Related Experiment Video
Updated: Sep 2, 2025
05:48
The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.8K
An Ecological Account of Clinical Reasoning
Bjorn K Watsjold1, Jonathan S Ilgen2, Glenn Regehr3
1B.K. Watsjold is assistant professor, Department of Emergency Medicine, University of Washington School of Medicine, Seattle, Washington; ORCID: https://orcid.org/0000-0003-4888-8857 .
Summary
This study reframes clinical reasoning using ecological psychology, viewing context as integral to expertise and performance. It suggests new training models focusing on clinician-environment interactions for improved competence and accessibility.
Area of Science:
- Ecological psychology
- Health professions education
- Clinical reasoning
Background:
- Traditional clinical reasoning models treat context as external noise or influence.
- A new perspective is needed to understand context-specific clinical performance and expertise.
Approach:
- Critically reviewed literature from ecological psychology and health professions education.
- Explored concepts like affordance, effectivity, environment, and niche.
Key Points:
- Clinical reasoning emerges from interactions between clinician effectivities and environmental affordances.
- Context specificity is fundamental to understanding expertise, decision-making, and clinical error.
- Practice niches are specialty-specific and geographically diverse outcomes of optimizing practice.
Conclusions:
- Reimagining clinical reasoning through ecological psychology offers new insights into context-dependent expertise.
- Training models can incorporate effectivities and affordances for antiableist competence formulations.
- This approach can improve training accessibility for diverse learners and enhance rural/remote education.
Related Concept Videos
01:25Critical Thinking II
3.0K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
3.0K
01:13Patient-centered Care
2.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.2K
01:24Critical Thinking I
3.4K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
3.4K
01:17Ethical Dilemmas I
1.0K
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
1.0K
01:30Reasoning
125
Reasoning is the action of thinking about something in a logical, sensible way. It is integral to problem-solving, decision-making, and critical thinking. Reasoning can be inductive or deductive. Reasoning involves transforming information into conclusions, which is essential for problem-solving, decision-making, and critical thinking.
Inductive reasoning involves deriving generalizations from specific observations. This type of reasoning helps form beliefs about the world. For example,...
Inductive reasoning involves deriving generalizations from specific observations. This type of reasoning helps form beliefs about the world. For example,...
125
01:37Reason and Intuition
6.8K
The human brain processes information for decision-making using one of two routes: an intuitive system and a rational system (Epstein, 1994; popularized by Kahneman, 2011 as System 1 and System 2, respectively). The intuitive system is quick, impulsive, and operates with minimal effort, relying on emotions or habits to provide cues for what to do next, while the rational system is logical, analytical, deliberate, and methodical. Research in neuropsychology suggests that the...
6.8K