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1
Reasoning in a Specialty Area
Clinical reasoning is a process used by
nurses and other clinical professionals to
collect data, process information, understand a
patient’s situation or problem, develop
treatments and interventions, and develop
outcomes. This concept is often used
synonymously with decision making or
problem-solving. Even though they are related
concepts, there is a difference in the process
of clinical reasoning and the conventional
decision-making process. The main difference
between clinical reasoning and these other
concepts is that the former focuses on the
strategies that clinicians use to make their
judgment and solve a problem (Simmons,
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2010). Clinical reasoning is often applied in
practice to enhance patient outcomes.
How Reasoning Strategies are Applied in
my Specialty Area.
In developing interventions for
improving the experiences and outcomes for
intensive care unit (ICU) patients, various
clinical reasoning strategies are often applied.
One of the strategies most commonly used in
this specialty area is the hypothetic-deductive
model of reasoning. This reasoning strategy
begins with the identification of initial cues
about the patient or patient group, and then
relevant information is developed to determine
the causes of the cues and develop
interventions. An example of the use of this
strategy is Holdsworth et al. (2015). This study
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begins by hypothesizing that the mobilization
of ICU patients is important, but there are
attitude and belief barriers that prevent nurses
from mobilizing patients. The researcher’s go-
ahead to conduct a study of the nurses'
attitudes and beliefs with the help of a survey
study and with the results they recommend
interventions to help nurses improve the way
they deal with patients. Needham (2008) also
uses the same inquisitive strategy to determine
how the mobilization of ICU patients can help
to improve their physical functioning. In this
case, the researcher performs an analysis of
existing evidence to conclude that patients in
ICU can enhance their physical activity for
quicker recovery.
Applying Reasoning Strategies to the
Refinement of my EBP Project Question
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My EBP question seeks to understand how the
early mobilization of patients in intensive care
can help them to recover quicker for early
discharge to be possible. There are various
reasoning strategies that I have used so far to
develop the question and will be used to
develop the appropriate answers to enhance
patient outcomes. The basic strategy applied
to refine the EBP project question is
considering the patients’ situation. I made an
observation that patients in intensive care take
too long to be discharged, which led to the
inquisitiveness of the situation to determine
some of the reasons for the long hospital
stays. To answer the develop question, I can
apply the strategies of gathering and reviewing
information from various research studies on
the issue. There is a multitude of evidence on
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