Clinical reasoning

 

HNB2008 Contemporary Nursing C Student Name:
Student number:

Clinical reasoning is the process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process. A nurse’s clinical reasoning ability is a key factor in the provision of quality care and the prevention of adverse patient outcomes. 

CONSIDER THE PATIENT

Describe or list facts, context, objects or people

COLLECT CUES / INFORMATION

Review current information (eg patient Hx

Gather new information (eg patient Ax)

Recall knowledge (eg physiology)

PROCESS INFORMATION

Interpret

Discriminate – relevant/irrelevant

Relate

Infer, Match and Predict

IDENTIFY PROBLEMS / ISSUES

Synthesise facts and inferences to make definitive diagnosis of the patient’s problem.

ESTABLISH GOALS

Describe what you want to happen desired outcome and time frame.

TAKE ACTION

Select a course of action between different alternatives available

EVALUATE OUTCOMES

Evaluate the effectiveness of actions

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