Abstract:
AIM:This paper is a report of a concept analysis of clinical reasoning in nursing. BACKGROUND:Clinical reasoning is an ambiguous term that is often used synonymously with decision-making and clinical judgment. Clinical reasoning has not been clearly defined in the literature. Healthcare settings are increasingly filled with uncertainty, risk and complexity due to increased patient acuity, multiple comorbidities, and enhanced use of technology, all of which require clinical reasoning. Data sources. Literature for this concept analysis was retrieved from several databases, including CINAHL, PubMed, PsycINFO, ERIC and OvidMEDLINE, for the years 1980 to 2008. REVIEW METHODS:Rodgers's evolutionary method of concept analysis was used because of its applicability to concepts that are still evolving. RESULTS:Multiple terms have been used synonymously to describe the thinking skills that nurses use. Research in the past 20 years has elucidated differences among these terms and identified the cognitive processes that precede judgment and decision-making. Our concept analysis defines one of these terms, 'clinical reasoning,' as a complex process that uses cognition, metacognition, and discipline-specific knowledge to gather and analyse patient information, evaluate its significance, and weigh alternative actions. CONCLUSION:This concept analysis provides a middle-range descriptive theory of clinical reasoning in nursing that helps clarify meaning and gives direction for future research. Appropriate instruments to operationalize the concept need to be developed. Research is needed to identify additional variables that have an impact on clinical reasoning and what are the consequences of clinical reasoning in specific situations.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Simmons Bdoi
10.1111/j.1365-2648.2010.05262.xsubject
Has Abstractpub_date
2010-05-01 00:00:00pages
1151-8issue
5eissn
0309-2402issn
1365-2648pii
JAN5262journal_volume
66pub_type
杂志文章,评审abstract::As families maintain the primary responsibility for the care of the chronic pain sufferer, this paper examines the family's aetiological role in chronic pain, the ways in which the family influences and maintains pain, and the impact that chronic pain has on the family unit. Although some of the research is contentiou...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1990.tb01905.x
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abstract::This paper presents a discussion on the assessment of mental competence of patients and relatives in the health care setting. Their decision-making ability is explored with particular reference to the giving of consent for nursing intervention and medical treatment. It is suggested that, in addition to obvious psychol...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1996.02391.x
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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更新日期:2018-05-01 00:00:00
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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