Clinical Reasoning

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Eastwick College *

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CVS203

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Philosophy

Date

Dec 6, 2023

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pptx

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Uploaded by EarlMaskJackal27

Critical Thinking Defined • “Critical thinking is a commitment to think clearly, precisely, and accurately and to act on what you know about a situation” Potter & Perry (2009); (p. 216).

Critical Reasoning How to think like a nurse Based on Keith Rischer 2016 book “Fundamental Reasoning: Case studies that will prepare students for professional practice”.

Clinical Reasoning Defined • The ability of the nurse to THINK in action and reason as a situation changes over time • By capturing and UNDERSTANDING the significance of clinical trajectories and grasping the essence of the current clinical situation (Benner, Sutphen, Leonard, & Day, 2010). • The nurse must be able to focus and filter clinical data in order to RECOGNIZE what is most and least important • So the nurse can IDENTIFY if an actual problem is present (Benner, Hooper-Kyriakidis, & Stannard, 2011).

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THINK like a nurse step-by- step: 1. THINK in action 2. Recognize RELEVANCE of clinical data collected 3. TREND all clinical data and recognize the significance of concerning trends 4. Grasp the ESSENCE of the current situation 5. IDENTIFY if problem is present

Components of clinical Reasoning • The 4 components of clinical reasoning 1) Priority setting 2) Rational for everything 3) Grasp the essence of the situation 4) Identify and trend relevant clinical data (Benner, Sutphen, Leonard & Day,2010)

Priority Setting • Identify the priority patient • Priority assessments • Nursing priority – ABC’s – Nursing process – Maslow • Priority Interventions

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Rational for Everything • Ask WHY? • You need to understand the rational behind what you are doing in clinical • Knowing the why/rational is the basis for safe care. • Critical thinking means transferring classroom knowledge to the bedside!

Grasp the essence of the situation  Essence is defined as “the most significant quality or aspect of a thing or person” (“Essence,” 2014)  Identify what is the most significant in this situation, the clinical priorities that capture the essence of the clients clinical status.  Patterns that are common with chief complaints, labs,vs,etc.

Identify and trend Relevant • Compare your data/findings to the most recent • Recognize subtle changes in your patients condition • Evaluate interventions • Lab values must also be trended

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• https://www.youtube.com/watch?v=_fxkrv s8fak&t=64s

Reference • Benner,P.,Sutphen,M.,Leonard, V.,& Day,L. (2010). Educating nurses : A call for radical transformation . San Francisco, CA: Jossey-Bass • Rischer, K., (2016). Fundamental Reasoning: Case studies that will prepare students for professional practice. Bloomington, MI: Bethany Press

Clinical Reasoning

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