Clinical Reasoning

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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
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Upon assessment of the patient I will collect and analyze the data at hand, think logically about what is presented to me, organize the data and then take that information along with any intuition about the situation I have and use this in figuring out a plan for the patient. The computers available to me will help me to come up with the best plan for the patient based on the newest research out there. I have seen both types of nurses in the clinical setting, those that can explain what they are doing and why they are doing it as well as those who simply state they are practicing what they have been told. I want to be the nurse who can stand behind my choices because they are proven and when that time comes that I might need to defend my actions I will be able to show how I came up with the plan of action for that particular patient and where I got the evidence for the treatment plan.


Simmons, B. (2010). Clinical reasoning: concept analysis. Journal Of Advanced Nursing, 66(5), 1151-1158. doi:10.1111/j.1365-2648.2010.05262.x
Stevens, K., (May 31, 2013) "The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas" OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 4.
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