Clinical reasoning cycle

Question 1

How many steps are in the clinical reasoning cycle?

Answer 1

8

Question 2

What are the 8 steps to the clinical reasoning cycle?

Answer 2

1. Consider the patient Situation
2. Collect Cues
3. Process the Information
4. Identify Problems/ Health Issues
5. Set Goals
6. Take Action
7. Evaluate the outcome
8. Reflect on process

Question 3

What is clinical Reasoning

Answer 3

• A systematic and cyclical process.
• That guides clinical decision making.
• particularly in unpredictable, emergent, and non-routine situations.
• And leads to accurate and informed clinical judgements.
• The process by which nurses (and other clinicians) 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.

Question 4

What are characteristics of the clinical reasoning cycle?

Answer 4

• A logical, dynamic, and non-linear process
• Evidenced-based
• Informed, unbiased, & comprehensive
• Has 8 steps or phases that can merge
• Takes practice & requires active engagement

Question 5

What can poor clinical reasoning lead to?

Answer 5

• Failure to detect impending patient
  deterioration
• Failure to rescue

Question 6

What is the importance of the clinical reasoning cycle?

Answer 6

Nurses are responsible for a significant proportion of clinical judgements

Challenging and dynamic situations require not only psychomotor skills and knowledge, but also sophisticated thinking abilities.

Clinical reasoning skills have a positive impact on patient outcomes

Scope of practice demands (NCNZ)

Question 7

What are nurses scope of practice in regards to the clinical reasoning cycle?

Answer 7

Utilise nursing knowledge and complex nursing judgment to assess health needs and provide care, and to advise and support people to manage their health

Provide comprehensive assessments to develop, implement, and evaluate an integrated plan of health care, and provide interventions that require substantial scientific and professional
knowledge, skills and clinical decision making

Question 8

What nursing competencies relate to the clincal reaosning cycle?

Answer 8

2.1- Provides planned nursing care to achieve identified outcomes

2.2- Undertakes a comprehensive and accurate nursing assessment of health consumers in a variety of settings

2.6- Evaluates health consumer’s progress toward expected outcomes in partnership with health consumers.

2.8- Reflects upon, and evaluates with peers and experienced nurses, the effectiveness of nursing care

Question 9

What are negative to effective reasoning

Answer 9

 Pre-conceptions
 Pre-judices
 Incorrect assumptions
 Biases
 Stereotypes
 Stigmatism
 Personal philosophies

Question 10

How to think like a nurse?

Answer 10

*Seek knowledge
* Use reflective practice
* Collaborate, advocate, and communicate
* Use/trust your instincts
* Ask the RN you work with to think aloud