NSG3 Lecture Notes - Lecture 1: Analytic Reasoning
4 Apr 2018
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Document Summary
Delivering health care today has become more complex and therefore increasing the complexity of nursing practice. The foundation of safe and effective nursing practice is the ability consistently make good clinical judgments about patient care. Clinical: relating to or conducted in a clinic that involves direct observation of a patient. Interpretations and inferences that influence actions in clinical practice. Important definition: an interpretation or conclusion about a patient"s needs, concerns, or health problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as deemed appropriate by the patient"s response. Clinical reasoning: process of noticing, interpreting, and responding; reasoning based on how the patient responds. Perspective of decision making using a step by step process (eg. algorithms, decision trees, and guidelines). Example: diagnostic reasoning (analytic approach); considering evidence that supports each diagnosis. If there is a rule that covers the situation, clinical judgment is not required.
