COMPETENCY & CLINICAL REASONING |
Competency and Clinical Reasoning
The society should be able to trust professional nurses to display a high level of competence in their work (American Nurses Association, 2013). All nurses have a personal responsibility to ensure their level of competence remains as high as possible. The Nursing associations are tasked with the job of creating a procedure of assessing competence of nurses. Competency in this context refers to the quality of work that a patient looks forward to from a nurse and it is characterized by high knowledge levels, well-honed skills and capabilities as well as good deduction ability.
Clinical reasoning is a commonly used phrase in medical writing where it could appear in its other forms such as medical judgment, analytical reasoning, solution provision and others. Clinical reasoning refers to a procedure in which nurses and other health personnel gather signs and signals, decipher what they could mean and with this, make a diagnosis of a patient's illness. Solutions are then developed and administered, and its results accessed to detect ways through which the solutions can be improved. This procedure is based on the level of analytical reasoning and it's affected by the general opinions, beliefs and notions held by the subject. Clinical reasoning cannot be accurately described as a linear system however it could be projected as a complex web of medical experiences (Faculty...
The huge numbers of these practitioners is attributed to their ability to work in diverse settings that are well-lit and comfortable. Furthermore, their huge numbers are attributed to their work schedules i.e. rotating shifts that cover the entire 24 hours due to the need for round-the-clock care in hospitals and nursing care centers. As a result, registered nurses may work on weekends, during holidays, and at night. Therefore, registered
In all, a total of 5317 shifts were studied of which 2,057 shifts were for more than 12.5 hours. Within the 28-day period of the study two thirds of the nurses reported to have worked overtime 10 times or even more. There were a total of 199 reported errors and 213 'near errors' during the study period and the majority of the errors (58%) involved wrongful administration of medications.
The new nurse should not be left to muddle through alone. Benner's work (cited in Messmer, Jones & Taylor, 2004) showed that nurses become more proficient and develop better cognitive skills and judgment when they are exposed to competent and proficient preceptors. A preceptorship program in which the new nurse is paired with an experienced professional nurse for a time could greatly ease the transition. The preceptor helps the new
Moreover, other key benefits of a baccalaureate education include increased self-direction, improved ethical conduct, enhanced performance, increased responsibility, and professional enhancement. (Leonard, 2003) This situation is what they call the RN to BSN program that encourages registered nurses with ADN or diploma course as entry-levels for nursing licensure, to go back to school and get a bachelor's degree. http://www.y-axis.com/healthcare/career/facts.shtml, para 11) In 2004, there were 600 RN-to-BSN programs in the
Public Database: American Nurses Association (ANA) The purpose of the American Nurses Association (ANA) is to represent and exemplify the interests of over 3.5 million registered nurses in the United States. In particular, the American Nurses Association progresses the nursing profession by cultivating high standards of nursing practice, supporting and stimulating a safe and ethical work setting, strengthening and sustaining the health and wellbeing of nurses, and sponsoring health care issues
Public Database: American Nurses Association (ANA) The purpose of the American Nurses Association (ANA) is to represent and exemplify the interests of over 3.5 million registered nurses in the United States. In particular, the American Nurses Association progresses the nursing profession by cultivating high standards of nursing practice, supporting and stimulating a safe and ethical work setting, strengthening and sustaining the health and wellbeing of nurses, and sponsoring health care issues
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