Clinical Reasoning Cycle

The School of nursing and Midwifery is currently using a number of models to assist studetns to learn about critical thinking and the process of reflection.  While many of the current text books discuss the nursing process, in 2012 the SNM has introduced the use of the Clinical Reasoning Cycle developed by the Universities of Newcastle and Western Sydney through an ALTC grant. This model builds on previous models and demonstrates the process of critical thinking and responses is not a linear process and is conceptualised diagrammatically as a circle or a spiral of linked and on going clinical encounters.


Levett-Jones et al (2009) describes clinical reasoning “as a process by which nurses collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on, and learn from the process”. The authors describe the five rights of effective clinical reasoning.  These are the right cues, action, patient, time and reason.

Professional experience facilitators may find it useful to find out more about the clinical reasoning cycle as students will be using it to assist with critical thinking / decision-making during PEP. More information can be found on the University of Newcastle Clinical Reasoning webpages. Further reading can be found via the publications page.


Oliver on

What is the last process of CRC

Judith Harris on

Using the clinical reasoning process is makes a difeerence in the way I practice and reflect on outcomes.

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