Examples Of Clinical Reasoning

Regrettably, the existence of nursing depends on the medical inadequacy of others. Unfortunately, nursing exists because people get hurt, cannot care for themselves, or need assistance with daily activities. Carol Taylor (2011), author of Fundamentals of Nursing: The Art and Science of Nursing Care, writes, “Nursing care involves any number of activities, from carrying out complicated technical procedures to something as seemingly as holding a hand” (p. 5). Taylor explains it is the duty of a nurse not only to learn the pertinent skills but also to bond with and comfort others. Nurses have to do and become many things: They must be stern when necessary, compassionate when needed, open minded

Bringing these two concepts together is like having an umbrella during a rain storm; individually they are helpful and necessary but together they are the perfect combination. Caring is that feeling deep down that drives nurses to strive for and promote the notion of human flourishing. To help patients achieve the best possible health that they can. It is important to utilize nursing skills of honesty, taking risks, critically thinking, compassion, creativity, and caring (MacCulloch, 2011). To care is to feel and understand what your patient is going through influencing action to help the patient achieve their best possible self, and then allow both the patient and one’s self to grow in every aspect of life; to flourish inside the body and as a member of the community.

It is widely known that early recognition of a deteriorating patient can contribute largely to a successful outcome, through recognising and taking action on the deteriorating health status of the patient (National Consensus Statement, 2010). This report will explore the ways in which deteriorating patients and clinical reasoning are used in the public health care system in New South Wales (NSW).

The framework used is made explicit and has been adapted by a previous theorist. The framework is detailed to clarify caring within a literature context (Enns, 2007). It conceptualizes that caring has both humanistic traits and physical behaviours from the perspectives of both the nurses and the patients (Enns, 2007). The research question is clearly stated as “(w)hat are the expressions of caring

The art of human caring is one of the most essential parts of the nursing profession. Caring is not something that you learn to do, but something that is within you. In nursing, it is important to know what kind of nurse you want to be as well as the care you intend to provide to your patients. The patient is the center of nursing, and it is your responsibility to make sure they are receiving the best care that they can receive. One of the most important things is to be able to set aside personal beliefs and morals in order to provide patient centered care. The way that you approach and care for a patient is either going to make or break the effect of the care you will be implementing to the patient.

. Hickey, N. (2010). The 'five rights' of clinical reasoning: An educational model to enhance nursing students' ability to identify and manage clinically 'at risk' patients. Nurse Education Today, 30(6), 515-20.

Nursing is based on caring in nursing. Compassion and concern for protecting and enhancing the

Clinical reasoning is embedded in nurses’ thinking for patient care (Levett-Jones 2013). It is a spiral, continuous mental process, underpinned by critical thinking theory and a sound body of nursing knowledge (Levett-Jones 2013). The clinical reasoning cycle includes considering patient’s situation, collecting cues, processing information, identifying problems, establishing goals, taking action, evaluating outcomes and reflecting on the process undertaken (Levett-Jones 2013). Nursing practice for registered nurses is guided both by the National Competency Standard (Nursing and Midwifery Board of Australia 2006) and the Nursing Practice Decision Flowchart (Nursing and Midwifery Board of Australia 2010) to ensure patients’ safety and to optimise care by challenging medical assumptions and facilitating evidence-based practice. The clinical reasoning framework, therefore, allows nurses to prioritise the most time sensitive and specific information, to recognise deteriorating patients and to manage complex clinical situations (Levett-Jones & Bourgeois 2011). This paper will focus on processing information and identifying the two major problems in the case study of Mr. Brown, a 74-year-old man, who was admitted to hospital after a ‘fainting’ episode with chief complaint of dizziness.

Kristen M. Swanson’s Caring Theory is the solution in bridging the gap between nursing practice and theory. It offers an explanation of the links between patient well-being and the caring process (Tonges & Ray, 2011). Swanson explained that nurses should be able to demonstrate that they care about their patients, and that caring about their wellbeing is as important as their patients’ current medical problem (Tonges & Ray, 2011).

Underlying both the clinical decision-making process and the nursing process is the skill of critical thinking. Critical thinking has been described as the ability to gather and process data in such a way as to arrive at the best conclusion using the filters of prior knowledge, experience and external resources to overcome personal emotions, biases, and assumptions. (This description was developed during NUR/300 class, University of Phoenix, S. Colorado, March 16, 2006) Note that critical thinking is described as a

The Oxford Dictionary defines caring as the work or practice of looking after, as well as, displaying kindness and concern for those who are unable to care for themselves, especially on account of age or illness. Meanwhile, Avant and Walker (2011) terms caring as an interpersonal process which requires an emotional commitment coupled with willingness to fulfill combined responsibilities and to be trustworthy enough to act on behalf of a person. In essence, it helps in developing great interpersonal relationship between the nurses and the patients in the healthcare centers in a systematic scientific manner.

Critical thinking and clinical judgment are important skills that professional nurses use in every day clinical setting. In 2012, a mix method qualitative study by Dr. Jeanne Mann was done to evaluate the effectiveness of educational strategy to develop clinical judgment skills in nursing students. In this study, the population was identified as volunteered Level II baccalaureate nursing students from a Midwest nursing program. The variables identified in this article are the relation between critical thinking and clinical judgment. The title of the article clearly indicated the focus of the study and created an interest in reading the research due to nurses utilize their ability to critical think and

Clinical reasoning can be defined as, ‘the process by which nurses (and other clinicians) collect cues, process the information, come to an understanding of a patient’s problem or situation, plan and implement interventions, evaluate outcomes and reflect on and learn from the process’ (Levett-Jones & Hoffman 2013, p.4). It requires health professionals to be able to think critically and ensures better engagement and results for the patient (Tanner 2006, p.209). The Quality in Australian Healthcare Study (Wilson 1995, p.460) discovered that ‘cognitive failure’ resulted in approximately 57% of unfavourable clinical events involving the failure to produce and act correctly on clinical information. It also recognises that often nurse’s preconceptions and assumptions can greatly affect patient care and by going through such a process, one can take into account the holistic nature of the patient and provide the best, most appropriate care.

Swanson's (1993) Theory of Caring is structured around five principles that encompass the overall definition of caring in nursing practice. This theory states that caring revolves around five categories: knowing, being with, doing for, enabling, and maintaining belief. When applied to nursing practice, each of these five categories can fuel the caregiver's attitude and improve overall patient well-being. In nursing, as well as other areas caring can be defined as, "a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility'. Upon examination, the five processes of Swanson's Theory of Caring can be used in nursing practice to achieve an enhanced

As humans, we naturally want to care for and be taken care of. According to (McEwen & Wills) concepts are terms that refer to phenomena that occur in nature or in thought. Caring is a concept that everyone can relate to and wants. The term “caring” can be used in relation to nurses, patients, and healthcare facilities.