The Basis Of Clinical Reasoning And Clinical Judgment Discussion
The Basis Of Clinical Reasoning And Clinical Judgment Discussion
The paper must be at least 3 – 5 pages. A title page and reference page must be included but will not count toward the total page count. Your paper must include peer-reviewed references published within the last 5 years. The paper must follow current APA format, including the use of leveled headings. The Basis Of Clinical Reasoning And Clinical Judgment Discussion
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The increasing demand for competency and quality care has heightened the demand for well-trained and rounded healthcare professionals. According to Guerrero (2019), today, healthcare experts must possess critical skills such as being critical thinkers, effective communicators, judgment, and reasoning. With increasing focus on delivering quality care, creating the best environment for positive patient experience, and demand for making critical decisions, it has become inevitable for nurses among other healthcare professionals, to be the best skilled and prepared as they can. Critical thinking, clinical reasoning, and clinical judgment are often used interchangeably in nursing concepts. These complementary concepts involve arriving at sound evidence-based practice to help nurses in their daily duties. These concepts are adopted simultaneously in the dynamic nursing field to achieve competency and ensure patient satisfaction. In this paper, we define these concepts and analyze their adoption into the nursing practice. This paper provides a detailed and simultaneous concept analysis of the clinical judgment, clinical judgment, and reasoning as key concepts advocated and utilized in the The Basis Of Clinical Reasoning And Clinical Judgment Discussion
Critical thinking is a cognitive process for analyzing information to identify problems, implement interventions and develop effective care outcomes (Guerrero, 2019). Critical thinking involves using the empirical and science-based methodology to arrive at conclusions. This concept borrows highly from science and thus calls for evidence-based actions away from hasty conclusions. The difference between thinking and critical thinking is that the latter involves active, purposeful, controlled, and focused exploration of a subject matter. Therefore, critical thinking involves centralizing one’s thoughts in a factual and organized manner to develop the best nursing practice for the situation The Basis Of Clinical Reasoning And Clinical Judgment Discussion.
Clinical reasoning is adopting different thinking strategies to gather client information, evaluate its relevance, and develop the best nursing actions. It is, therefore, the application of critical thinking to clinical situations. Clinical reasoning is more focused on the situation as it requires careful analysis of the particular clients’ information to recommend the best interventions. Good clinical reasoning skills positively affect a patient’s physiological and psychosocial outcomes, and the inverse applies. Over time, clinical reasoning appears intuitive, but it is a learned skill that helps nurses maneuver complex situations effectively. Therefore, unlike critical thinking, clinical reasoning is more practice-based, and its application depends on the case (Guerrero, 2019)The Basis Of Clinical Reasoning And Clinical Judgment Discussion.
Clinical judgment is the thought process involving analyzing a patient’s data to determine the best intervention for a patient. This concept relies on accumulated knowledge and skills over time for clinical decision-making. This involves analysis of the patient and subjective and objective data to develop best practices. Clinical judgment combines scientific theory, personal experience, and patients’ presentations to develop the best approach to solving problems. Thus, clinical judgment adopts both critical thinking and clinical reasoning for decision-making. However, this concept is individual-based and thus prone to human errors. Therefore, in adopting clinical judgment, medical practitioners should also utilize other tools to acquire knowledge and skills to maintain nursing best practices (Gambrill, 2021)The Basis Of Clinical Reasoning And Clinical Judgment Discussion.
Techniques in Critical Thinking
For best practice in making decisions based on data, nurses use the below techniques in critical thinking. The critical analysis uses questions to determine useful information from a patient. These questions are used as a criterion for extracting useful information and are applied differently based on the case (Castillo, 2021). Socratic questions can also be used in critical analysis as they examine the problem, assumptions, evidence, and outcomes. These questions are important to pool data and make informative decisions.
Inference, Inductive reasoning is concluding from a specific and inferring it to the general, while deductive reasoning is drawing a conclusion from the general and inferring it to a specific. When a patient presents their case, medical practitioners should be able to use both inductive and deductive reasoning to develop the best approach to tackle the issue based on the best inference The Basis Of Clinical Reasoning And Clinical Judgment Discussion.
Evaluation is the process of evaluating and ascertaining the credibility and accuracy of the information by applying critical thinking. Evaluation hence involves the analysis of information to determine facts, inferences, opinions, and judgments. This is a vital technique that nurses should regularly utilize to ensure they are not biased in executing their duties. With nursing work entailing making fast and effective decisions, critical thinking is a necessary skill that helps make decisions based on the information available, experience, and knowledge in the field. Nurses, among other healthcare professionals, ought to cultivate a culture of being critical thinkers. According to Castillo (2021)The Basis Of Clinical Reasoning And Clinical Judgment Discussion, nurses must be confident, intellectually humble, and courageous in their actions. Additionally, to be effective critical thinkers, they should be insightful, persevering, and independent.
Critical thinking plus clinical reasoning produces clinical judgment (Hong et al., 2021). The effectiveness of nurses is dependent on various factors. The role at the bedside while delivering patients is determined by their ability to apply knowledge and reason as the situation or patient needs change over time. Through clinical reasoning, nurses can make an effective patient diagnosis, comprehend the problem, and make the best clinical decision. With nursing practice entailing more than just attending to the patient, clinical reasoning helps them understand patient data results, making comprehensive judgments and decisions. In today’s healthcare sector, clinical reasoning has become integral to defining a nurse’s competence and ability to deliver quality care while utilizing available care practices to optimize the client experience. Finally, effective clinical reasoning among nurses depends on the nurse’s ability to get or collect the right cue and select and implement the right action on the patient at the right time and reason The Basis Of Clinical Reasoning And Clinical Judgment Discussion.
Clinical judgment can hardly be differentiated from reasoning, as once the nurse reasons, he has to make a sound decision. According to Hong et al. (2021), clinical judgment is summarized as a process through which the nurses make decisions based on data collected from a patient, interpret the data, and arrive at a nursing-based diagnosis while settling on the appropriate nursing actions or interventions. Clinical judgment entails reasoning, problem-solving, decision-making, and critical thinking. Some critical facets of clinical judgment include noticing, interpreting, re-sounding, and reflecting. Judgment is based on a nurse’s knowledge and experience base as well as evidence available, reasoning, critical thinking, and intuition. For example, a nurse is required to decide whether the prescription being taken by a patient are effective or needs change or whether to continue life support for a patient on dialysis. Critical thinking, clinical reasoning, and judgment have become three different yet inseparable facets defining complete healthcare professional. Lack of all or any of the three tools may jeopardize a nurse’s care practice. A critically thinking nurse will hold on to a patient’s pill on blood pressure and make a decision (reason) to reach for the physician when he identifies that the patient’s blood pressure is unacceptable (judge)The Basis Of Clinical Reasoning And Clinical Judgment Discussion.
Conclusion
Critical thinking is the basis of clinical reasoning and clinical judgment. These cognitive processes are applied to tackle different patients’ presentations. They are used based on knowledge from research and sound analysis to solve problems. Additionally, nurses use trial, error, and intuition to tackle daily clinical challenges. Due to the dynamic nature of patient presentations, critical thinking calls for nurses to adopt creativity in finding unique ways to solve problems. Moreso, nurses should practice reflection for self-analysis to examine their decisions and build their mental muscles. In addition to the theoretical knowledge and skills learned in school, nurses should strive to actively and intentionally build their critical thinking skills to ensure best practice in clinical reasoning and judgment The Basis Of Clinical Reasoning And Clinical Judgment Discussion.
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References
Castillo, S. (2021). Strategies, Techniques, & Approaches to Critical Thinking: A Clinical Judgment Workbook for Nurses 7th Edition.
Gambrill, E. (2021). Critical Thinking in Clinical Practice: Improving the Quality of Judgments and Decisions 3rd Edition.
Guerrero, J. G. (2019). Practice Rationale Care Model: The Art and Science of Clinical Reasoning, Decision Making and Judgment in the Nursing Process. Open Journal of Nursing, 09(02), 79–88. https://doi.org/10.4236/ojn.2019.92008
Hong, S., Lee, J., Jang, Y., & Lee, Y. (2021). A Cross-Sectional Study: What Contributes to Nursing Students’ Clinical Reasoning Competence? International Journal of Environmental Research and Public Health, 18(13), 6833. https://doi.org/10.3390/ijerph18136833 The Basis Of Clinical Reasoning And Clinical Judgment Discussion