Clinical Reasoning Cycle – Inquiry-based learning template
Clinical Reasoning Cycle – Inquiry-based learning template
(Modified from Levett Jones, 2013)
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| Assess | Stage | Guiding Questions | Response |
Gain an initial impression |
Is there unfamiliar terms / information?
What do you know about the person? What is relevant to the context of care?
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(a) Review current information (b) Gather new information (c) Recall knowledge (A&P, ethics, law, cultural safety) |
What current cues are relevant?
What new information will I get from the person/ family/team? What resources will I use to gather new information? What will you assess, look for? Which assessment framework guides you? What questions will you ask? |
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Interpret data – what does it all mean?
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What data is relevant/irrelevant?
What data is normal/abnormal? Are there any patterns or connections? What deductions/inferences can you make based on objective & subjective data? Any patterns or links? Have you seen a similar clinical situation before/or has the patient had a similar experience? What is going on here? |
| Plan | Stage | Guiding Questions | Response |
Synthesise all information that has been collected and processed. |
What are the problems/issues?
Think about current problems and anticipate for future. Prioritise problems/issues? What is urgent/important/less important?
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What should happen to improve problems /issues and by when? |
What are your goals for the patient?
What is the timeframe for meeting goals?
Which goals are a priority? (SMART – Specific, Measurable, Achievable, Realistic, Timely goal/s)
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| Implement | Stage | Guiding Questions | Response |
What action/ interventions will you do? Who should be notified? |
What actions will you take?
What evidence/research guides your actions?
What is the RN role? For this situation what role do other health team members have?
Do you need to notify anyone?
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| Evaluate | Stage | Guiding Questions | Response |
Assess the effectiveness of actions |
Has the patient situation improved?
Remember to think about multi-focal assessment of person. Compare with initial assessment data. Improvement or deterioration?
Are actions/interventions effective? What are your next steps? Does the plan need to change? Back to the beginning of the cycle – reassess the person in context
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What have you learned from this experience? |
Was my preparation / prior understanding enough?
Next time I would … I should have …
From here I need to…. |
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