The 'five rights' of clinical reasoning: an educational model to enhance nursing students' ability to identify and manage clinically 'at risk' patients

Nurse Education Today
Tracy Levett-JonesNoelene Hickey

Abstract

Acute care settings are characterised by patients with complex health problems who are more likely to be or become seriously ill during their hospital stay. Although warning signs often precede serious adverse events there is consistent evidence that 'at risk' patients are not always identified or managed appropriately. 'Failure to rescue', with rescue being the ability to recognise deteriorating patients and to intervene appropriately, is related to poor clinical reasoning skills. These factors provided the impetus for the development of an educational model that has the potential to enhance nursing students' clinical reasoning skills and consequently their ability to manage 'at risk' patients. Clinical reasoning is the process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process. Effective clinical reasoning depends upon the nurse's ability to collect the right cues and to take the right action for the right patient at the right time and for the right reason. This paper provides an overview of a clinical reasoning model and the literature underpinning the 'five rights' of...Continue Reading

References

Jan 1, 1992·Image--the Journal of Nursing Scholarship·J E WhiteS J Engberg
Oct 1, 1990·Academic Medicine : Journal of the Association of American Medical Colleges·H G SchmidtH P Boshuizen
Dec 1, 1989·Journal of Advanced Nursing·J A Jones
Oct 7, 2000·Journal of Clinical Nursing·T K Bucknall
Oct 6, 2001·QJM : Monthly Journal of the Association of Physicians·D R Goldhill
Feb 2, 2002·Journal of Clinical Nursing·M J SchuurmansL M Shortridge-Baggett
Aug 2, 2002·Postgraduate Medical Journal·Gary B Smith, N Poplett
Aug 30, 2002·Nursing Inquiry·Sally HardyKim Manley
Dec 24, 2002·Postgraduate Medical Journal·O M P Jolobe
Jan 25, 2003·The American Journal of Nursing·Sean P Clarke, Linda H Aiken
Sep 25, 2003·JAMA : the Journal of the American Medical Association·Linda H AikenJeffrey H Silber
Dec 11, 2003·The Journal of Nursing Administration·Patricia R EbrightMarta L Render
Dec 17, 2003·Journal of Advanced Nursing·Kerry HoffmanChristine Duffield
Jan 16, 2004·Journal of Clinical Nursing·Paul Arbon
Feb 21, 2004·Critical Care : the Official Journal of the Critical Care Forum·Debby BrightJulian Bion
Apr 17, 2004·Journal of Clinical Nursing·Jennifer Dempsey
Dec 22, 2004·Journal of Advanced Nursing·Eileen S ONeillElizabeth Chin
May 19, 2005·Nurse Educator·Pam Di Vito-Thomas
Jun 20, 2006·The Journal of Nursing Education·Christine A Tanner
Jun 22, 2007·The Journal of Nursing Education·Kathie Lasater
Sep 18, 2007·Nurse Education in Practice·Maggi Banning
Jan 10, 2008·Nursing Management·Kathy Mikos
Jan 28, 2009·Journal of the American Geriatrics Society·Dan K KielyRichard N Jones

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Citations

Jan 22, 2013·Nurse Education Today·Odessa J Petit dit DarielMonique Rothan-Tondeur
Jan 8, 2015·Nurse Education Today·Evelyn B Chilemba, Judith C Bruce
Feb 4, 2011·Nurse Education Today·Tracy Levett-JonesJan Roche
Aug 21, 2014·The Journal of Nursing Education·Teresa J Getha-EbyBeth A O'Brien
Nov 1, 2015·The Journal of Nursing Education·Louise BoyerHélène Lefebvre
Sep 16, 2011·Journal of Clinical Nursing·Samuel Lapkin, Tracy Levett-Jones
May 29, 2016·Nurse Education in Practice·Sharyn Hunter, Carol Arthur
Jun 4, 2014·International Journal of Mental Health Nursing·Warren HarlowGraeme Browne
Oct 13, 2015·International Emergency Nursing·Mark BrowningBarbara Black
Jan 27, 2015·Nurse Education Today·Carey A MatherPenny Allen
Feb 5, 2015·Computers, Informatics, Nursing : CIN·Robyn CantJoanne Porter
Nov 18, 2014·Nurse Educator·Teresa Shellenbarger, Meigan Robb
May 26, 2016·The Journal of Nursing Education·Elizabeth K HerronAlison H Davis
Aug 31, 2016·International Journal of Medical Informatics·Hege Mari JohnsenÅshild Slettebø
Oct 9, 2015·JBI Database of Systematic Reviews and Implementation Reports·Karen MacKinnonDiane Butcher
Sep 10, 2016·Nurse Education Today·JuHee LeeMinjeong Seo
Mar 23, 2017·Journal of Advanced Nursing·Elisabeth JacobDarren Jacob
Mar 23, 2017·Journal of Advanced Nursing·Jennie CraskeLyvonne N Tume
Jan 6, 2018·Pharmacy : Journal of Pharmacy, Education and Practice·Hayley CroftJennifer Schneider
Jun 30, 2018·The Journal of Nursing Education·Carina GeorgElisabet Welin
Jul 14, 2018·Nursing in Critical Care·Daifallah Al-ThubaityLyvonne N Tume
Jul 24, 2018·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Sean P RileyChad Cook
Jun 20, 2018·Journal of Clinical Nursing·Carol Della Ratta
May 21, 2018·The Veterinary Record·Heli K HyytiäinenAnna K Hielm-Björkman
Aug 11, 2018·Nursing Education Perspectives·Mirinda Brown Tyo, Mary K McCurry
Nov 8, 2018·International Journal of Nursing Education Scholarship·Amy Golden Holder

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