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Clinical Reasoning Cycle: Effective Framework

Question :

Clinical reasoning refers to the cognitive processes, decision making aspects and skills in nursing practices where some of important factors which are there to provide quality care. Clinical reasoning comprises of consideration of patients situation, collecting clues, processing information, establishing goal, taking action, evaluation and reflection.

  • What is clinical reasoning cycle?
  • What are the different stages of clinical reasoning?
  • What is the significance of clinical reasoning?
Answer :

Clinical reasoning cycle is a concept which is there given by Tracy-Levett Jones which is the professor of healthcare nursing at Newcastle. He defined clinical reasoning process in different steps. There are available some of the steps which are there for said to be in the spiral and not having proper linearity and are linked to clinical encounters. After taking with different doctors, physicians and numbers of nursing staff which leads to the conclusion that there are some of the stages which should be the standard and creates a cycle for healthy practices in healthcare.

Stages of clinical reasoning cycle

Patient consideration- This is the initial stage of clinical reasoning cycle where a person is considered as a patient and there is need to provide them a proper treatment along with care while considering the clinical history.

Information collection- In this there is collection along with consideration of medical history along with present issues, their treatment plans with sign and symptoms. This can be analysed by using different pharmacological, pathological, physiology etc. to draw information.

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Processing information- This is the critical stage of clinical reasoning cycle where on the basis of gathered information, there is taken a decision for the treatment and patients care which should have the effective and best for them.

Issues identification- To provide a better treatment there is need to identify the issues which are responsible for the current stage of the patients. For this, there is need to have the proper evaluation and the analysing effort which can help in identifying the correct issues.

Establishing goals- After determination or identification of issues there is need to establish best effective treatment plan which should be there time-oriented and should not been open-ended in relation to get the desired outcome in less time.

Taking actions- There is implementation of the treatment plan where every member of healthcare team need to have the proper information regarding the condition and plan too.

Evaluating different outcomes- In this stage there is need to evaluate the action plan whether this plan is able to provide the positive result or there is need to have some modifications.

Reflection about new learning- In this stage of clinical reasoning cycle one is bale to reflect the new learning which one has learned in all such stages which is there performed. Where it should mentioned what different steps has taken for the better treatment of patient.

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Clinical reasoning skills is the one which is there to give the highest positive impact on patient health rather than those who are not having such skill often fails in detecting deterioration in patients resulting fail to rescue the patient from their health problems. Due to having poor clinical reasoning skill there can see that failure in proper diagnose, failure in providing appropriate treatment along with fail in management. Contemporary learning approaches are not able to give the better result whether than the nurses who are having the graduation along with proper knowledge. In respect to that in a research there is find that using the clinical reasoning are there having the better result to provide better treatment but due to lack of practice in clinical reasoning skill there is not having proper treatment to patients. Clinical reasoning is the one which is one of the thin line in between the patient deteriorating health care along with their recovery. When there is proper learning of clinical reasoning skill this can help in rescuing the patient health and can help in to acknowledge the deteriorating health of the patient. In opposite to this, Nurses who are not having the knowledge of proper clinical reasoning or say having poor clinical reasoning skills creates the health risk and in many cases it leads to patients death. Failure in proper diagnose is one of the major reason for not delivering the proper care and treatment to the patients and majorly the risk of patient death. To avoid such condition there is need to have the professional which are having better skill of clinical reasoning and can help in avoiding the risk of deterioration in heath along with death. There is also need to avoid the unnecessary investigation for reducing the cost for patients and should focus on the necessary plan which can ultimately leads to the improvement in patients health condition which is by applying proper clinical reason cycle. All the training and development practises which is there to be healthcare professional gives the chances to learn properly about the clinical reasoning practices while practising clinical reasoning cycle.

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