Week 6 - Clinical Reasoning Cycle

Question 1

Consider the patient situation

Answer 1

• Describe or list facts, context, objects or people
• Similar to ‘Identify’ in your
  ISBAR/ ISOBAR handover

Question 2

Collect Cues/Information

Answer 2

• Review current information
• Gather new information
• Recall previous knowledge

Question 3

Process Information - Interpret

Answer 3

Analyse cues to understand signs and symptom

Question 4

Process Information - Discriminate

Answer 4

Distinguish relevant from irrelevant information

Question 5

Process Information - Relate

Answer 5

Discover new relationships
or patterns

Question 6

Process Information - Infer

Answer 6

Make deduction by
interpreting objective and subjective cues

Question 7

Process Information - Match

Answer 7

Compare current situation
to past situations or patients

Question 8

Process Information - Prediction

Answer 8

Predict an outcome

Question 9

Identify Problems/Issues

Answer 9

• Synthesise facts and inferences
• Make a definitive nursing diagnosis

Question 10

Establish Goals

Answer 10

• Set a desired outcome and a time frame
• Can be in SMART goal
  format

Question 11

Take Action

Answer 11

• Select nursing related actions/interventions
• Consider other multidisciplinary member involvement in the interventions

Question 12

Evaluate Outcomes

Answer 12

• Evaluate the effectiveness of outcomes and actions against the Goal that was set.
• That is - was the goal achieved or not?
• The cycle may need to start again if the patient has not improved and different nursing actions/ interventions utilised

Question 13

Reflect on Process and New Learning

Answer 13

• Contemplate what you have learnt
• Would you have done anything differently?
• You can refer to Gibb’s Reflective Cycle