steps of the clinical reasoning cycle

What are the Best 8 steps of the clinical reasoning cycle?

What are the Best 8 steps of the clinical reasoning cycle?

steps of the clinical reasoning cycle
steps of the clinical reasoning cycle

Clinical reasoning cycle is the concept which was promoted by a professor of Nursing at Newcastle, Tracy-Levett Jones. As the name itself suggests, the clinical reasoning cycle organizes the procedure of clinical reasoning into different systematic steps. It helps the healthcare professionals, specifically physicians and nurses, to incorporate logical considerations. It is a cognitive and metacognitive process, which is taken into consideration for examining knowledge that is relative to a clinical situation or a specific patient.


It is also noted here that the steps of the clinical reasoning cycle is divided into eight steps, but it is a continuum. To successfully work according to this cycle, it is not always mandatory to move ahead from one stage to the other, but sometimes, move back and forth from one phase to the other until the patient’s exact situation is assessed. All-in-all, this procedure is based on the outcomes of the various tests done on the patient.


In this write-up, we will be discussing the different steps of the clinical reasoning cycle. This post will also help many medical students to know how this cycling can profit in a practical sense. 


Step #1: Examining the condition of the patient

This is the first step of the clinical reasoning cycle, where the patient’s condition is taken into consideration. This is a time where you are introduced to the clinical case for the first time. This is where you need to present the case with accuracy stating all the facts. A comprehensive patient evaluation includes steps that help in the evaluation, such as performing an initial assessment, take a patient’s medical records, complete a subsequent evaluation, and get the full summary of the occurrence and its surroundings.


Step #2: Getting hands-on with the history of the patient

This is the second step of the clinical reasoning cycle, wherein the nurses collect all the data or the patient’s medical history. This includes the complaint history, current treatment plan, investigation results, and other present vital signs, which need to be considered. 

Step #3: Processing of patient’s current health

At the third step of the clinical reasoning cycle, nurses have to process the information they have gathered. Herein, they will have to interpret or relate the situations and envisage an outcome. This is one of the most complicated steps as it involves multiple things altogether. 

Step #4: Identifying the problem

After completing the vital and most complicated step of processing the information, next comes the stage, wherein you will be able to know why the patient is suffering from the current situation or problem. The diagnoses can only be made correctly when it is identified correctly. Problem identification of the patient helps recognize and acknowledge that a disparity exists and explains a problem description account.

Step #5: Deciding on steps to be taken

Step five is all about deciding on the goals. Once the plans are finalized, it becomes easier for the nurses to work towards attaining them. In addition to this, how fast the desired goal is to be met is also to be decided upon. The nurses use a systematic guide that is patient-centric with the following steps. The nurse uses their critical thinking abilities to out with reliable actions by proper diagnosis, outlining, and evaluation. 

Step #6: Executing the action to be taken

After deciding what needs to be done, nurses have to execute the actions they finalized in the last step finally. Of course, this is to be done with other healthcare team members, and so they must be intimated about the goals and actions to be taken. 

Step #7: Evaluating the effectiveness of the action taken

The seventh step is about evaluating the effectiveness of the course of action you have taken. In this step, once you examine the action taken, you will get to know if it’s working for the patient or not. If yes, you can continue with the line of action; otherwise, you can readjust the action plan. 

Step #8: Reflecting upon the entire procedure

Last but not least. The final step of the clinical reasoning cycle is about fortifying the skill. Now, as a practical and responsible nurse, you have to reflect upon what you have gained from the entire case or what new things you have learned while handling the whole matter. This is how you will also get to know what you need to employ and what you need to avoid in similar future occurrences. 


Why adopt the eight steps of the clinical reasoning cycle?


For safe and effective care, adopting a clinical reasoning cycle is essential. In case you have been wondering what the importance of doing so is, let me tell you. The steps of the clinical reasoning cycle facilitate the “thinking that is present behind the patient’s management plan, permitting the nurses to go through a series of systematic steps deeply. This will ultimately lead them to the ultimate decision of knowing what the best is for the patient. 

If the steps of the clinical reasoning cycle are done effectively, it helps nurses in making a positive impact on the patient. And, if done otherwise, it would have a negative effect on the patient. 


Summing up!

Therefore, it is undeniable that the steps of the clinical reasoning cycle play a significant role in medical practice. The reasoning cycle is all about reviewing the symptoms, examining the effects, and determining the treatment course.

It is also to be mentioned here that nurses executing a reasoning cycle has shown positive results and has also helped nurses get to know the psychology of the patients and connect with them on an emotional level. Thereby, nurses behave more humanely towards their patients and also gain respect from the patients in return. You also help with this link best assignment help.

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