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Related Experiment Videos

Evolution of the nursing process.

A C Frauman1, A H Skelly

  • 1Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia 30322, USA. afrauma@nurse.emory.edu

Clinical Excellence for Nurse Practitioners : the International Journal of NPACE
|March 11, 2000
PubMed
Summary
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Advanced practice nurses (APNs) have evolved the nursing process by integrating medical diagnostic reasoning. This enhanced model now explicitly includes cognitive processes for clinical decision-making during patient encounters.

Area of Science:

  • Nursing
  • Clinical Decision Making
  • Advanced Practice Nursing

Background:

  • The traditional nursing process guides assessment and intervention but lacks detail on cognitive decision-making processes.
  • Advanced practice nurses (APNs) have historically incorporated medical diagnostic reasoning to address this gap.
  • Research by Benner and colleagues has illuminated the unique reasoning employed by APNs.

Purpose of the Study:

  • To describe the evolution of the nursing process through the integration of clinical decision-making and diagnostic reasoning.
  • To explicate the cognitive processes involved in advanced practice nursing.
  • To apply existing literature on clinical decision-making and diagnostic reasoning to the nursing process.

Main Methods:

  • Review of nursing and medical literature on clinical decision-making and diagnostic reasoning.

Related Experiment Videos

  • Analysis of how these concepts apply to the advanced practice nursing process.
  • Synthesis of findings to describe an evolved nursing process.

    • Main Results:

    • The evolved nursing process explicitly incorporates cognitive decision-making across all patient encounter phases.
    • This includes critical decisions in assessment, diagnosis, intervention selection, and outcome identification.
    • The integration acknowledges the complex reasoning utilized by APNs.

    Conclusions:

    • The nursing process has been enhanced by incorporating explicit cognitive decision-making and diagnostic reasoning.
    • This evolved model better reflects the comprehensive clinical judgment of advanced practice nurses.
    • Further understanding of APN reasoning contributes to improved patient care and nursing practice.