N522PE Module One: Introduction to the Course & Implementing Clinical Reasoning in Practice

N522PE Module One: Introduction to the Course & Implementing Clinical Reasoning in Practice

Discussion 1

Post to the discussion board a planned approach to communicating with someone who speaks another language. What type of questions will you need to ask? Was there any communication issues discussed this week in Shadow Health? How does communication impact the concept of clinical reasoning in nursing? Please discuss the issues completely, citing your sources so that your classmates can reference the information. Include one insight gained this week from your readings or interaction in Shadow Health.

Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria.

Example Approach

Obtaining an accurate and comprehensive patient history is dependent upon being able to communicate effectively. Effective communication allows the nurse to gain essential information needed to enable the clinician to apply clinical reasoning processes when ascertaining the patient’s presenting condition and severity of illness and then allows the clinician to use that information to establish the differential diagnoses and plan of care (Barratt, 2018). If the clinician is unable to communicate effectively with the patient, important information may be overlooked which can influence the ability of determining an accurate diagnosis. Additionally, effective communication supports shared decision-making regarding treatments and results in greater levels of patient satisfaction (Barratt, 2018). N522PE Module One: Introduction to the Course & Implementing Clinical Reasoning in Practice

Interviewing a patient that speaks a language that the clinician does not can be particularly challenging. However, it is imperative that steps be taken to overcome the language barrier. A trained interpreter should be utilized if a patient speaks a different language than the clinician (Bickley,2017). Family members should not be relied upon to interpret. Asking a family member to translate may provide incorrect or incomplete patient information and may violate the patient’s confidentiality (Bickley,2017). The qualified interpreter should be asked to translate everything said and be instructed to not summarize or condense the conversation (Bickley,2017). Additionally, it should not be assumed that the patient can read his or her written language. Prior to being given written medical information, the patient should be asked if they are able to read in their spoken language (Bickley,2017).

The activities in Shadow Health this week reviewed patient interview topics that need to be discussed with the patient and how to structure questions to best acquire the needed information and communicate effectively with patients. Patient interview topics that should be addressed include the reason for the visit, the patient’s medical history, the patient’s current medications and supplements, and all allergies. The Shadow Health lesson discussed obtaining this information by using a combination of open-ended questions, yes or no questions, and quantitative questions. The exercises in Shadow Health helped me understand the importance of follow-up questions. For example, it is not enough to establish that a patient has a food allergy. It is also necessary to determine the severity and type of symptoms associated with the allergic reaction, how the patient treats the allergic reaction, and how the patient prevents a reaction from occurring.

References

Bickley, L. S. (2017). Bate’s guide to physical examination and history taking (12th ed.). Philadelphia, PA: Wolters Kluwer.

Barratt J (2018). Developing clinical reasoning and effective communication skills in advanced practice. Nursing Standard, 34(2), 37-44. http://dx.doi.org.americansentinel.idm.oclc.org/10.7748/ns.2018.e11109

Assignment 1

Assignment Instructions:

Write a three-page paper on the use of clinical reasoning in developing and applying advanced health history and physical assessment skills at the graduate level. Consider contemporary nursing literature on the development of clinical reasoning and decision-making. How does the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level. Please use the submission parameters and rubric below to guide you when completing this assignment.

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 3 pages, which does not include the cover page and reference page(s).

I. Introduction (including purpose statement)

II. Clinical Reasoning

Describe how clinical reasoning is used in developing and applying advanced health history and physical assessment skills at the graduate level.

III. Nursing Process

Describe how the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level.

IV. Clinical Example

Discuss an example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning.
Discuss how nursing care is provided when each of these concepts are evidenced in nursing care of the patient.

V. Conclusion

VI. References (consider contemporary nursing research studies or reliable electronic sources)

In regards to APA format, please use the following as a guide:

Include a cover page and running head (this is not part of the 3 pages limit)
Include transitions in your paper (i.e. headings or subheadings)
Use in-text references throughout the paper
Use double space, 12 point Times New Roman font
Apply appropriate spelling, grammar, and organization
Include a reference list (this is not part of the 3 pages limit)
Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

Assignment 1 Rubric

Competency	30	27	25	0	Points
Define, compare and contrast clinical reasoning and decision-making. How is this related to critical thinking and clinical judgment in graduate level nursing practice?	Defines, compares, and contrasts clinical reasoning and decision-making with cited references in addition to course readings for Week 1. Answers posed questions. N522PE Module One: Introduction to the Course & Implementing Clinical Reasoning in Practice	Defines, compares, and contrasts clinical reasoning and decision-making with cited references from course readings for Week 1. Answers posed questions.	Describes clinical reasoning and decision-making. Briefly answers how is this related to critical thinking and clinical judgment in graduate level nursing practice?	Does not define, compare and contrast clinical reasoning and decision-making. Does not answer how is this related to critical thinking and clinical judgment in graduate level nursing practice?	/30
	30	27	25	0
Consider contemporary literature and apply the concept of clinical reasoning to advanced physical assessment in nursing.	Considers contemporary literature and applies the concept of clinical reasoning to advanced physical assessment in nursing.	Considers textbook literature and references within text book without further consideration of external literature support.	Considers and applies concept of clinical reasoning to advanced physical assessment in nursing without reference to expert opinion or research literature.	Does not consider and apply concept of clinical reasoning to advanced physical assessment in nursing.	/30
	30	27	25	0
Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. How is nursing care provided or modified when each of these concepts are evidenced in nursing care of the well-adult, family, and one special population?	Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, and one special population.	Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, or one special population. N522PE Module One: Introduction to the Course & Implementing Clinical Reasoning in Practice	Demonstrates the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Discusses how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population.	Does not demonstrate the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Does not discuss how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population.	/30
	10	9	8	0
APA Format, grammar, punctuation and spelling.	APA Format, grammar, punctuation and spelling is accurate with no errors.	APA Format, grammar, punctuation and spelling is accurate with less than two types of errors.	APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors.	APA Format, grammar, punctuation and spelling is accurate with more than five types of errors.	/10

N522PE Module One: Introduction to the Course & Implementing Clinical Reasoning in Practice