Clinical PracticeIntroductionIn the recent days, the proportion of patients with serious health problems has largely increased in many hospitals around the world. Notably, the contemporary medical practice and health service delivery differs from one hospital settings to another. The inefficiencies and incompetence of some health practitioner has resulted in increased number of deaths of patients with complex health problems. .Despite explicit symptoms indicating the adversity of the patient, health personnel are reluctant to attend them hence putting them at more risks. This scenario is attributed to poor clinical reasoning among health staff service providing centers.
Clinical reasoning is a paramount component of effectiveness and competence of nurses, doctors, physicians and other medical practitioners (Levvett-Jones et al, 2010)Efficiency and effectiveness of employees in clinical practice depends entirely on how they handle health problems. The medical care and treatment given to patients should be pursuit after sufficient judgments. Appropriate decisions can only be achieved after undertaking thorough clinical judgments. In any clinical practice, health practitioners ought to be decisive and active when handling health problems. As explained by Levett-Jones et al (2006, p. 168), identification of the problems and the needs of the patient is very paramount during health service provisions.
Health care researchers and practitioners have argued that Clinical Reasoning is an essential component which helps nurses, doctors, physicians and other medical practitioners make appropriate judgments after considering various alternatives available. In the pursuit of effective health service delivery, nurses are obliged to consider available evidence by either pattern recognition or intuition. As a matter of importance, nurses are expected to collect cues in order to clearly understand the problem of the patient.
Thereof, they should plan and execute appropriate interventions that would lead to optimal outcomes. In a hospital setting, different nurses have employed different patterns of Clinical Reasoning. Basing on this disparity, service delivery by novice nurses is quite different from that of expert nurses (Levvett-Jones et al, 2010) Clinical Reasoning model helps clinical practitioners make appropriate judgment and inferences concerning health conditions and needs of the patients basing on valuable information. This entails synthesizing of credible patient’s information that would help diagnose a problem, and this is useful in choosing the apposite course of action to take.
Past health researches have revealed that novice experts are reluctant in collecting cues from wider range of information in comparison with their counterparts. Unlike expert nurses, novice nurses ascertain problems facing the admitted patients very late. Consequently, this has had direct negative implications on the safety of the clients. The quality of care and management is influences the rate at which admitted patients die. Nurses ought to employ appropriate clinical reasoning skills in order to promote quality nursing care. Adverse patient outcomes occur due to nurses’ failure to appropriately diagnose, institute recommended treatment and manage complications.
According to Levett-Jones et al (2010), this happens when nurses posses poor clinical reasoning skills. Mr. Smith case is a perfect example which calls for decisive actions by the clinicians. Smith has had series of health problems both early and old stages of his life. Therefore, initial nurses assessing his health problems ought to be diligent enough to guarantee the safety of the patient. Well thought processes and organization of ideas in order to reach correct conclusions should form an integral part of clinical dispensation.
As such, the initial nurse practitioner should employ relevant problematic reasoning style in order to identify the early warning signs that must be considered to eradicate adverse events that would endanger the life of the patient. The nursing authority should identify these signs and other influential factors that greatly impact the health condition of the patient (Banning, 2008)