What is the purpose of the 'Clinical Reasoning in Action' feature in the textbook?
The 'Clinical Reasoning in Action' feature focuses on the thinking required to prioritize and modify assessments to provide the best care, showing how assessment is constantly used in a rapidly changing patient situation. It uses a table to bring assessment elements together, arrive at a nursing diagnosis, and begin developing goals, interventions, rationales, and evaluation criteria, demonstrating that accurate assessment generates intervention, evaluation, and collaboration.
This feature appears as the last section of each chapter's patient case. It purposefully moves from data collection to clinical decision making: the case data are clustered, deviations from expected findings are recognized, plans are implemented, and the patient is reassessed, just as in real clinical settings. Through a table format, it shows how to synthesize all elements of assessment when forming a nursing diagnosis based on previous findings, then begin developing goals, interventions, rationales, and evaluation criteria. In doing so, it illustrates how assessment itself drives intervention, evaluation, and collaboration when the data are accurate and complete.
Key points
- Focuses on thinking required to prioritize and modify assessments for best care.
- Mirrors clinical practice by clustering data, recognizing deviations, implementing plans, and reassessing.
- Uses a table to synthesize assessment into a nursing diagnosis and develop goals and interventions.
- Demonstrates how assessment generates intervention, evaluation, and collaboration from complete data.
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Nursing Health Assessment a best practice approach
Jensen, Sharon
Third edition · Wolters Kluwer