Nursing Clinical Reasoning Errors

Nursing Clinical Reasoning Errors Week 5

Nursing Clinical Reasoning Errors Week 5

Provide a very brief overview of your clinical encounter that highlights where the error/challenge/missed opportunity occurred (300 words).

Body (700 words)

Upon reviewing the module content and your previous paper, identify TWO clinical reasoning errors that best aligned to, or potentially could have occurred during your encounter that contributed to why that encounter was challenging or perhaps did not go to plan.

Describe those TWO clinical reasoning errors chosen and discuss how these may have occurred and why. How were the errors eventually remedied? how could they have been mitigated? How could it have impacted on patient outcomes if the error was not identified? In this section you may have to recall elements/assessment data from your clinical encounter to contextualise your discussion.

Conclusion (500 words)

‘Reflect on and process new learning’

From your exploration, consider your future nursing practice. What did you learn? what would you do differently next time? What strategies will you use? How has this enhanced your clinical reasoning skills? This forms a reasonable portion of your paper and therefore you need to demonstrate deep reflection here. Saying ‘I would read more about…..’, etc is not sufficient. We really need to see the encounter as a whole. What have you learnt from this that has better enabled you to ‘think like a registered nurse’.

In addition to the information provided in the unit outline, a rubric is provided to guide your preparation of this assessment task. Word counts for each section are to be considered as a guideline.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT

Nursing clinical reasoning errors can have a major impact on patient outcomes, which is why it is so important to understand the factors that influence these errors and the strategies for reducing them. In this essay, I will explore the various factors that influence nursing clinical reasoning errors, the strategies that can be used to reduce them, and the impact they can have on patient outcomes.

Clinical reasoning errors can be caused by a variety of factors, including psychological, environmental, and individual, according to a study by J Higgs, A Burn, and M Jones published in the AACN Advanced Critical Care Journal in 2001. Psychological factors can include stress, fatigue, and cognitive overload, which can lead to decreased effectiveness in decision-making and a higher likelihood of errors. Environmental factors can include a chaotic work environment or poor communication between staff members, which can lead to lack of information sharing and a greater likelihood of error. Finally, individual factors such as lack of experience or knowledge can lead to incorrect assumptions or conclusions. According to Higgs et al., the most common factors influencing nursing clinical reasoning errors are psychological, followed by environmental, and then individual (2001). In order to reduce the likelihood of clinical reasoning errors, it is important for nurses to be aware of the potential influences of these factors and take steps to mitigate them.

Clinical reasoning errors are one of the most significant challenges facing nursing practice today. To address this issue, it is important to understand the strategies that can be used to reduce these errors. According to CL Nordick in the Journal of the American Association of Nurse Practitioners (2021), it is important to first consider the internal and external factors that influence a nurse’s clinical reasoning. Internal factors that influence clinical reasoning include the nurse’s knowledge, experience, and cognitive skills, while external influences include technological innovations, changing policies and procedures, and changes in patient care. Once the influencing factors are understood, a nurse can then identify strategies to reduce clinical reasoning errors, such as improving their knowledge base through continuing education, using simulation to practice clinical reasoning, and implementing effective communication strategies. Additionally, Nordick (2021) recommends utilizing team-based approaches, such as interprofessional collaboration, to improve the quality of clinical reasoning and reduce errors. By understanding the influencing factors and implementing the recommended strategies, nurses can reduce clinical reasoning errors and improve the quality of patient care.

Nursing clinical reasoning errors have a direct impact on patient outcomes. T. Levett-Jones et al. (2010) conducted a study to assess the impact of nursing clinical reasoning errors on patient outcomes. The results of the study indicated that clinical reasoning errors can lead to a range of adverse outcomes, including delays in diagnosis and treatment, incorrect diagnosis and treatment, incorrect patient information, and incorrect medication administration. Further, the study indicated that nurses often do not recognize or recognize too late that an error has been made. This may be due to the complex nature of nursing clinical reasoning and the lack of experience of nurses in recognizing errors. Consequently, the study concluded that it is important for nurses to be aware of the potential for clinical reasoning errors and to take steps to reduce the likelihood of errors occurring. The authors recommend that nurses should receive regular training and education on clinical reasoning and should be encouraged to discuss errors or near misses with other nurses. Additionally, the authors also suggest that organizations should provide a supportive environment for nurses to report errors and near misses and to encourage a culture of safety and learning. By doing so, organizations can reduce the likelihood of patient harm due to clinical reasoning errors.

Nursing clinical reasoning errors can have serious implications in the delivery of patient care, ranging from potential adverse events, to inefficient or ineffective interventions, to negative outcomes. It is therefore essential for nurses to be aware of these errors and take steps to identify and address them, as well as ensure they are able to anticipate events and respond accordingly. Ultimately, the best way to prevent errors from occurring is for nurses to stay current on best evidence-based practices, ask questions when needed, and utilize the skills of collaboration, critical thinking, and problem-solving to make sound clinical decisions.
Work Cited
T Levett-Jones., D Sundin.”Learning to think like a nurse.”https://www.academia.edu/download/4771416/handover-11-10.pdf#page=17
“Integrating strategies for improving diagnostic reasoning and error reduction.”https://journals.lww.com/jaanp/Fulltext/2021/05000/Integrating_strategies_for_improving_diagnostic.7.aspx?context=LatestArticles
“Integrating clinical reasoning and evidence-based practice.”https://aacnjournals.org/aacnacconline/article-abstract
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