LearningThrough Discussion Article
KeyWords and Terms
Clinicalreasoning – refersto the system of thinking, which provides a guideline to the nursingpractice. The following are different clinical reasoning approaches(Mendez& Neufeld, 2003).
Interactive reasoning – a situation whereby a healthcare service provider involves a client in a decision-making process, in the identification of significant issues with the aim of generating a customized care plan (Mendez & Neufeld, 2003).
Procedural reasoning – it is a system whereby the primary focus is the issue at hand accompanied by an intervention plan. The thinking process includes identification of issues, setting goals and response program design (Mendez & Neufeld, 2003).
Conditional reasoning – it is an experience-dependent complex system of thought that utilizes a multidimensional approach to assessing the effectiveness or limitations of procedural and interactive reasoning (Mendez & Neufeld, 2003).
Narrative reasoning – an approach whereby the therapist treats the patient as a story his experiences and circumstances are necessary for therapeutic intervention. Besides, clinical, interactive, conditional and narrative types of reasoning all fall under this particular type of logic (Mendez & Neufeld, 2003).
Pragmatic reasoning – a structured approach to thinking that considers all practical aspects of treatment (Mendez & Neufeld, 2003).
Therapeuticexperience is a vital competency in nursing practice. A well-seasonedstaff has a significant role for the acclimatization and professionaldevelopment of the new entry employees through supportive, guidanceand collaborative services (Mendez& Neufeld, 2003).
Fresh nursing staff from school still requires close, supportive services from skilled staff (Mendez & Neufeld, 2003).
Discussionquestion: what is the role of played by experienced personnel in thedevelopment of new employees?
The procedure focused curricula limit the capability of new staff to competently provide quality care (Mendez & Neufeld, 2003).
Discussionquestion: do healthcare personnel need to acquire more knowledge andskills above the school and placements training?
Clinical reasoning is vital for the provision of customized healthcare services (Mendez & Neufeld, 2003).
Discussionquestion: what is the most efficient type of clinical reasoning?
It takes the time to acquire substantial experience to perform once roles effectively (Mendez & Neufeld, 2003).
Discussionquestions: What is the length of time in practice necessary for oneto receive a significant level of experience? Are errors and mistakesnecessary for one to get training experience?
TheSignificance of the Chapter’s Contents to Practice
Experiencenursing practice is invaluable is hard to express in words. An entrylevel professional cannot internalize hands-on skills by observingfrom seasoned professionals. New nurses in the field focus so muchon adhering to established procedures than on thinking criticallyabout the patients’ issue at hand. Such nurses end up renderingpoor services, making diagnosis and treatment errors. However, theexperienced personnel acquire internalized procedures and treatmentapproaches over time their primary focus is the issue at hand andless on procedures. Integration and Internalization of necessaryprocedures into common day practice makes the nursing professionenjoyable and relatively easy (Mendez& Neufeld, 2003).
Experiencedpreceptors, on the other hand, should understand that nursingstudents honestly need their help. Training of nursing students is animportant issue. Preceptors should be patients, friendly, highlyresourceful and readily available to his/students. College trainingand internships do not give one enough confidence to tackle diverseclinical issues. The above observation contradicts my previousperceptions that schooling enables one to address different nursingissues. The chapter clearly indicates that new graduate shouldconsult and collaborate with his/her colleges to get support andnecessary guidance in the field. Experienced is a personal attributegained over time but not through the curricula (Mendez& Neufeld, 2003).
Curriculaconcentrate on fundamental procedures. However, these procedures arenot addressed entirely through schooling and placements. Vitalexperience in nursing practice requires progressive practice in thereal world. Patient’s healthcare needs will be different and uniquein most cases. Clinical reasoning is a vital skill for one to addressdistinct patient needs. An experienced healthcare staff will try atmost to provide customized therapeutic intervention however, workersat entry level will most likely stick to limited response plans asthey learned in the book (Mendez& Neufeld, 2003).
Experiencemakes the practice easy and to appear part of the daily routine.Different patients are unique and may demand customized therapeuticinterventions despite the fact that diseases may be similar.Experience is achievable through continuous practice and learning aswell as guidance and support from experienced staff. Besides,clinical reasoning is an essential element for training but takestime to develop and utilize effectively in a real clinical setting(Mendez& Neufeld, 2003).
Mendez,L., & Neufeld, J. (2003). ClinicalReasoning: What is it and why should I care? Ottawa:COAT Publications ACE. Retrieved on 14September2016 from, http://www.caot.ca/pdfs/Clinicalreasoning.pdf