In clear, shallow water they are a must. You are basically lost without them. Keep your eyes peeled for any movement and you will improve your hookups. I truly think that many anglers have a bad perception of clear water, which makes them uncomfortable fishing it. They think it's too hard to catch bass, but if you believe that, then you will probably never be very successful in clear water.
Successful fishing requires confidence, and that is gained from experience.
And experience is gained from practice. So the bottom line is, get out and practice. You will find it's not really that difficult. Stick with your first instinct and let the bass tell you what they want. Then just enjoy what you can see and catch.