Explain the impact of relational inquiry when recognizing and analyzing cues to action in the process of clinical reasoning.
You are a nursing student in a BSN Program, currently enrolled in a Leadership course. As part of your current immersion experience, you are working with the charge nurse in the operating room. In pre-op on the first day of this clinical experience, you observe an upset client refusing to sign a surgery consent unless a small religious object could accompany him and stay attached to his body. This object is a key component of his cultural beliefs, and he will cancel the surgery if he is unable to keep the religious object attached to his body. The charge nurse states, â€œLet me check and see what we can do, I will need a bit of time to collaborate with others and see if we can identify a solution.â€ You observe the charge nurse gather a team of nurses in the pre-op area and begin reviewing the policy and procedure manuals for the facility to determine if a solution can be identified to allow the object to be taken into the operating room. While the healthcare team was looking for a solution, someone recommended that the object is wrapped in non-conductive material, and applied to the client under a sterile dressing. According to policy, this would work with Surgeon approval.
In post-conference, you debrief with a faculty member and discuss this powerful example of healthcare team members working together to support and respect a clientâ€™s unique cultural needs and belief system. The clinical faculty tells you to complete a clinical journal entry which describes the process involved in this example of professional practice. Include the following in your journal entry:
- Explain how relational inquiry was applied in this situation to promote the process of clinical reasoning.
- From context and culture
- Optimization of health and well-being
- Collaborating across differences
- Do you believe this action was appropriate, and why or why not?
- Provide a supporting argument to defend choice for appropriate or non-appropriate response by the nurse and include personal biases.
- APA Guide
- Nursing Research
- Hamilton, S. (2016). Reflective writing: a user-friendly guide. British Journal Of Nursing, 25(16), 936-937.
- McMillan-Coddington, D. (2013). Reflection through journal writing to educate registered nursing students on patient care. Teaching And Learning In Nursing, 863-67. doi:10.1016/j.teln.2012.09.004
- Regmi, K., & Naidoo, J. (2013). Understanding the processes of writing papers reflectively. Nurse Researcher, 20(6), 33-39.