NRSG138: Reflective Essay on CRC, RLT Model, and Person-Centered Care

This essay is a reflection on the learning experience from attending lectures and modules on the Clinical Reasoning Cycle (CRC), the Roper-Logan-Tierney (RLT) model, and person-centered care. The author describes their initial confusion in grasping the foundations of these theories and how, through in-depth discussions and application to a case study (Jim), they gained confidence in understanding their benefits and importance in clinical practice. The reflection evaluates the differences between these assessment-based theories and previous value-based theories, highlighting their role in gathering detailed patient information and informing care planning. The analysis emphasizes the importance of these theories in addressing the complexities of co-morbidities in an aging population, and the conclusion outlines a plan to implement these theories in future practice, focusing on continuous learning, skill development, and effective communication. The essay ends with an action plan for further developing the skills and knowledge necessary for effectively implementing these theories in practice, including conducting research on evidence-based articles and participating in workshops to enhance critical reasoning, problem-solving, decision-making, and communication skills.

Running head: REFLECTION ON MODULES OF WEEK 5, 6, 7
REFLECTION ON MODULES OF WEEK 5, 6, 7
Name of the student:
Name of the university:
Author note:

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REFLECTION ON MODULES OF WEEK 5, 6, 7
Introduction:
Reflection is always considered one of the most important tools of professional
development in the nursing field. It mainly helps the healthcare professionals to recognize the
strengths and different weakness of the healthcare professionals and acts as a guide for on-going
learning and development (Vikstrom et al., 2015). By the procedure of reflection, healthcare
professionals may develop the skills that are required for self-directed learning as well as helps
in improvement of motivation. It also helps the individuals to develop knowledge and skills that
help them to provide not only safe care but also service of high quality that induces patient
satisfaction (Kogan et al., 2016). This assignment is mainly based on the reflection that would be
conducted by me on the three weeks of attending lecture classes. It will show how the theories
taught in my lecture classes would help me to develop quality care for the patients.
Gibbs cycle:
Description:
I had attended the lectures and gone through the modules of Week 5, week 6 as well as
week 7. These three modules had given us a scope to discuss about the different three theories
that are clinical reasoning cycle called the CRC, the Roger- Logan- Tierney model as well as
detailed discussion on the person-centered care. We were also provided with the case study of
Jim in the last weeks and detailed discussion was also made on the case study linking the
theories with the case study. Following these, assignments on reflection were asked to be done
by our professor.

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REFLECTION ON MODULES OF WEEK 5, 6, 7
Feeling:
I was very excited during the classes as reading theories on nursing always fascinated me.
I find such theories interesting as it helps to provide me a guideline that I could easily adopt
during the times when I would be providing services to patients. In the initial days, I had
difficulty in grasping the foundation of the theories. I simple words, I was not able to understand
what the theories would help me to do in my times of clinical placements. However, with the
passing days and more in-depth discussion on the topics, the confusion that I had developed
earlier began to clear out. I felt more confident as I began to understand the theories and
developed knowledge about its benefits and importance. I was quite excited when I saw that I
was able to connect the theories with the case study of Jim provided in the class and this made
me confident in my approach.
Evaluation:
The three theories that have been taught to us are some of the most important theories
that every nurses need to know in order to assess the conditions of the patients first before
preparing the care plans. These theories are found to be quite different from the former theories
that had been taught. The former theories that had been taught to us were mostly value based that
helped us to develop the idea of a caring culture and a holistic approach that increase patient
satisfaction. These theories were different in the nature as they were mainly assessment based
and mainly helped in the clinical procedure of the treatment of the patients (Dalton et al., 2015).
These theories were not exactly curative in nature but were more assessment based forms like
understanding the symptoms of the patients, trying to determine the biological, social, and
psychological as well as the environmental determinants that in turn inform the care planning

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REFLECTION ON MODULES OF WEEK 5, 6, 7
procedure of the professionals. Unlike the previous theories that instructed in development of
skills and knowledge about the caring behavior and attitude of the nursing professionals, these
theories gave us an in-depth analysis considering the patient as a unique individual who had his
or her own set of issues and problems that had resulted in the occurrence of the disorders
(Bradshaw wt al., 2016). It mainly helps to assess the different contributing factors for the poor
health of the patient and then focus on them as the priorities, helping individuals to address the
symptoms and develop medication and caring plan. Each of the steps stated in the CRC help
professionals to gather a detailed amount of information about the patient and thereby realize the
disorder and the n provide issue. It is not actually value based but is more based on developing
clinical expertise that is another important aspect of nursing care. The RLT model is extremely
useful for the assessing the ADLs and mainly helps in developing the quality health of the
patients.
Analysis:
The medical advancement and scientific technology development in the present era had
made it possible for increasing the life expectancy of the people in the nation. Therefore, the
population of the old aged people is increasing in the nation but they are not living a proper
quality life. They are mainly seen to suffer from various types of co morbidities and it becomes
very difficult for the professionals to address so many disorders at the same time in each patient
(Gee et al., 2015). Therefore, it become important for the professionals to follow a theory that
guides them through steps addressing each of the determinants and hence understanding the
pathophysiology, developing links, recognizing the priorities and thereby set the care plans.
Therefore clinical reason cycle helps the nursing professionals to develop a diagrammatic view
of the initiatives they need to take at each step of the making their assessments of their patients

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much easier. At the same time, the RLT model of care can be also used in association with the
clinical reasoning cycle by the professionals in case of patients who are unable to conduct their
ADLS and are living a poor quality life (Wiliams et al., 2015). The main factors are the physical,
psychological, socio-cultural, and environmental as well as politico economics that mainly cover
12 important aspects of activities of daily life. By properly asking questions in each of the 12
important aspects, the nursing professionals can understand the exact issues that have resulted in
poor quality life of the patient affecting their daily activities of life. This theory would help the
professionals to understand the indicatives they need to take or the referrals they need to make so
that they can overcome the co-morbidities and live an independent life.
Conclusion:
If I am in a situation where I have to tackles a patient with several disorders and a poor
quality life, I will try to implement such theories in my practice. With the person-centered care, I
will try to consider the patient as a unique individual where I will place them in the centre of
decision-making. I will use the clinical reasoning cycle for assessing the issues faced by the
patients and then develop the care plan. In order to develop the quality of his life, I will use the
RLT theory to understand the different issues faced in the 12 activities of daily lives of the
patient. These would help me to know the areas where the patient needs acre and this would help
me to address the concerns of the patients easily.
Action plan:
I need to develop more knowledge about the theories that I have to apply and therefore, I
would be conducting more researches on the evidence-based articles and collect them from the
library. These would help me to understand the facts stated by different researchers regarding the

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REFLECTION ON MODULES OF WEEK 5, 6, 7
topics and this would help me to develop skill and knowledge required for conducting the
theories. Moreover, I need to develop critical reasoning skills, problem-solving skills and
decision-making skills, as these skills are very important for conducting CRC (Moura et al.,
2015). In addition to that or effectively conducting the interviews of RLT theory, I need to have
proper communication skills as well. Therefore, to develop all these skills will be joining the
workshop classes and would try to develop these skills effectively.
Conclusion:
The reflection helped me to understand the knowledge I have developed on CRC and
RTL. It also helped me to identify the initiatives that I need to take to provide quality car to the
patients.

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REFLECTION ON MODULES OF WEEK 5, 6, 7
References:
Bradshaw, M., & Hultquist, B. L. (2016). Innovative teaching strategies in nursing and related
health professions. Jones & Bartlett Publishers.
Dalton, L., Gee, T., & Levett-Jones, T. (2015). Using clinical reasoning and simulation-based
education to'flip'the Enrolled Nurse curriculum. Australian Journal of Advanced Nursing,
The, 33(2), 29.
Gee, T., Dalton, L., & Levitt-Jones, T. (2015). Using Clinical Reasoning and Simulation based
education to flip the enrolled nursing curriculum. In Sustainable Healthcare
Transformation: International Conference on Health System Innovation.
Kogan, A. C., Wilber, K., & Mosqueda, L. (2016). Person‐Centered Care for Older Adults with
Chronic Conditions and Functional Impairment: A Systematic Literature Review. Journal
of the American Geriatrics Society, 64(1).
Moura, G. N. D., Nascimento, J. C. D., Lima, M. A. D., Frota, N. M., Cristino, V. M., &
Caetano, J. A. (2015). Activities of living of disabled people according to the Roper-
Logan-Tierney model of nursing. Northeast Network Nursing Journal, 16(3).
Vikström, S., Sandman, P. O., Stenwall, E., Boström, A. M., Saarnio, L., Kindblom, K., ... &
Borell, L. (2015). A model for implementing guidelines for person-centered care in a
nursing home setting. International psychogeriatrics, 27(1), 49-59.
Williams, B. C. (2015). The Roper-Logan-Tierney model of nursing: A framework to
complement the nursing process. Nursing2017, 45(3), 24-26.

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Williams, B. C. (2017). The Roper-Logan-Tierney model of nursing. Nursing2017 Critical
Care, 12(1), 17-20.