Write a Meta-Reflection on Understanding of the Roper Logan and Tierney Model of Care and the Clinical Reasoning Cycle.

Section – 1 

I believe that the Roper Logan (RL) and Tierney Model of Care (TMC) and the Clinical Reasoning Cycle (CRC) play an important role in undertaking various healthcare interventions. I effectively utilized this model of patient care to develop therapeutic and professional relationship with the assessed patient. Indeed, I attained the opportunity of evaluating the vital signs of a patient in the clinical setting. I utilized therapeutic communication during the process of vitals recording for concomitantly assessing patient's psychiatric state, level of consciousness and expressivity. The therapeutic alliance also helped me to understand patient's mobilization pattern and level of independence in undertaking the activities of daily living (ADL) and personal care. The RL and TMC advocate the impact of various developmental stages on the physical, psychological and sociocultural demands of the individuals. This eventually determines patient's ADL and interpersonal relationship pattern. I tried to assess the intelligence level, values, motivation, temperament and emotional state of the patient while sharing the vital signs under the amicable environment (Wilson, Woodlands, & Barrett, 2013, pp. 56-57). I attempted to effectively maintain a safe environment for the patient through effective therapeutic communication. This resulted in the configuration of a respectful collaboration for effectively increasing patient's trust, shared accountability, and compliance to the recommended treatment approaches (Keller, Eggenberger, Belkowitz, Sarsekeyeva, & Zito, 2013). I improved my clinical reasoning skills while effectively recording the clinical history through systematic questioning and thoughtful acquisition of the desired data. Eventually, the clinical reasoning cycle helped me in preparing a rational healthcare management plan through shared decision-making (Linn, Khaw, Kildea, & Tonkin, 2012).

Section – 2 

I believe that the thorough assessment of the factors and attributes that impact the patient's ADL is necessarily required during the clinical assessment. The root cause analysis of patient's ADL rationally assists in configuring mitigative measures to improve the wellness outcomes. I understand that the nurse professional must undertake proactive measures to effectively reduce the environmental risk factors for the treated patient. The effective maintenance of patient's surroundings is highly required for reducing the risk of trauma. I also understand the value of an effective communication process during the clinical assessment. I believe that the effective utilization of Levett-Jones's Clinical Reasoning Cycle is needed for the successful incorporation of RL and TMC in the nursing care practice. I think that the nursing professionals require developing reflective approaches while undertaking the process of clinical reasoning. The articulation of expert reasoning in the process of clinical evaluation is highly essential for effectively improving the therapeutic outcomes (Delany & Golding, 2014). The acquisition of cues, processing of significant patient information, the establishment of goals and self-reflection on the outcomes are substantially required through effective clinical reasoning by the nursing professionals. The utilization of clinical reasoning cycle and RLT nursing model by the nurse professional assists in evaluating those disease manifestations that directly impact the sexuality, working pattern, movement, body temperature, cleansing attributes, bowel pattern, drinking habits, and breathing pattern of the chronically ill patients. This substantiates the need for developing clinical reasoning skills to facilitate the effective utilization of Roper Logan and Tierney (RLT) Model of Care in the clinical practice (Lee, Lee, Bae, & Seo, 2016).    

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