Clinical reasoning cycle

Beschreibung

Clinical reasoning cycle
Em J
Karteikarten von Em J, aktualisiert more than 1 year ago
Em J
Erstellt von Em J vor mehr als 6 Jahre
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Name the 8 components of the clinical reasoning cycle S - Situation I - Information P - Process P - Problem identification G - Goal setting A - Action to take O - Outcome evaluation L - Learning & reflection
What does step 1) 'Consider the patient SITUATION' involve? The nurse gains an initial impression of the patient - identifies salient features of the situation.
What can negatively influence a nurses perception of a patient situation? Preconceptions assumptions and biases
What does step 2) 'Collect cues/INFORMATION' involve? The nurse collects information avail. in handover & pt history. Also identifies other information that will be required e.g. vital signs and htt assessment and if necessary a focused assessment. If necessary - elicit patient's understanding of the situation. Finally, the nurse recalls past knowledge to make sense of the information.
What does step 3) 'PROCESS information' involve? Interpretation - compare normal and abnormal Discrimination of relevant vs irrelevant info Clustering of cues together to ID relationships Infer using information gathered Predict an outcome if possible
What does step 4) 'Identify the PROBLEM' involve? Synthesise the facts and inferences to make a definitive nursing dx
What does step 5) 'Establish GOALS' involve? The nurse describes what they want to happen, a desired outcome with a set timeframe
What does step 6 'Take ACTION' involve? The nurse selects a course of action between different alternatives available
What does step 7) 'Evaluate the OUTCOMES' involve? The nurse evaluates the effectiveness of actions through outcomes. 'Has the situation improved now?'
What does step 8) 'Reflect on Process and new LEARNING' involve? The nurse contemplates what has been learned from the process and what could have been done differently.
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