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.…
A major strength the agency possesses is that it provides services year round to clients. Also, this agency works with a specific population and can tailor services to them. Years of providing service to a specific population helps refines the therapeutic modalities and allows for repeated program evaluations. In addition, the agency provides specific certified counselors to deal with specific addictions…
The Toulmin model is an effective way of presenting an argument because it ensures that all the data presented is directly tied into how it relates to the main claim, and also in the aspect that it addresses both sides of the topic. By refuting the counterargument, the main claim of the piece becomes more favorable and logical in the minds of the audience. The aspects of the Toulmin method work together in order to create a cohesive argument that successfully establishes and supports the main claim. Seeing that I plan on entering the medical field as an occupation later in life, it is important to understand how arguments in this field are conducted. When persuading others, or attempting to do so, in the topic of science, it is crucial that…
An effective explanatory essay acquaints with the reader with a specific concept, or a major idea. That idea is then elaborated on. The essay titled Flow was much more effective in being educational and enjoyable. The flow of the information, pun intended, allowed the reader to focus much easier and to enjoy the reading while doing so. If I were to write an explanatory essay, I would use topics surrounding science.…
Throughout the practice of medicine, cultural perspective has played a role in the treatment of an individual. Today in an age of interconnectedness around the world, a medical practitioner will come into contact with an abundance of new and different beliefs and attitudes on health. This need for a holistic look at cultural elements on medical practices has become more relevant with the increase of refugees and immigrants being treated within American health centers in order to care for each patient with the care they need. The idea of taking the patient's own cultural beliefs into mind is cross-cultural medicine.…
Decision Making in Nursing Nurses make decisions that have life and death implications (Payne, 2015). Nurses must be accountable for their decisions as well as the consequences of those actions (College of Registered Nurses of British Columbia, 2012). Clinical decision making is a complex process that requires the nurse to draw from personal knowledge, client history, previous clinical experience, as well as intuition (Banning, 2008; Benner, 1984; Blum, 2010; Payne, 2015; Tanner, 2006). These decisions impact how efficiently, competently, and satisfactorily the client is treated (Etheridge, 2007). Decision making models have been developed to assist nurses with their critical thinking to ensure safe client care and improve client outcomes (Lauri & Salantera, 1995; Tanner, 2006).…
My father was diagnosed with Type 2 Diabetes and the way it affected him sparked my interest in medicine. At GCSE level, I learnt that diabetes results when the pancreas does not produce enough insulin to maintain a normal blood glucose level. Further interest led me to learn that the most common drug used is metformin, reducing the amount of glucose released. Currently the only way to delay/prevent diabetes in people who may have genetic predispositions to it is by maintaining a healthy weight. Recently, a study in Diabetologia showed that obese people with prediabetes could improve their metabolic health, by avoiding AGE products.…
Effective clinical reasoning skills are essential in nursing; an estimated half of all clinical adverse events are attributed to errors in clinical decision-making (Levett-Jones et al., 2013). Tanner (2006) defined clinical reasoning as the process via which nurses arrive at clinical decisions by weighing evidence, pattern recognition, using intuition, selecting from alternatives and patient safety. This clinical reasoning cycle (CRC) consists of 8 cyclical steps namely, consideration of the patient’s situation; collecting of cues and information; processing of information; identification of problems and issues; establishing objectives; taking action; evaluation of outcomes; and reflecting on processes and new learning (Levett-Jones, et al.,…
Clinical reasoning is a process and term used regularly by health care professionals that includes nursing. It consists of expert skills that are learnt through knowledge, cognitive thinking and experience. Clinical reasoning is essential to nursing care as it shows the thinking process of the nurse and that the nurse can competently and safely deliver care to diverse patients (Harmon & Thompson, 2014). In conjunction with clinical reasoning, the terminology critical thinking, clinical judgement and clinical decision making are used collaboratively. There are many resources about clinical reasoning and studies used on nursing students, graduate nurses and postgraduate nurses.…
The textbook, Intentional Interviewing and Counseling: Facilitating Client Development in a Multicultural Society (2014) explores core counselling skills and techniques. The authors, Ivey, Ivey, & Zalaquett (2014) assert that counselors help clients to help themselves by using competent and effective counselling skills. When counselors accurately use their basic counseling skills, they aid clients in developing their own abilities to use their human potential in the present and in future. Numerous counseling skills are discussed in the textbook, such as intentional and diagnostic interviewing skills, attending skills, observing and reflecting skills, listening skills, confronting skills, and influencing skills. These skills and techniques are…
McCrae Article Reaction Paper The struggle for nurses to gain recognition for a well-developed theoretical framework in their practice has until this day been a difficult challenge. The article by McCrae (2012) stated many different factors that explain why or how the models of nursing fail to bridge the gap between theory and practice. This essay will describe some of those challenges.…
According to Plato, science can only provide opinions, not knowledge. We all know that there are many types of sciences, different ranks of them and also theories and concepts. Plato focused specifically on Astronomy, he believed the earth as a spherical one. Today we can see different value systems, whether the people are religious or not some type of science is agreeable and disagreeable. Moreover, the ones who practice science and have studied, have a sense of “knowledge;” for them at least.…
According to the College of Registered Nurses of British Columbia (CRNBC, 2014) nurses make a clinical decision every 30 seconds, or approximately 1500 per shift. What is a clinical decision? The answer to that question varies among the experts and practitioners but the terms clinical judgment, reasoning, and decision making have been used interchangeably in attempt to better articulate the process of clinical decision making (CRNBC, 2014).…
Rational Thinking According to Popkin and Stroll, logic can be defined as the most fundamental branch of philosophy that “deals with the nature of thinking itself” (237). However, the depth of understanding logic is so much more than ethical speculations and metaphysics. Whether or not something is deemed logical, depends on how consistent and coherent any particular piece of that reasoning is, as logic attempts to distinguish good reasoning from bad reasoning. This then can determine whether an argument is valid or invalid, and furthermore allows one to establish conclusive inferences about an argument.…
7. CLINICAL REASONING Clinical reasoning is a skill that needs to be acquired by nurses to render safe and quality care. It requires that the nurse engage in reflective activities to gain insight. This is not a theoretical thing but an empirical way of reasoning and asking questions.…