Question

Discuss your assumptions or underlying beliefs about each of the following: nurses, patients, other healthcare providers, communities.

After reading chapter 8, explain what does it mean to think like a nurse? Be sure to address the role of clinical judgment, clinical reasoning and critical thinking in your explanation. Explain the nursing process (on pages 224-227) and how this will inform your nursing practice.

Masters, K. (2017). Role development in professional nursing practice (4th ed). Burlington, MA: Jones & Bartlett.

Answer 1

Assumptions about a) nurse: persons are caring everytime, nurses are discepline and a profession, and they grounded in care, they are enhanced through participating in nuturing, b)patient: that they know what it means, what it does, and how to use it,we put patients at the centre, we empower patient through information, we measure success as satisfaction, c)other health care providers: standard care is the right care, my doctors has accurate records, no news is good news,dues will be notified,more is better,new is better,doctors dont want to be questioned. d)communities: people participate in making, adjusting, or controlling the major changes taking place in their communities,a holistic approach can deal successfully with problems. 2)Higher cognitive skills are essential competencies for nurses joining the technologically and increasingly complex halth care environment to provide safe and effective nursing care, clinical judgement in nursing is the a problem silving activity in which nurses use their critical and creative thinking skills to apply their nursing knowledge, attitudes, values and logic during patient assessment, utilising both deductive and inductive reasoning to express patient care,b) clinical reasoning: it 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, c)critical thinking:it is the discplined, intellectual process of applying skilful reasoning as a guide to belief or action, in nursing critical thinking for critical decision making is the ability to think in a systemic and logical manner with openness to question and reflect on the reasoning process used to ensure safe nursing practice and quality care.c) nursing process: it is a modified scientific method, it uses clinical judgement to strike a balance of epistemology between personal interpretation and research evidences in whcih critical thinking may play a part to categorize the clients issue and course of action, it has 5 separate steps: they are assessment phase : it is the phase a nurse gathers information about a patients psychologica, physiological, sociological and spiritual status 2nd phase is diagnosing pahse which involoves a nurse making educated judgement about a potential or actual health problem with a patient, 3rdphase is planning phase in this phase patient and nurse agree on the diagnoses, a plan of action can be developed, 4th pahseimplementing phase it is where the nurse follows through on the decded plan of action, 5th phaseis evaluation phase in this nursing intervention actions have taken plave the nurses completes an evaluation to determine of the goals for patient wellnes have been met.this helps in the development of the care plan and measurable outcomes and best results in the practice.