Abstract
Clinical reasoning is the cognitive process that nurses use to gather and incorporate information into a larger bank of personal knowledge. This incorporated information guides therapeutic actions, and helps determine client care. Since the process guides therapeutic actions regarding client care, failure to use the process effectively leads to poor clinical decision-making, inappropriate actions, or inaction. Because of the criticality of this process, this paper presents an analysis of the literature that reveals the current state of the science of clinical reasoning, identifies gaps in knowledge, and elucidates areas for future research. A systematic review of the databases the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Educational Resources Information Center (ERIC), PsychInfo, the Education Full Text (H.W. Wilson), and PubMed revealed 873 articles on the topic of clinical reasoning. Quality appraisal narrowed the field to 27 pieces of literature. Appendix A gives the State of the Science Coding Sheet used to identify the selections used in this research. Appendix B contains a summary of this literature. Although analysis of this literature shows that three theories exist on how to utilize most effectively the clinical reasoning process presently; a clear consistent definition is lacking. Additional research should focus on closing gaps that exist in defining the process, understanding the process, establishing linkages to non-clinical reasoning processes, and developing measures to both develop and accurately measure clinical reasoning.
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Artikel in diesem Heft
- Voices of Quiet Students: Introverted Nursing Students’ Perceptions of Educational Experiences and Leadership Preparation
- Coping and Pre-Licensure Registered Nursing Students: An Integrative Literature Review
- Clinical Reasoning: A State of the Science Report
- Teaching Diagnostic Reasoning: A Review of Evidence-Based Interventions
- Integrating Population Health Content into FNP Program Curriculum
- Student Preparation for Nursing Leadership: Lessons from an Undergraduate Programs Review
- Grade Incentive to Boost Course Evaluation Response Rates
- A Radical RN- BS Nursing Class: Outcomes from an Integrative Yoga Elective
- Exploring and Improving Student Engagement in an Accelerated Undergraduate Nursing Program through a Mentoring Partnership: An Action Research Study
- Ways of Knowing as a Framework for Developing Reflective Practice among Nursing Students
- Evaluation of the Clinical Learning Experience of Nursing Students: a Cross-Sectional Descriptive Study
- Analysis of the Empathic Concern Subscale of the Emotional Response Questionnaire in a Study Evaluating the Impact of a 3D Cultural Simulation
- Reflections on Nursing Educational Advancement Within Diverse and Evolving National Cultural Contexts
- Exploring Self-Perceptions of Anxiety among Nursing Students in the Clinical Setting and Select Demographics
- Predictors of Success in BSN Students
- Mentoring as a Knowledge Translation Intervention for Implementing Nursing Practice Guidelines: A Qualitative Study
- The State of Knowledge Regarding the Use of Simulation in Pre-Licensure Nursing Education: A Mixed Methods Systematic Review
- Student Experiences of High-stakes Testing for Progression in One Undergraduate Nursing Program
- Faculty Experiences with Integrating Mandated High-Fidelity Human Patient Simulation (HF-HPS) Into Clinical Practice: A Phenomenological Study
- Voices from the Field: Regional Nurses Speak About Motivations, Careers and How to Entice Others to Pursue Mental Health Nursing
- Violence against Nursing Students in the Workplace: An Iranian Experience
- How to Prepare Interprofessional Teams in Two Weeks: An Innovative Education Program Nested in Telehealth
- Graduate Students’ Experiences: Developing Self-efficacy
- Educating Aboriginal Nursing Students: Responding to the Truth and Reconciliation Report
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Artikel in diesem Heft
- Voices of Quiet Students: Introverted Nursing Students’ Perceptions of Educational Experiences and Leadership Preparation
- Coping and Pre-Licensure Registered Nursing Students: An Integrative Literature Review
- Clinical Reasoning: A State of the Science Report
- Teaching Diagnostic Reasoning: A Review of Evidence-Based Interventions
- Integrating Population Health Content into FNP Program Curriculum
- Student Preparation for Nursing Leadership: Lessons from an Undergraduate Programs Review
- Grade Incentive to Boost Course Evaluation Response Rates
- A Radical RN- BS Nursing Class: Outcomes from an Integrative Yoga Elective
- Exploring and Improving Student Engagement in an Accelerated Undergraduate Nursing Program through a Mentoring Partnership: An Action Research Study
- Ways of Knowing as a Framework for Developing Reflective Practice among Nursing Students
- Evaluation of the Clinical Learning Experience of Nursing Students: a Cross-Sectional Descriptive Study
- Analysis of the Empathic Concern Subscale of the Emotional Response Questionnaire in a Study Evaluating the Impact of a 3D Cultural Simulation
- Reflections on Nursing Educational Advancement Within Diverse and Evolving National Cultural Contexts
- Exploring Self-Perceptions of Anxiety among Nursing Students in the Clinical Setting and Select Demographics
- Predictors of Success in BSN Students
- Mentoring as a Knowledge Translation Intervention for Implementing Nursing Practice Guidelines: A Qualitative Study
- The State of Knowledge Regarding the Use of Simulation in Pre-Licensure Nursing Education: A Mixed Methods Systematic Review
- Student Experiences of High-stakes Testing for Progression in One Undergraduate Nursing Program
- Faculty Experiences with Integrating Mandated High-Fidelity Human Patient Simulation (HF-HPS) Into Clinical Practice: A Phenomenological Study
- Voices from the Field: Regional Nurses Speak About Motivations, Careers and How to Entice Others to Pursue Mental Health Nursing
- Violence against Nursing Students in the Workplace: An Iranian Experience
- How to Prepare Interprofessional Teams in Two Weeks: An Innovative Education Program Nested in Telehealth
- Graduate Students’ Experiences: Developing Self-efficacy
- Educating Aboriginal Nursing Students: Responding to the Truth and Reconciliation Report
- Perceived Stress Mediates the Associations between Sleep Quality and Symptoms of Anxiety and Depression among College Nursing Students
- Status of Violence in a Selected Faculty: The Students’ Experience
- Building A High Quality Oncology Nursing Workforce Through Lifelong Learning: The De Souza Model