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, 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
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
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 ICU patients’ hospital stay on online
databases like Medline, CINAHL, and ProQuest.
The information presented on these sites can help
to evaluate the various strategies that are likely to
be effective in improving the recovery of the ICU
patients. Later, information processing, which
involves an analysis, making of inferences, and
prediction of outcomes, can be helpful in
developing the best intervention for the ICU
patients to recover quickly. After these strategies
have been applied, then I can move ahead to take
, action for the improvement of ICU patients'
experiences and outcomes.
References
Holdsworth, C., Haines, K. J., Francis, J. J.,
Marshall, A., O’connor, D., & Skinner, E. H.
(2015). Mobilization of ventilated patients in the
intensive care unit: An elicitation study using the
theory of planned behavior. Journal of critical
care, 30(6), 1243-1250.
Needham, D. M. (2008). Mobilizing patients in the
intensive care unit: improving neuromuscular
weakness and physical function. Jama, 300(14),
1685-1690.
Simmons, B. (2010). Clinical reasoning: Concept
analysis. Journal of Advanced Nursing, 66(5),
1151-1158.
2
NIT6160 Assignment 2 Project: Data Mining
using R
This project is worth 20% of the total assessment
of this unit, and is due on week 12.
The goal of this project is to applying association
rule mining, classification and clustering methods
on the Mushroom or Ionosphere and groceries
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, 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
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
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 ICU patients’ hospital stay on online
databases like Medline, CINAHL, and ProQuest.
The information presented on these sites can help
to evaluate the various strategies that are likely to
be effective in improving the recovery of the ICU
patients. Later, information processing, which
involves an analysis, making of inferences, and
prediction of outcomes, can be helpful in
developing the best intervention for the ICU
patients to recover quickly. After these strategies
have been applied, then I can move ahead to take
, action for the improvement of ICU patients'
experiences and outcomes.
References
Holdsworth, C., Haines, K. J., Francis, J. J.,
Marshall, A., O’connor, D., & Skinner, E. H.
(2015). Mobilization of ventilated patients in the
intensive care unit: An elicitation study using the
theory of planned behavior. Journal of critical
care, 30(6), 1243-1250.
Needham, D. M. (2008). Mobilizing patients in the
intensive care unit: improving neuromuscular
weakness and physical function. Jama, 300(14),
1685-1690.
Simmons, B. (2010). Clinical reasoning: Concept
analysis. Journal of Advanced Nursing, 66(5),
1151-1158.
2
NIT6160 Assignment 2 Project: Data Mining
using R
This project is worth 20% of the total assessment
of this unit, and is due on week 12.
The goal of this project is to applying association
rule mining, classification and clustering methods
on the Mushroom or Ionosphere and groceries
