HLSC122 Inquiry in Health care
Mini Lecture 1
Concepts of clinical reasoning, critical thinking, and evidence‐based‐ practice part 1
Presented by: Dr Joe Perry(LIC)
Introduction
What will be covered:
• Making meaning
• What is critical thinking?
• What is critical reasoning?
• Why are these important?
• Critical reflection
• This mini‐lecture serves as an introduction and guide to the contents of Modules 1 & 2
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Making meaning
• Unit description: “This inter‐professional unit provides foundational knowledge and skills for ways of reflecting on and making meaning of a range of complex information in the health care environment...” (ACU,
2010, p. 1).
• What is ‘making meaning’?
– Understanding complex information
– Being able to critique complex information
• To do this:
– You need to understand how knowledge is developed.
– You need to be able to critique that knowledge.
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What is critical thinking?
• There are many definitions.
• critical thinking in Taber's Cyclopedic Medical Dictionary
– “...1. The ability to interpret argument, evidence, or raw information in a logical and unbiased fashion.
– 2. The ability to solve complex problems effectively”
(Taber, 2009).
• We aim to teach you how to think critically.
• Critical thinking = critical appraisal = critique
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What is clinical reasoning?
• Clinical reasoning is the focus of modules 1 and 2.
• What is reason?
1. reason n.
• a cause, explanation, or justification.
• good or obvious cause to do something:
– (Concise Oxford English Dictionary, 2008)
• Clinical reasoning
• Your explanation or justification for what you do clinically 5
How do you do ‘clinical reasoning’? •
To explain or justify what you do clinically.
– ‘Because you have always done it this way’ – tradition
– ‘Because I was told to do it this way’ – following orders
– ‘Because this is the way we do things here’ – culture
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Critical thinking point: Are any of the above, a solid basis for justifying clinical actions?
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You need to explain and justify your clinical actions
You need a knowledge base
A knowledge base is a body of knowledge.
Evidence is generated via knowledge
Knowledge is not always ‘evidence’
(Liamputtong,2010)
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Why is clinical reasoning important?
• To consider your choice of actions as a health professional. – To make a choice you need to understand the options.
– To understand the options you need to know enough to critique them.
• To provide the best possible treatment and care to the patient. • To explain your actions as a health professional.
• To defend yourself against possible litigation.
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Knowledge – how to define it
• ‘Knowledge is the understanding of facts, truths or principles” (Borbasi & Jackson, 2012, p. 7).
• “An accepted body of facts or ideas acquired through the use of the senses or reason, or through research methods”
(Liamputtong, 2010, p.4).
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What is my relationship to this body of knowledge?
• This is what your undergraduate degree is all about....to learn from this body of knowledge.
– Where does your opinion fit in?
• What is important is your ability to understand and think critically about the knowledge base and the clinical choices presented to you via that knowledge.
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HLSC122 Inquiry in Health care
Mini Lecture 2
Concepts of clinical reasoning, critical thinking, and evidence‐based‐ practice Part 2
Presented by: Dr Joe Perry(LIC)
Critical reflection
• Reflection‐in‐practice vs Reflection‐on‐practice
• A reflective framework for students:
– the descriptive phase,
– the reflective phase for reflection and analysis, and
– the critical phase for critique.
• Through these phases a clinician (or a student in this case) attains insights into inadequacies and shortcomings in practice, and engages in self‐ corrective learning.
(Module 1)
Critical reflection framework
• The descriptive phase:
– What happened exactly?
– What else could have
