N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

Discussion 1

Post to the discussion board a planned approach to communicating with someone who speaks another language. What type of questions will you need to ask? Was there any communication issues discussed this week in Shadow Health? How does communication impact the concept of clinical reasoning in nursing? Please discuss the issues completely, citing your sources so that your classmates can reference the information. Include one insight gained this week from your readings or interaction in Shadow Health.

Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria. N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice Sample Approach to Discussion 1

The ability to communicate fully and completely is a vital aspect of all healthcare. Before we can even begin to ask open-ended questions. We as healthcare providers need to suppress our ethnocentricity and bias that everyone living in this country has even a basic grasp of the English language. Prior to entering the exam room or patient room is to determine how to effectively communicate with the patient and family. In the primary care setting the healthcare provider has the opportunity to review the patient record to become familiar with the patient (Bickley, 2017). Healthcare facilities have secured interpretation services, most often via telephone. Larger hospitals have entire departments dedicated to providing interpretation services. In the case of having an interpreter in the examination, they should stand behind the provider so that eye contact can be maintained between that provider and the patient (Bickley, 2017). If using the telephonic service, that telephone, on speaker, can be placed between the provider and the patient to allow that eye contact. Azam and Watson (2017) noted that even those patients that are bilingual, in times of stress they often prefer to communicate in their native language. Shadow Health discussed how to communicate with the virtual patient so that each question is in context to the specific aspect being discussed.

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice References

Azam P. Watson R. (2017) Language barriers and their impact on provisions of care to patients with limited English proficiency: Nurses’ perspectives. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.14204

Bickley, L. S. (2017). Bate’s guide to physical examination and history taking (12th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.

269 words

Well done. Discuss another culture and how cultural practices may impact health.

12 words

Dr. C,
I have been intrigued by the Hmong peoples and culture for quite some time, so I decided to concentrate on their cultural differences concerning healthcare. The Hmong were recruited by the Central Intelligence Agency during the Vietnam war to assist in Laos. After that war was over many Hmong became refugees in this country, bringing with them their unique culture. At present, it is estimated that there are more than 260,000 (Fang and Stewart, 2018). The traditional religion for the Hmong is Animism and Shamanism (Her-Xiong and Schropfer, 2018). Animism is defined as the belief that everything has a soul (Dictionary.com). For the Hmong, this means that good health is an equilibrium between themselves and the universe (Her-Xiong and Schropfer, 2018). For those times when healing is needed the Hmong turns to a shaman. The Hmong are fearful of Western medicine and a very paternalistic culture, and deferring all decisions to tribal elders (Fang and Stewart, 2018). These cultural differences are in addition to a language barrier between their native language and the English language. Without taking all of this into account, the healthcare provider is doing a disservice to the patient and family, along with wasting time, energy, and resources.

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice References

Fang D. Stewart S. ( 2018) Social-cultural, traditional beliefs, and health systems barriers of hepatitis b screening among Hmong-Americans:
a case study. Cancer 124(Suppl 7) p 1576-1582. doi: 10.1002/cncr.31096
Her-Xiong Y. Schroepfer T. (2019) Walking in two worlds: Hmong end-of-life beliefs and rituals. Journal of Social Work in End-of-life & Palliative Care 14(4) p 291-314. doi: 10.1080/15524256.2018.1522288

265 words N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice Assignment 1

Assignment Instructions:

Write a three-page paper on the use of clinical reasoning in developing and applying advanced health history and physical assessment skills at the graduate level. Consider contemporary nursing literature on the development of clinical reasoning and decision-making. How does the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level. Please use the submission parameters and rubric below to guide you when completing this assignment.

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 3 pages, which does not include the cover page and reference page(s).

I. Introduction (including purpose statement)

II. Clinical Reasoning

Describe how clinical reasoning is used in developing and applying advanced health history and physical assessment skills at the graduate level.

III. Nursing Process

Describe how the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level.

IV. Clinical Example

Discuss an example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning.
Discuss how nursing care is provided when each of these concepts are evidenced in nursing care of the patient. N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

V. Conclusion

VI. References (consider contemporary nursing research studies or reliable electronic sources)

In regards to APA format, please use the following as a guide:

Include a cover page and running head (this is not part of the 3 pages limit)
Include transitions in your paper (i.e. headings or subheadings)
Use in-text references throughout the paper
Use double space, 12 point Times New Roman font
Apply appropriate spelling, grammar, and organization
Include a reference list (this is not part of the 3 pages limit)
Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice Assignment 1 Rubric

Competency	30	27	25	0	Points
Define, compare and contrast clinical reasoning and decision-making. How is this related to critical thinking and clinical judgment in graduate level nursing practice?	Defines, compares, and contrasts clinical reasoning and decision-making with cited references in addition to course readings for Week 1. Answers posed questions. N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice	Defines, compares, and contrasts clinical reasoning and decision-making with cited references from course readings for Week 1. Answers posed questions.	Describes clinical reasoning and decision-making. Briefly answers how is this related to critical thinking and clinical judgment in graduate level nursing practice?	Does not define, compare and contrast clinical reasoning and decision-making. Does not answer how is this related to critical thinking and clinical judgment in graduate level nursing practice?	/30
	30	27	25	0
Consider contemporary literature and apply the concept of clinical reasoning to advanced physical assessment in nursing.	Considers contemporary literature and applies the concept of clinical reasoning to advanced physical assessment in nursing.	Considers textbook literature and references within text book without further consideration of external literature support.	Considers and applies concept of clinical reasoning to advanced physical assessment in nursing without reference to expert opinion or research literature.	Does not consider and apply concept of clinical reasoning to advanced physical assessment in nursing.	/30
	30	27	25	0
Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. How is nursing care provided or modified when each of these concepts are evidenced in nursing care of the well-adult, family, and one special population?	Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, and one special population.	Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, or one special population.	Demonstrates the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Discusses how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population.	Does not demonstrate the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Does not discuss how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population.	/30
	10	9	8	0
APA Format, grammar, punctuation and spelling. N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice	APA Format, grammar, punctuation and spelling is accurate with no errors.	APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice	APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors.	APA Format, grammar, punctuation and spelling is accurate with more than five types of errors.	/10

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice Assignment 1 Rubric
Competency

Points

Define, compare and contrast clinical reasoning and decision-making. How is this related to critical thinking and clinical judgment in graduate level nursing practice?

Defines, compares, and contrasts clinical reasoning and decision-making with cited references in addition to course readings for Week 1.
Answers posed questions.

Defines, compares, and contrasts clinical reasoning and decision-making with cited references from course readings for Week 1.
Answers posed questions.

Describes clinical reasoning and decision-making. Briefly answers how is this related to critical thinking and clinical judgment in graduate level nursing practice?

Does not define, compare and contrast clinical reasoning and decision-making. Does not answer how is this related to critical thinking and clinical judgment in graduate level nursing practice? N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

Consider contemporary literature and apply the concept of clinical reasoning to advanced physical assessment in nursing.

Considers contemporary literature and applies the concept of clinical reasoning to advanced physical assessment in nursing.

Considers textbook literature and references within text book without further consideration of external literature support.

Considers and applies concept of clinical reasoning to advanced physical assessment in nursing without reference to expert opinion or research literature.

Does not consider and apply concept of clinical reasoning to advanced physical assessment in nursing.

Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. How is nursing care provided or modified when each of these concepts are evidenced in nursing care of the well-adult, family, and one special population?

Provides one clinical example demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning. Discusses how nursing care was provided or modified when each of these concepts were evidenced in nursing care of the well-adult, family, and one special population.

Demonstrates the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Discusses how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population.

Does not demonstrate the nurse’s use of critical thinking, clinical judgment, or clinical reasoning. Does not discuss how nursing care was provided or modified when these concepts were evidenced in nursing care of the well-adult, family, or one special population. N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

APA Format, grammar, punctuation and spelling.

APA Format, grammar, punctuation and spelling is accurate with no errors.

APA Format, grammar, punctuation and spelling is accurate with less than two types of errors.

APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors.

APA Format, grammar, punctuation and spelling is accurate with more than five types of errors.

/10 N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice

Discussion 1

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice References

Re: D1

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice Re: D1

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice References

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice Assignment 1

N522PE-20A Module 1 Assignment 1 Implementing Clinical Reasoning in Practice Assignment 1 Rubric