Oxford; Oxford University Press. The Oxford Dictionary of Philosophy (3 ed.) Teaching clinical reasoning also provides an excellent opportunity for clinicians to consider and review their own clinical reasoning pathways. 2 The first phase (1950s-1970s), which focused on the . C. apply clear textbook solutions to patients' problems. If your instructor provides individual feedback on this assignment, it will appear her, Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Using the different types of clinical reasoning we plan, direct, perform and reflect on patient care. Ethical reasoning is not about knowing right from wrong, but being able to think about and respond to a problem fairly, justly and responsibly. [Google Scholar] Dhaliwal G. Clinical decision making: understanding how physicians make a diagnosis. Student Response: Through a comprehensive assessment, the interview started with finding the reason for the clinic visitation, with any health concerns Tina may have. You must think through the consequences likely to flow from the decisions you make. learned" within the assignment to your professional practice. Explain the clinical reasoning behind your decisions and tasks. Several forms of reasoning exist each has its own merits and uses. British Journal of Social Psychology, 42, 495-511.. Acevedo, M., & Krueger, JI. (2018) Nursing Outcomes Classification (NOC), (6th ed.). A rationale might include reasons for the choice and design of task, what learners will get out of it, why they should undertake it in a particular way and the reasoning behind the assessment criteria. A person's ability to carry out a decision is also important for doctors to assess. Dual process theory - System 1 and System 2. Reflection. Task-centered practice. Clinical reasoning, clinical judgment and critical thinking are terms that are used interchangeably in literature to represent a cognitive process which underpins safe and effective care delivery. List your differential diagnosis. Keywords: novice nurses, clinical decision-making, clinical reasoning, clinical judgment I. Validate your answer whether you agree or disagree on it and explain your reason behind your validation. Identify how your performance could be improved and how you can apply "lessons learned" within the assignment to your professional practice. 1. Use of intuition in nursing practice is usually explained within a psychological humanist framework (Krishnan, 2018). American Journal of Nursing, 115, 58-61. Tina's 12-year-old cousin mentions that her peers tease her because her shoulders are not equal height. Five qualitatively different categories were identified: A--applying knowledge and experience to the problem, patient, or situation; B--analyzing and reanalyzing to deduce the problem and. Clinical Reasoning, Decisionmaking, and Action: Thinking Tanner in 2006. You will get an email notification when your paper has been completed and you will need to login to your dashboard to download your completed assignment. Moral Reasoning. This limitation requires on-going examination and possible solutions tested. The individual has deadlines to complete the tasks and agrees to meet them. Explaining the reasoning behind each data point and action, and arguing from first principles, should leave less room for doubt and more for critical thinking. Griffits, S., Hines, S., Moloney, C. & Ralph, N. (2017) Characteristics and processes of clinical reasoning in nurses and factors related to its use: a scoping review protocol. Reflections additionally asked to explain their reasoning behind each response. KZ;.z?#57;0 A James has to observe Ben purchase the answers and decide that it is a situation in which he potentially might have some role other than being a passive observer. Nursing Diagnoses Definitions and Classifications 20182020. Knows the reasoning behind key policies, practices, and procedures, and seeks exceptions when needed to achieve goals. On a scale of 1 to 10, rate your ability to make intuitive decisions about patients' status and actions required that are later validated by objective evidence? Share this link with a friend: 1. . Subjective Data Collection & Szweda, C. (2017). In a concept analysis of intuition in clinical nursing practice, Robert, et al, (2014) concluded that many nurses experience intuition spontaneously and use it in clinical reasoning. For free. 3. What is your differential diagnosis? I educated the patient about the importance of hydration and medication education. Automation of clinical reasoning allows clinicians to undertake consultations in a timely and streamlined fashion, but does so at the risk of missing critical information, and therefore the diagnosis . 10. Kohlberg suggested that people move through these stages in a fixed order, and that moral understanding is linked to cognitive development. Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study. Herdman, T. H., & Kamitsuru, S. Drawing on previous research and analysis, Koharchik et al. What assessments would you, Focused Exam: Abdominal Pain Esther Park shadow health assignment, Tina's 76-year-old great aunt comes into the clinic for a visit and you find that she frequently asks you to repeat what you say. In terms of reasoning other clinical problems, nurses usually use collaboration, teamwork, and streamlining work flow. Explain the clinical reasoning behind your decisions and tasks.2. Maritain's explanation of human reasoning is detailed and complex and requires reading and reflection over time. Such decision-making is also used to identify needs for assessment and intervention by the medical profession and, or, other members of the multi-professional patient care team. (2005). Tina's eight-year-old cousin comes in with a fever and sore throat. Clinical Reasoning - Physiopedia 2005 Apr; 39 (4):418-27. Decision-making skills are those skills that aid in your ability to choose solutions to challenges. Nursing Forum, 51, 40-48. This preview shows page 8 out of 8 pages. But it is also widely recognised in nursing that philosophy of science does not address all aspects of nursing practice (Krishnan. What data did you use to base your decisions on for this patient assessment? . Much of the available research on reasoning is based on the use of . Clinical decision support is any tool that provides clinicians, administrative staff, patients, caregivers, or other members of the care team with information that is filtered or targeted to a specific person or situation. Clinical reasoning is "the sum of the thinking and decision-making processes associated with clinical practice". 7 Types of Reasoning - Simplicable In psychology, decision-making (also spelled decision making and decisionmaking) is regarded as the cognitive process resulting in the selection of a belief or a course of action among several possible alternative options. Course Hero is not sponsored or endorsed by any college or university. NR 509 Comprehensive Assessment; Self-Reflection Shadow Health Explicitly describe the tasks you undertook to complete this exam. The intellectual engagement concept intimately concerns the human mind, spirit and inward life of persons, thus is more closely aligned with the spiritual aspect of the Therapeutic Milieu dimension. How clinical decisions are made Search. How would you have proceeded with your exam? Clinical reasoning and decision-making is the fourth concept of the Practice Competence and Excellence (PCE) dimension and the second of the four PCE concepts that form the Careful Nursing critical circle of clinical responsibility. HtUMo@++j@j|#=8!n(8 People who are intoxicated, delirious, comatose, severely depressed, agitated, or otherwise impaired are likely to lack the capacity to make health care decisions but may later regain that capacity. I educated the patient about the learned within the assignment to your professional practice. Identify how your . . As the weeks go by and we continue with shadow health I become more comfortable, with asking patient questions or when to ask questions, when to empathize and educate. In oncology practice, where dramatic changes in reimbursement, technology, and the marketplace are just a few of the driving forces, "the future . Nursing decision-making refers to the judgements nurses make regarding treatment of the people they care for; that is, their choice of one course of action rather than another. Avoid making assumptions/judgments based on first glance or "eyeballing" patients. Norman G. Research in clinical reasoning: past history and current trends. 2. http://classics.mit.edu/Aristotle/nicomachaen.html. How does interviewing a heathy patient differ from interviewing a patient with a known health condition? INTRODUCTION ound clinical reasoning and clinical decision-making is largely considered a "hallmark" of expert nursing (Simmons, Lanuza, Fonteyn, Hicks, & Holm, 2003). How To Deal With Conflicting Priorities and Multiple Tasks - Interview Question (With Examples) I wrote a post HERE and created a video on how to handle conflicting priorities and multiple tasks.. based on the assessment gaining the ability to complete a proper musculoskeletal exam and document any . When you have multiple work tasks to complete each day, you may need to develop an effective system to manage them. End of preview. Student Response: I asked all the necessary questions about Mr Cater, his history and current symptoms. 2008;8:177-183. Step 1: Investigate the Situation in Detail. Two: Practice Objective Reasoning Frequently On top of educating yourself, the key to making objective decisions well is practice. Im glad that I have the opportunity to use this simulation before an encounter with my first real patient for clinical practice, and know what I am looking for assessment. Practice involves a few components: The decision to start Ongoing analysis of your thought processes Key points. Documentation reason possess a life both deeper and less conscious than its articulate logical life. Explain the relationships among health literacy, identifying salient points, and teaching and learning efficiently. NR 509 Comprehensive Assessment; Self-Reflection. Process that practitioners use to plan, direct, performance and reflect on client care. He doesn't remember if he's had memory problems before and no family members came to your office with him. Student exploration Graphing Skills SE Key Gizmos Explore Learning. 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Explain the clinical reasoning behind your decisions and tasks. This article explores how these technologies can improve the speed and quality of medical decisions.