02, 04, 2011Clinical reasoning is a wide field that involves various aspects. These aspects include the following: application of various cues by nurses to enhance clinical reasoning, how to rescue a patient in critical conditions and use of the Situation Background Assessment and recommendation tool in clinical reasoning. The various cues used in nursing include the think aloud analysis and also use of the proactive and reactive approach in performance of tasks. The SBAR tool shows the procedure a nurse should follow when handling a patient in a critical condition. If the above factors are put into practise then it is evident that clinical reasoning is enhanced in nursing a career that is majorly geared towards achieving optimistic patient outcomes despite the patient’s condition.
An example of a critical patient’s condition will enhance the actual basis on which a nurse will react with regards to clinical reasoning (Aiken et al. 2008). There are various types of cues used by nurses in clinical reasoning. These include; think aloud analysis especially in surgical operations to avoid danger and also ensure successful patient outcome, proactive or reactive approach in tasks (Banning 2008,).
The above cues were meant to enable the nurses to: assess the patient’s status, make appropriate judgement with regards to the patient status, follow the correct procedures in treating the patient and acquire/get the patient’s history and relate it to the present condition of the patient thus being able to make realistic and applicable measures during the treatment of the patient. Studies using the think aloud analysis focus on the cognitive processes that are to be followed to give a solution.
It is also used to rate the reasoning skills of qualified nurses in a variety of clinical settings. In this case, it assessed the nursing care offered, evaluation of the particular care offered, planning and implementation of that particular nursing care (Kendall-Gallagher & Blegen 2009). Protocol analysis which is used along the think aloud approach is effective as it enables nurses to be quick in reviewing and analysing a patients situation. Clinical reasoning in this case is evident when the nurse uses his/her career experience and knowledge to relate and merge the incidences in the information gathered and make a decision (Hoffman, Aitken & Duffield 2009).
Failure to rescue involves evaluation of the different healthcare offered to patients and the patient outcomes whether good or bad. This evaluation is basically centred on the nurse’s approach towards a certain patient scenario. It focuses majorly on whether nurses are able to deeply harness how their knowledge and skills application deeply influences the patient outcomes. With reference to nursing, the nurses majorly concentrate on whether the details of nursing care have been attended to their expectation on the patient, whether good or bad and maybe their level of unsettledness in case of bad outcomes.
In the case of rescue nurses are viewed as beginners of the rescue process and so they should avoid any slight mistakes if there should be successful patient outcomes (Brown & Edwards 2008). To avoid unsuccessful patient outcomes, nurses should carefully interpret clinical data before carrying out any procedures on a patient. The models of care used in a facility determine greatly if a nurse will effectively apply their career knowledge so as to realise a successful patient outcome.
The major nurse role in a rescue situation is bravery and quality leadership which are clearly depicted through procedures taken in a patient rescue situation (Clarke 2004).