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Advanced Clinical Reasoning

  • Kathrin Weiss (author)
  • Kerstin Berr (author)
  • Franziska Grünberg-Lemli (author)
Chapter of: Interprofessional Approach to Refugee Health: A Practical Guide for Interdisciplinary Health and Social Care Teams(pp. 303–322)
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Title Advanced Clinical Reasoning
ContributorKathrin Weiss (author)
Kerstin Berr (author)
Franziska Grünberg-Lemli (author)
DOIhttps://doi.org/10.11647/obp.0479.12
Landing pagehttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.12
Licensehttps://creativecommons.org/licenses/by/4.0/
CopyrightKathrin Weiss; Amira; Kerstin Berr; Franziska Grünberg-Lemli;
PublisherOpen Book Publishers
Published on2025-09-09
Long abstract

Advanced clinical reasoning is the process by which healthcare professionals from different disciplines collaborate to understand and address the complex needs of patients. When working with persons with refugee experience, this process becomes particularly important as they may have unique healthcare needs and face challenges such as language barriers and cultural differences. Their potentially complex healthcare needs may require the expertise and input of multiple professionals. Interprofessional advanced clinical reasoning involves the ability to think critically and creatively and to consider the potential long-term impact of different treatment options. The healthcare needs of persons with refugee experience may be more complex and may necessitate longer-term solutions.

When you, as a healthcare professional, first speak with your patient, depending on your work setting, you often know only the diagnosis from the doctor´s referral. This chapter will guide you on how to take more aspects into consideration. You will learn to describe the current components of your patient´s health using the International Classification of Functioning, Disability and Health (ICF). Finally, you will take into account narratives of the past and different forms of clinical reasoning. The authentic voices of those who have experienced displacement will stimulate your reflection and enhance your understanding of their extraordinary life situations.

As essential background information for professionals working with people who have experienced forced migration, it is helpful to first learn about the health risks that are prevalent in the different countries of origin of people who have experienced forced migration. Read the report by Navarese and others (2022) on the impact of war on a country's ability to provide health services to its citizens. For people working in the health system who have not experienced war and forced displacement, it is often impossible to imagine the serious consequences of a lack of medical services and medication. It is therefore important to bear in mind the major medical and psychological consequences for the individual.

Page rangepp. 303–322
Print length20 pages
LanguageEnglish (Original)
Locations
Landing PageFull text URLPlatform
PDFhttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.12Landing pagehttps://books.openbookpublishers.com/10.11647/obp.0479.12.pdfFull text URL
HTMLhttps://www.openbookpublishers.com/books/10.11647/obp.0479/chapters/10.11647/obp.0479.12Landing pagehttps://books.openbookpublishers.com/10.11647/obp.0479/ch12.xhtmlFull text URLPublisher Website
Contributors

Kathrin Weiss

(author)

Kathrin Weiss, born in 1964, has been an occupational therapist since 1989 and lives in Bremen in northern Germany. Master's degree at the HAWK in Hildesheim on the subject of prevention. She has been teaching for 20 years with a focus on interprofessionalism and professional reasoning.

Kerstin Berr

(author)

Kerstin Berr is project manager at the non-profit Robert Bosch Center for Innovative Health, Bosch Health Campus (BHC), Stuttgart, Germany. She is dedicated to improving health care for all by empowering patients and putting their needs at the centre. Recent and current funding activities include implementation of programs and services strengthening patients' health literacy, especially around prevention and health promotion. She holds Masters' degree in Occupational Therapy from the HAWK University of Applied Sciences and Arts.

Franziska Grünberg-Lemli

(author)

MSc Physiotherapy, Health professional in a Social Pedatric Centre, Germany.

References
  1. Adamopoulou, Eileni, Sarah Scheer, and Margarita Mondaca. 2022. ‘Creating Brave Spaces in Higher Education: A Short Interprofessional Education Exchange to Support Refugees‘ Psychosocial Needs’, International Journal of Higher Education, 11.6: 73–85, https://doi.org/10.5430/ijhe.v11n6p73
  2. Crabtree, Michael. 2010. ‚Images of Reasoning: A Literature Review‘, Australian Occupational Therapy Journal, 45.4: 113–123, https://doi.org/10.1111/j.1440-1630.1998.tb00792.x
  3. Fleming, Mary H. 1991. ‘The Therapist with the Three-Track Mind’, The American Journal of Occupational Therapy, 45.11: 1007–1014.
  4. Hart, Helen C. 2023. ‘Imagined futures: Occupation as a means of repair following biographical disruption in the lives of refugees’, Journal of Occupational Science, 30.1: 24–36, https://doi.org/10.1080/14427591.2022.2038249
  5. Jørgensen, Ulla, et al. 2010. ‘Using the International Classification of Functioning, Disability and Health (ICF) to Describe the Functioning of Traumatised Refugees’, Torture, 20.2: 57–75.
  6. Mattingly, Cheryl. 1991. ‘The Narrative Nature of Clinical Reasoning’, The American Journal of Occupational Therapy, 45.11: 998–1005, https://doi.org/10.5014/ajot.45.11.998
  7. Navarese, Eliano P., et al. 2022 ‘The Spoils of War and the Long-Term Spoiling of Health Conditions of Entire Nations’, Atherosclerosis, 352: 76–79, https://doi.org/10.1016/j.atherosclerosis.2022.05.012
  8. Sodemann, Morten. 2022. What You Don’t Know Will Hurt the Patient: Cross-cultural Clinical Medicine and Communication with Ethnic Minority Patients (Odense: Odense University Hospital), https://ouh.dk/media/5evcuqm4/morten-sodemann-2022-what-you-don-t-know-will-hurt-the-patient-final_09-03-2022-red-05-04-2022.pdf
  9. Zwarenstein, Merrick, Joanna Goldman, and Scott Reeves. 2009. ‘Interprofessional Collaboration: Effects of Practice-Based Interventions on Professional Practice and Healthcare Outcomes’, Cochrane Database of Systematic Reviews, 3.CD000072, https://doi.org/10.1002/14651858.CD000072.pub2

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