24 Questions
Identify and describe the phases of the clinical reasoning cycle.
The phases of the clinical reasoning cycle are Consider the patient situation, Collect cues and information, Process the information, Identify problems, Establish goals, Take action, Evaluate outcomes, and Reflect on the process.
Define clinical reasoning and describe the competencies that promote the development of clinical reasoning skills.
Clinical reasoning is the cognitive process used by healthcare professionals to gather and analyze patient information, evaluate the significance of this information, and make decisions. Competencies that promote the development of clinical reasoning skills include critical thinking, problem-solving, effective communication, and evidence-based practice.
Explain how the SBN values can be incorporated in the clinical reasoning process.
SBN values, such as empowerment, collaboration, and hope, can be incorporated into the clinical reasoning process by guiding nurses to consider the strengths and resources of the patient and family, fostering partnerships, and promoting a positive outlook in the decision-making process.
Describe how the use of clinical reasoning, nursing knowledge, and other evidence informs decision-making in diverse practice situations.
The use of clinical reasoning, nursing knowledge, and other evidence informs decision-making in diverse practice situations by guiding nurses to critically analyze and synthesize information to make informed and patient-centered decisions, considering the unique context and needs of each individual. This approach enhances the quality and effectiveness of nursing care.
Explain the ISoN Nursing Process and its emphasis on communication and clinical reasoning in patient care.
The ISoN Nursing Process emphasizes interprofessional communication in clinical reasoning and patient care, outlining phases such as assessment, nursing analysis, intervention, and outcomes/follow-up.
What is the goal of the nursing analysis phase in the ISoN Nursing Process?
The goal of the nursing analysis phase is to involve the patient and family in identifying health problems, concerns, and goals for desired changes or outcomes.
In the case scenario of Mr. Patch, what health problems were identified during the assessment phase?
During the assessment phase, Mr. Patch's health problems included weakness, decreased appetite, unsteadiness, and low energy.
What is the identified health problem for Mr. Patch in the case scenario, and what is the goal related to this problem?
The identified health problem for Mr. Patch is decreased mobility, and the goal is to improve his mobility and comfort.
How are interventions in the ISoN Nursing Process linked to the priority health problem?
Interventions are aimed at meeting the established goal, such as providing support for mobility and comfort, and these interventions need to be linked to the priority health problem.
What are the anticipated outcomes for Mr. Patch in the case scenario, and what further action may be needed?
The anticipated outcomes include an improvement in Mr. Patch's comfort and mobility, with the need for further action if the goals are not met.
What resources are mentioned in the text related to the professional examination of nurses in Quebec?
The text mentions resources for the professional examination of nurses in Quebec and relevant literature on clinical reasoning and nursing care.
What literature is referenced in the text on critical thinking and clinical judgment in nursing?
The text references literature on critical thinking and clinical judgment in nursing, along with the Strengths Based Nursing Teaching Online Course.
Explain the approach used by the ISON for clinical decision making and how it is guided.
The ISON utilizes the Clinical Reasoning Cycle (CRC) to facilitate clinical decision making guided by Evidence-based Nursing Practice (EBNP).
List the stages involved in the Clinical Reasoning Cycle.
The stages involved in the Clinical Reasoning Cycle include considering the patient situation, cultivating curiosity, processing information and evidence, evaluating practice change, and evaluating outcomes.
How can assumptions based on age, culture, gender, and biases affect clinical reasoning, and what are nurses encouraged to do during the Clinical Reasoning Cycle?
Assumptions based on age, culture, gender, and biases can lead to clinical reasoning errors, and nurses are encouraged to question these assumptions during the Clinical Reasoning Cycle.
What competencies facilitate a nurse's clinical reasoning skills according to the text?
Competencies that facilitate a nurse's clinical reasoning skills include knowledge in nursing and related disciplines, skills in observation and communication, and attitudes like curiosity and self-awareness.
Explain the purpose and key steps involved in Clinical Reasoning as mentioned in the text.
Clinical Reasoning is a purposeful thinking process focused on patient care, involving collecting cues and information, considering the patient situation, processing information, identifying problems, establishing goals, taking action, and evaluating outcomes.
How is the ISoN Nursing Process guided when choosing interventions and actions?
The ISoN Nursing Process is guided by SBN values specific to ISoN, incorporating the best available evidence when choosing interventions and actions.
What are the seven steps involved in Evidence-Based Practice (EBP) according to the text?
The seven steps involved in Evidence-Based Practice (EBP) include cultivating curiosity, asking answerable questions, searching for evidence, appraising evidence, integrating evidence into practice, evaluating practice change, and disseminating results of evaluation.
What are the criteria that EBP interventions should meet to inform clinical practice, as mentioned in the text?
EBP interventions should be relevant, valid, reliable, and applicable to the clinical question to inform clinical practice.
Name three key emphases of the ISoN Nursing Process according to the text.
The ISoN Nursing Process emphasizes collaboration with patients, strengths-based care, and involvement of patients in the Clinical Reasoning Cycle.
Provide the references for the information related to the Clinical Reasoning Cycle, Evidence-Based Practice, and Strengths-based nursing care as mentioned in the text.
The references include Levett-Jones et al. (2010) for the Clinical Reasoning Cycle, Melnyk, Fineout-Overholt, Stillwell, and Williamson for Evidence-Based Practice, and Gottlieb & Gottlieb (2012) for Strengths-based nursing care.
What is the approach used for documenting and orally transmitting the Nursing Process at ISON, as stated in the text?
The process incorporates the Strengths-Based Nursing (SBN) approach and is documented and orally transmitted using language adapted for interprofessional communication.
What are the resources related to the ISoN Nursing Process and Clinical Conversations in nursing education, as mentioned in the text?
The provided links lead to resources related to the ISoN Nursing Process and Clinical Conversations in nursing education.
Study Notes
Nursing Process and Clinical Reasoning Cycle Summary
- The Nursing Process used at the ISON (Ingram School of Nursing) utilizes the Clinical Reasoning Cycle (CRC) to facilitate clinical decision making guided by Evidence-based Nursing Practice (EBNP).
- The process incorporates the Strengths-Based Nursing (SBN) approach and is documented and orally transmitted using language adapted for interprofessional communication.
- The Clinical Reasoning Cycle involves stages such as considering the patient situation, cultivating curiosity, processing information and evidence, evaluating practice change, and evaluating outcomes.
- Assumptions based on age, culture, gender, and biases can lead to clinical reasoning errors, and nurses are encouraged to question these assumptions during the Clinical Reasoning Cycle.
- Competencies that facilitate a nurse's clinical reasoning skills include knowledge in nursing and related disciplines, skills in observation and communication, and attitudes like curiosity and self-awareness.
- Clinical Reasoning is a purposeful thinking process focused on patient care, involving collecting cues and information, considering the patient situation, processing information, identifying problems, establishing goals, taking action, and evaluating outcomes.
- The process is guided by SBN values specific to ISoN, incorporating the best available evidence when choosing interventions and actions.
- Evidence-Based Practice (EBP) involves seven steps, including cultivating curiosity, asking answerable questions, searching for evidence, appraising evidence, integrating evidence into practice, evaluating practice change, and disseminating results of evaluation.
- EBP interventions should be relevant, valid, reliable, and applicable to the clinical question to inform clinical practice.
- The ISoN Nursing Process also emphasizes collaboration with patients, strengths-based care, and involvement of patients in the Clinical Reasoning Cycle.
- The provided links lead to resources related to the ISoN Nursing Process and Clinical Conversations in nursing education.
- The references for the information provided include Levett-Jones et al. (2010) for the Clinical Reasoning Cycle, Melnyk, Fineout-Overholt, Stillwell, and Williamson for Evidence-Based Practice, and Gottlieb & Gottlieb (2012) for Strengths-based nursing care.
Test your knowledge of the Nursing Process and Clinical Reasoning Cycle at the ISON with this quiz. Explore key concepts such as Evidence-Based Nursing Practice, Strengths-Based Nursing approach, and the stages of the Clinical Reasoning Cycle. Assess your understanding of competencies and interventions that facilitate clinical reasoning skills, and learn about the importance of collaboration and patient involvement in the process.
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