Abstract：
BACKGROUND:Nurses' clinical reasoning is of great importance for the delivery of safe and efficient care. Pressure ulcer prevention allows a variety of aspects within nursing to be viewed. OBJECTIVE:The aim of this study was to describe both the process and the content of nurses' reasoning during care planning at different nursing homes, using pressure ulcer prevention as an example. DESIGN:A qualitative research design was chosen. SETTINGS:Seven different nursing homes within one community were included. PARTICIPANTS:Eleven registered nurses were interviewed. METHOD:The methods used were think-aloud technique, protocol analysis and qualitative content analysis. Client simulation illustrating transition was used. The case used for care planning was in three parts covering the transition from hospital until 3 weeks in the nursing home. RESULT:Most nurses in this study conducted direct and indirect reasoning in a wide range of areas in connection with pressure ulcer prevention. The reasoning focused different parts of the nursing process depending on part of the case. Complex assertations as well as strategies aiming to reduce cognitive strain were rare. Nurses involved in direct nursing care held a broader reasoning than consultant nurses. Both explanations and actions based on older ideas and traditions occurred. CONCLUSIONS:Reasoning concerning pressure ulcer prevention while care planning was dominated by routine thinking. Knowing the person over a period of time made a more complex reasoning possible. The nurses' experience, knowledge together with how close to the elderly the nurses work seem to be important factors that affect the content of reasoning.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Funkesson KH,Anbäcken EM,Ek ACdoi
10.1016/j.ijnurstu.2006.04.016subject
Has Abstractpub_date
2007-09-01 00:00:00pages
1109-19issue
7eissn
0020-7489issn
1873-491Xpii
S0020-7489(06)00129-5journal_volume
44pub_type
杂志文章abstract：:The purpose of this pilot project was to establish a discharge-planning model and evaluate its effectiveness. Orthopedic patients who scored 7 or above on a high-risk screening form were recruited for the project. Case managers served as discharge planners, and handled the following procedures: screening of patients, ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
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journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章
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pub_type： 杂志文章,评审
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journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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pub_type： 杂志文章,评审
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更新日期：1999-12-01 00:00:00
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pub_type： 杂志文章,meta分析
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pub_type： 杂志文章,评审
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journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2005-01-01 00:00:00
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pub_type： 杂志文章
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2009-08-01 00:00:00
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：International journal of nursing studies
pub_type： 杂志文章
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更新日期：2018-12-01 00:00:00
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pub_type： 杂志文章,meta分析,评审
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更新日期：2014-01-01 00:00:00
