Clinical Reasoning In Advanced Physical Assessment

Improved Essays
American Sentinel University
The Use of Clinical Reasoning in Advanced Physical Assessment
The advancement of medicine, complexity of diseases, and the nurses’ ability in becoming increasingly autonomous, requires nurses to be prompt in solving problems. The expectations of the health care industry and society of shortened hospital stay, the need for nurses to do more in less time, and the overall intensity of the nursing care provided to patients continues to affect how nurses think and deliver patient care. The constantly changing world of health care mandates nurses to utilize clinical reasoning to guide their practice. The purpose of this paper is to discuss the relationship between clinical reasoning and clinical decision making, consider clinical reasoning in advance physical assessment and identify the nurses’ use of critical thinking, clinical reasoning, and clinical judgment.
Clinical reasoning and Decision Making
…show more content…
Clinical decision making is described as a process by which a clinician determines the conclusion of a clinical situation after consideration of the necessary indications, evidences, and incorporating options to end doubt (Tanner, 2006). Clinical reasoning examines the clinician’s ability to solve problems by recognizing patterns, creating schemas, and applying scientific evidence (Bickley, 2013). While clinical decision making is the outcome of the clinician’s ability to use clinical reasoning (critically think, process information both subjective and objective, test out a hypothesis, and reach to a conclusion).
The Concept of Clinical Reasoning in Advanced Physical

Related Documents

  • Improved Essays

    Family Nurse Practitioner vs. Nurse Administrator There are many various roles within healthcare that one can choose as a career path. Many choose a route that directly impacts patient care via treatment care plans while others choose to collaborate with other disciplines through an indirect patient care profession that impacts and improves the patient’s overall care experience. Regardless of the route, the goals in healthcare are the same, to provide safety and the highest level of patient-centered quality care (American Organization of Nurse Executives [AONE], 2015, p. 3). Direct and indirect care roles are both beneficial and provide services to patients but do so in differing manners.…

    • 1384 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    The physician should be able to recommend a decision, because they are experts in the field. The ideal physician-patient relationships uses both the physicians technical skills and knowledge and the patients understanding…

    • 188 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    The books Your Medical Mind by Drs. Jerome Groopman and Pamela Hartzband and Happiness in a Storm by Dr. Wendy Harpham discuss two different approaches to medical decision making. Medical decisions are not only decisions patients make in life or death situations but also the mundane decisions patients make routinely, such as whether to ingest an allergy pill. In our technologically dependent age, patients face many challenges when attempting to make the best possible medical decision for them. For example, the media, internet, disagreeing experts, and even personal anecdotes we hear influence our decisions by instigating or hindering us from picking a certain plan of treatment.…

    • 1546 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    1)Research is different from clinical problem solving in that research is a systematic process by which new knowledge is discovered through the gathering of data and information from different sources(Fain, 2013). In addition, research is also done to support knowledge that already exists based on a theory to build on or improve the information that already exists. This can be knowledge that is directly applied to our practice or knowledge that needs further validation before application (Fitzpatrick, 2016). On the other hand, clinical problem solving is utilizing current knowledge to improve patient health. One of the most popular tools used by nurses in clinical problem solving is the nursing process.…

    • 1025 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    This essay aims to focus on the nurse’s role during decision-making process and demonstrate important of shared decision-making in the delivery of nursing care, enhance patient’s recovery and prevent deterioration. Further this essay will brief discuss the theoretical perspectives of decision-making and explain why it is significant in the assessment of the patient’s care and nursing practice. A given case scenario will introduce a patient admitted with acute headache and vomiting with intermittent confusion for the critical analysis of decision-making in nursing process of assessment, planning, implementation and evaluation of care. In addition, the systematic, comprehensive and holistic assessment will be undertaken using ABCDE (Airway, Breathing,…

    • 182 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    The EHR System

    • 121 Words
    • 1 Pages

    This would promote a clinical judgment to be made. It would allow for “individualization to patient circumstances and preference occurs in moving the evidence-based recommendations into practice” (Nelson&Staggers, 2014, P.…

    • 121 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Theories give a methodical interpretation of the phenomenon in question. In a fast-changing healthcare system, the nursing practice needs a solid foundation to help deal with uncertainty among healthcare workers. Nursing theories create a foundation on which to base nursing practice. This is because theory facilitates reasoning, decision making and critical thinking which strengthens the nursing profession (Black, 2014). According to Masters (2015), theories can also be explanatory, descriptive, predictive regulatory in nature.…

    • 967 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    The aim of this essay is to discuss and assess a given case scenario where, the chosen patient admitted with acute headache and vomiting with intermittent confusion. This essay will define clinical judgement and decision-making; discuss importance of decision-making process in the assessment of patient’s care. It will also mention some of the theories about clinical decision-making in nursing practice and explain Tanner’s 2008 clinical judgement model that will apply in critically reviewing patient’s complex needs and assessing care plan and interventions. Further, this essay will demonstrate how effective sharing decision-making might enhance patient’s recovery, prevent deterioration. There also NHS mantra “no decision about me without me”…

    • 716 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    VIA Strengths Assessment

    • 742 Words
    • 3 Pages

    Critical Reflection - Patient having a stroke and the value of Judgement Core Value as identified using the VIA Strengths Assessment One of my core values that was challenged while on clinical placement was judgement. This value can be defined as the ability to critically think through situations and examine them from all sides, while not jumping to conclusions; being able to change one's mind in light of evidence and weighing all evidence fairly. Awareness and Description of the situation We were called to a woman having a stroke. On arrival patient had a GCS of 11, with a significant right-sided weakness.…

    • 742 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Healthcare professionals are faced with important decisions every day that can mean the difference between life and death. Clinicians use evidence from research, clinical expertise and patient’s preferences to make clinical decisions. Often, the available evidence is so vast that finding the appropriate course of action becomes a daunting process. Consequently, the critical appraisal of evidence has become a valuable skill to clinicians. Evidence is ranked in a hierarchy system.…

    • 1045 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    A nurses critical thinking skills are a vital part in their practice; “Nurses ' thinking processes extend beyond rules and procedures as participants used patient data and interdisciplinary professional knowledge to provide safe and effective care” (Eisenhauer, Hurley, & Dolan,…

    • 764 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Case Study Two: A Complete Physical Assessment Shannon A. Lewis University of Mississippi Medical Center N 610 A 52-year-old female comes to your office today for a physical exam. She states that she enjoys good health and believes she is active for her age. She states she has been feeling well but just decided it was time for a complete check-up. She sees a local health care provider annually at the health department for refills on her prescriptions but has not had a “real” physical in many years. She is a WDWNWFNAD (well-developed, well-nourished, white female, no acute distress.…

    • 2434 Words
    • 10 Pages
    Superior Essays
  • Great Essays

    Critical thinkers in nursing exhibit these habits of the mind: confidence, contextual perspective, creativity, flexibility, inquisitiveness, intellectual integrity, intuition, open-mindedness, perseverance, and reflection. Critical thinkers in nursing practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge. Based on Benner’s theory, every nurse should be a critical thinker. The theory also helps nurses understand to solve the critical problems with smartly.…

    • 2853 Words
    • 12 Pages
    Great Essays
  • Superior Essays

    Nursing is a profession as variable as humankind. From busy emergency rooms to mental health counselling to academia, nurses range in their knowledge, interests, and skillsets. What is essential to all of these settings is a drive to help people and an understanding of human nature. Thinking critically about a patient’s behaviour is fundamental to providing informed care, enabling nurses to follow the patient’s thought-process and view the world from their perspective. Foundational to this is a comprehension of how people develop, or more specifically, how people’s ability to think develops.…

    • 1566 Words
    • 7 Pages
    Superior Essays
  • Great Essays

    How it can be improved. For example, when someone has to choose the best answer of the question within the time limit in an examination, person should think the reason to select the most relevant answer. This is an equal moment when undergoing a treatment of the patient. In both situation decisions are made within high pressure and has to be the best outcome. In nursing, critical thinkers need to be, precise, complete, logical, accurate, and clear and fair (Wilson.…

    • 1570 Words
    • 7 Pages
    Great Essays