|Academic assignment discussing comparative theories in clinical reasoning and their application to practice.
3,000 words (100%)
|First degree or ability to work at Level M.
|The development of professional knowledge in the sphere of clinical reasoning and decision-making skills within the health and social care context. The module aims to facilitate a wider understanding of the theories of reasoning in the clinical domain including the development of expertise, memory and knowledge, and reasoning strategies employed by practitioners
|On completion of the module, the student should be able to:
Subject knowledge and understanding
• show depth of knowledge of reasoning skills within the health and social care setting
• demonstrate a comprehensive understanding of the strategies applied in clinical reasoning and of underpinning theoretical concepts.
• critically analyse complementary theories within the reasoning domain
• synthesise information and utilise knowledge from various sources in the decision-making pathway
• exhibit a conceptual understanding, which allows critical appraisal of research and alternative approaches within the reasoning domain.
• utilise a comprehensive problem-solving approach in decision making relevant to practice, operating with complex issues.
Key / transferable skills
• exhibit competent management of information with reflective evaluation, using the full range of learning resources.
Problem identification, critical thinking, structuring the problem, pattern recognition / categorisation processes, prototypes.
Process in practice, alternative actions, information processing, diagnostic and narrative reasoning, using evidence and best practice, forward and backwards reasoning, illness script theory
Factors affecting decision-making:
Intrinsic and extrinsic, legal and ethical issues, the development of expertise, health and social care policies
Decision analysis approach:
Evaluation of effectiveness of decision making, peer review and feedback, clinical supervision.
|Methods of Teaching/Learning
|The module will be delivered over five full days utilising lectures, discussion and evaluation, small group work, focused clinical enquiry-based learning and tutorials as teaching methods. Lectures and decision theory content will be delivered by specific expert teachers, and supported by pathway specialists.
Taught: 36 hours
Self-directed learning: 114 hours
Benner P 1984 From Novice to Expert. Excellence and Power in Clinical Nursing Practice Addison Wesley, London
Dowie J, Elstein A 1999 Professional Judgement. A reader in clinical decision-making. University Press Cambridge
Elstein A 2000 Clinical problem solving and decision psychology Academic Medicine 75 S134 - 136
Greenhalgh T, Hurwitz B 2004 Narrative Based Medicine BMJ Books London
Hammond K R 1996 How convergence of research paradigms can improve research on diagnostic judgement Med Dec Making 16(3) 281 - 87
Higgs J, Jones M, Loftus S, Christensen N 2008 Clinical reasoning in the Health Professions. 3rd Edition Elsevier Butterworth Heinemann London
Knottnerus J 2002 The Evidence base of Clinical Diagnosis BMJ books London.
Llewelyn H Hopkins A (Eds) 1993 Analysing how we Reach Clinical Decisions Royal College of Physicians London
Norman S 2005 Research in clinical reasoning: past history and current trends Med Education 39 418 - 427
Schwartz A Bergus G 2008 Medical Decision Making : A Physicians Guide Cambridge University Press Cambridge
Thompson C, Dowding D 2002 Clinical Decision-Making & Judgement in Nursing Churchill Livingstone
Alfaro-LeFevre R 2009 Critical Thinking and Clinical Judgement 4nd edn Saunders Elsevier, London
Brechin A, Brown H, Eby M A 2000 Critical Practice in Health and Social Care OU Press, London
Cox C L 2001 Clinical Effectiveness in Practice Palgrave, Basingstoke
Davies C, Finlay L, Bullman A 2000 Changing Practice in Health & Social Care Sage, London
Johns C, Freshwater D (eds) 1998 Transforming Nursing Through Reflective Practice. Blackwell Scientific Publications, Oxford
McCormack B, Manley K, Garbett R 2004 Practice development in nursing, Blackwell Publishing, Oxford
Specialist tutors will advise students on the specific reading required for their area of practice.
|3RD AUGUST 2010