Assessment Task 3: Critical Analysis of Learning Outcomes, Evidence, Judgment and Further Action in Nursing

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This assessment task 3 is a critical analysis of learning outcomes, evidence, judgment and further action in nursing. The study undertakes a critical analysis of the judgments based on the learning sessions of this course throughout the semester.

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Running head: ASSESSMENT TASK 3 1
Assessment Task 3
Name
Institution

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ASSESSMENT TASK 3 2
Assessment Task 3
Introduction
At the beginning of the semester, I was able to set enthusiastic goals to be achieved after
completing the course. As a trainee nurse, I have always strived towards ensuring that the
services I offer to my clients meet the set global standards through advancement of effective
personal judgments, use of scholarly and proven scholarly evidences when making decisions and
enhancement of my reflection capabilities in fostering clinical assessments and judgments. Some
of these objectives included:
To inculcate evidence based practices when advancing professional decisions
To identify a competent nurse in practice as a role model in my decision making
processes
To acquaint myself with professionally and clinically proven assessment techniques
The ensuing sections of the study undertake a critical analysis of the judgments based on the
learning sessions of this course throughout the semester. Pertinent issues such as the learning
outcomes, evidence, judgment and further action are assessed. Murray et al. (2015) and Patterson
et al. (2016) describe the Gibb’s reflective model as one of the most effective frameworks of
analyzing nursing modules that call for implementation contemplative writing. On the other
hand, Lestander, Lehto and Engström (2016) explain that Gibb’s model embraces a reflective
cycle with six stages that are identified as description, feelings, evaluation, analysis, conclusion
and action plan.
Learning Outcomes
At the beginning of the course, I had developed higher levels of optimism that the module
would play a significant role in stirring my critical thinking abilities, my potencies in making
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ASSESSMENT TASK 3 3
clinical judgments that are well informed and based on scholarly evidences. Further, I had
developed the vision of enhancing my interactions through the multiple media considered as
avenues of enhancing the delivery of content for the module. Similarly, I had developed great
expectations on the module’s ability to instill sober ways of developing my career as a future
nurse by inculcating the skills needed to identify and do away with personal, interpersonal and
institutional factors that could act as barriers to effective decision making.
The module was highly effective I developing my abilities to make clinical decisions that
depict higher levels of professionalism. According to Dreifuerst (2015), Shaban, (2015) and Ten
Cate et al. (2016), decision making in nursing as an area of practice calls for inclusion of avenues
aimed at fostering critical reasoning, judicious reflections and decisive judgments. On the other
hand, Jefford and Fahyz (2015); Gerber, Thevoz and Ramelet (2015); and Øberg, Normann and
Gallagher (2015) reveal that a nurse’s levels of effectiveness in making decisions that are based
on skillful thinking greatly rely on the scholarly knowledge acquired during training as well as
their ability to pay attention on the issues of care that need to be prioritized. Consequently, the
efficacy of the module in enlightening me on how advanced and skilled practitioners in nursing
make their clinical decisions played a crucial role in developing my ability to explicate the issues
of practice that could be considered to be salient as well as the capacity to avail evidence based
responses to the prevailing situations.
Similarly, the inherent capabilities of the instructors to teach pertinent topics contained in
this module such as the barriers to effective decision making, advancing clinical judgments,
relating the procedures of clinical evaluation to patient care and the essential roles of reflection
in clinical practice played an essential role in changing the perspectives I initially held for
nursing. Before undertaking the course, I considered nursing as a passive career in which
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ASSESSMENT TASK 3 4
practitioners were only required to offer bedside services among their patients. However,
studying this module made me realize that nursing requires professionals that depict higher
levels of capabilities by displaying the potencies of thinking in a critical way by applying
inductions, personal deductions, defying certain known assumptions and viewpoints, and
assessing the data availed in different settings as a blueprint of guiding their decision making
endeavors. According to Ilgen, Eva and Regehr (2016); Thomson, Petty and Moore (2014),
critical thinking calls for inclusion of professional experiences and the knowledge acquired in
different settings while putting into consideration multiple possibilities in order to arrive at the
desired endpoint. The fact that the syllabus acquainted me with diverse viewpoints on how
effective professionals foster their decision making ventures challenged me to apply both the
deductive and inductive cognitive potencies acquired in different areas of practice.
By relating the processes of clinical evaluation when delivering patient care through
selection and implementation of the most appropriate tools, the course was highly influential in
making me recognize the importance of social relationships in advancing the nursing profession.
According to Baker-Ericzén, Jenkins, Park and Garland (2015), clinical reasoning and the
nursing professional in particular thrives in an environment where the environment of practice
allows for the development of an inclusive environment for the patient’s fami.ly members, the
community and the multidisciplinary team of caregivers. For effective reasoning, Delany and
Golding (2014) reveal that expert nurses must advance a role that place them at the center of the
facilities they serve with their viewpoints being bounded by the issue under consideration.
Consequently, the instructions availed by the module made me realize the fact that as a nurse, I
must be socially concerned of the issues put forth by the people that may be affected by my
actions. Further, the aspect of emotional reasoning as advanced by the instructor made me realize

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ASSESSMENT TASK 3 5
that to be an effective nurse, I must be able to show my capabilities of fostering emotional access
to the family members of the patients I attend to while showing that I am concerned with their
particular healthcare requirements. On the other hand, the module challenged me to develop the
traits aimed at enhancing my relational skills as an aspect of understanding the needs and
concerns of the clients I serve.
Evidence
I achieved both the personal and subject goals set at the beginning of the semester. For
instance, I had set the goal of acquiring a competent nurse that I would consider as my role
model. Based on the module outcomes, it was a requirement for students to undertake a critical
reflection of how advanced practitioners make their clinical decisions. As a consequence, I made
the step of creating professional relationships with nurses in the university’s infirmary. I consider
the ties established with the leading RN in this facility as one of the most significant leaps in my
career life. By observing the steps of this caregiver, I was able to change the perspectives I
initially held about the profession. To date, I am well aware of the fact that nursing is an area of
practice that requires the service of clinicians that are able to advance proper character, effective
relational abilities as well as habits aimed at enabling them to comprehend and perceive the
needs and concerns of their clients. On the other hand, the module was of great essence in
developing my interaction potencies. Initially, most of my peers considered me as a person with
minimal social skills. However, the fact that the syllabus included a compulsory online platform
played a crucial role in enhancing my interactions. For instance, the platform allowed students to
post their comments, respond to issues and even identify the flaws put forth by their peers.
Judgment
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ASSESSMENT TASK 3 6
I consider the entire process of learning this module to be of great essence in fostering
both my career and social developments as a future nurse. In particular, the subject was of great
influence in advancing my abilities to apply the knowledge acquired in class and personal
experiences in identifying the problems put forth by the patients I will be offering my services to
while applying the direct clinical adjudications that may result from patient outcomes. One of the
most important aspects learned in this module is the fact that nursing is not a passive career but
an area of practice that requires the advancement of critical thinking through integration of
scholarly knowledge, clinical and social experiences, as well as clinical reasoning. I learned that
realize that nursing requires professionals that depict higher levels of capabilities by displaying
the potencies of thinking in a critical way by applying inductions, personal deductions, defying
certain known assumptions and viewpoints, and assessing the data availed in different settings as
a blueprint of guiding their decision making endeavors. Similarly, I gained insight of the fact that
clinical reasoning and the nursing professional in particular thrives in an environment where the
environment of practice allows for the development of an inclusive environment for the patient’s
family members, the community and the multidisciplinary team of caregivers.
Further Action
The knowledge acquired in this module was highly effective in advancing my clinical
reasoning, judgment and decision making skills. At the beginning of the course, I had developed
higher levels of optimism that the module would play a significant role in stirring my critical
thinking abilities, my potencies in making clinical judgments that are well informed and based
on scholarly evidences. While most of the goals I had initially set were effectively achieved, I
feel that there is need for further actions to be undertaken. For instance, I believe that I may
enhance my clinical judgment capabilities by enhancing my professional relationships. On the
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ASSESSMENT TASK 3 7
other hand, there is need for the module to increase the avenues of interaction in order to advance
my communication competencies.

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References
Baker-Ericzén, M. J., Jenkins, M. M., Park, S., & Garland, A. F. (2015, February). Clinical
decision-making in community children’s mental health: Using innovative methods to
compare clinicians with and without training in evidence-based treatment. In Child &
youth care forum (Vol. 44, No. 1, pp. 133-157). Springer US.
Delany, C., & Golding, C. (2014). Teaching clinical reasoning by making thinking visible: an
action research project with allied health clinical educators. BMC medical education,
14(1), 20.
Dreifuerst, K. T. (2015). Getting started with debriefing for meaningful learning. Clinical
Simulation in Nursing, 11(5), 268-275.
Gerber, A., Thevoz, A. L., & Ramelet, A. S. (2015). Expert clinical reasoning and pain
assessment in mechanically ventilated patients: a descriptive study. Australian Critical
Care, 28(1), 2-8.
Ilgen, J. S., Eva, K. W., & Regehr, G. (2016). What’s in a label? Is diagnosis the start or the end
of clinical reasoning?. Journal of general internal medicine, 31(4), 435-437.
Jefford, E., & Fahy, K. (2015). Midwives׳ clinical reasoning during second stage labour: report
on an interpretive study. Midwifery, 31(5), 519-525.
Murray, D. J., Freeman, B. D., Boulet, J. R., Woodhouse, J., Fehr, J. J., & Klingensmith, M. E.
(2015). Decision making in trauma settings: simulation to improve diagnostic skills.
Simulation in Healthcare, 10(3), 139-145.
Øberg, G. K., Normann, B., & Gallagher, S. (2015). Embodied-enactive clinical reasoning in
physical therapy. Physiotherapy theory and practice, 31(4), 244-252.
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ASSESSMENT TASK 3 9
Shaban, R. (2015). Theories of clinical judgment and decision-making: A review of the
theoretical literature. Australasian Journal of Paramedicine, 3(1).
Ten Cate, O., Hart, D., Ankel, F., Busari, J., Englander, R., Glasgow, N., ... & Touchie, C.
(2016). Entrustment decision making in clinical training. Academic Medicine, 91(2), 191-
198.
Thomson, O. P., Petty, N. J., & Moore, A. P. (2014). Clinical decision-making and therapeutic
approaches in osteopathy–a qualitative grounded theory study. Manual therapy, 19(1),
44-51.
Lestander, Ö., Lehto, N., & Engström, Å. (2016). Nursing students' perceptions of learning after
high fidelity simulation: effects of a three-step post-simulation reflection model. Nurse
education today, 40, 219-224.
Patterson, C., Moxham, L., Brighton, R., Taylor, E., Sumskis, S., Perlman, D., ... & Hadfield, L.
(2016). Nursing students' reflections on the learning experience of a unique mental health
clinical placement. Nurse education today, 46, 94-98.
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