A definition of clinical reasoning includes an ability to integrate and apply different types of knowledge, to weigh evidence, critically think about arguments and to reflect upon the process used to arrive at a diagnosis.
Table of Contents
What is a clinical decision?
Clinical decision making is a contextual, continuous, and evolving process, where data are gathered, interpreted, and evaluated in order to select an evidence-based choice of action.
What is diagnostic reasoning?
Diagnostic reasoning is a dynamic thinking process that leads to the identification of a hypothesis that best explains the clinical evidence. Nurses in advanced practice today frequently diagnose the origin of medical and nursing problems that develop in acutely and critically ill adults.
What factors influence clinical reasoning?
The factors affecting clinical reasoning include not only the individual mental processes of therapist but also the specific tools of practice and subtle influences such as cultural expectations embedded in the practice settings and client perceptions of what constitutes “good therapy” (21, 22).
Why do occupational therapists use clinical reasoning?
Clinical reasoning is crucial in occupational therapy because it is the means by which therapists identify clients’ problems accurately and determine effective treatment protocols. The extent to which a therapist is able to use clinical reasoning skills effectively determines the quality of care given to a client.
What is the difference between clinical reasoning and critical thinking?
Critical thinking is the cognitive processes used for analyzing knowledge. Clinical reasoning is the cognitive and metacognitive processes used for analyzing knowledge relative to a clinical situation or specific patient.
What is a clinical reasoning framework?
A four-stage framework for understanding clinical reasoning in the community setting is presented. Presentation of a clinical reasoning framework exposes the breath of ‘signals’ encountered in practice and the range of knowledge employed in understanding and responding to patient need.
What is clinical reasoning and why is it important?
Clinical reasoning is an important aspect of advanced practice and involves the use of problem-solving to establish differential diagnoses for patients’ presenting medical conditions. A stages approach to clinical problem-solving provides a clear structure for developing coherent clinical reasoning strategies.
Why is clinical reasoning important?
Why is clinical reasoning important? The benefits of having sound clinical reasoning include making timely diagnoses, making prompt life-saving treatment plans, avoiding unnecessary investigations which reduces cost for the patient, and ultimately improving the patient’s health condition.
What is OT process?
The occupational therapy process is the client-centered delivery of occupational therapy services. The process includes evaluation and intervention to achieve targeted outcomes. The stages of the process and the dynamic interactions among the different aspects of the process are emphasized.
What are the types of clinical reasoning?
Seven different types of clinical reasoning are defined and discussed below. Scientific Reasoning. This type of reasoning focuses on the facts such as impairments, disabilities, and performance contexts. Diagnostic Reasoning. Procedural Reasoning. Narrative and Interactive Reasoning. Pragmatic Reasoning. Ethical Reasoning.
What is clinical knowledge?
Clinical knowledge consists of interpretive action and interaction-factors that involve communication, opinions, and experiences. The tacit knowing of an experienced practitioner should also be investigated, shared, and contested.
How do you develop reasoning skills?
Try to anticipate the outcome of your decisions. Spend time on creative hobbies. Creative outlets like drawing, painting, writing and playing music can stimulate the brain and help promote logical thinking. Practice questioning. Socialize with others. Learn a new skill. Try to anticipate the outcome of your decisions.
What is narrative clinical reasoning?
Narrative reasoning is a central mode of clinical reasoning in occupational therapy. Therapists try to “emplot” therapeutic encounters with patients, that is, to help create a therapeutic story that becomes a meaningful short story in the larger life story of the patient.
What are clinical decision making models?
Historically, two models of clinical decision making are recognised from the literature; the information processing model and the intuitive-humanist model. The usefulness and application of both models has been examined in relation the provision of nursing care and care related outcomes.
What is the clinical reasoning cycle?
Define reasoning as “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”.
What is the first step in clinical reasoning?
There are eight steps of the clinical reasoning cycle (Levitt-Jones, 2018). The first step of the clinical reasoning cycle is to consider the patient situation in which a nurse acquires an initial impression of the patient that may be negatively influenced by the nurse’s preconceptions, assumptions, and biases.
What are the steps of clinical reasoning?
The various phases of clinical reasoning include: Consideration of facts from the patient or situation. This is the phase where you are first presented with a clinical case. Collection of information. Processing gathered information. Identify the problem. Establish goals. Take action. Evaluation. Reflection.
What are the 6 steps in clinical reasoning?
Step 1: Consider the patient situation. Step 2: Collect cues and information. Step 3: Process information. Step 4: Identify problems and issues. Step 5: Establish the goal/s. Step 6: Take action. Step 7: Evaluate outcome. Step 8: Reflection.
How do you develop clinical reasoning?
Top 10 Strategies for Building Clinical Reasoning Skills Prioritize. Apply. Use formative assessment. Work around clinical shortages. Personalize the experience. Tell a story. Maximize manikin-based simulations. Apply real-world, evidence-based scenarios. Flip the classroom and the sim lab.
What is O Neill’s clinical decision making model?
Decision making is the process of developing an answer to a particular problem. The dichotomy of individual and group decision making is paramount for nursing due to the fact that professional choices directly influence people’s wellbeing and life (7.
What are the five stages of clinical reasoning?
Clinical reasoning is the process by which nurses 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.
How can DCE improve clinical reasoning skills?
In addition to replicating a clinical experience, the DCE increases student engagement, provides opportunities for reflection in the development of clinical reasoning skills, and it provides immediate feedback of performance.
What is clinical reasoning NHS?
Clinical Reasoning is the process by which a therapist interacts with a patient, collecting information, generating and testing hypotheses, and determining optimal diagnosis and treatment based on the information obtained.
How do you assess clinical reasoning skills?
Assessment of clinical reasoning abilities should be done throughout the training course in diverse settings. Use of scenario based multiple choice questions, key feature test and script concordance test are some ways of theoretically assessing clinical reasoning ability.