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Thinking processes used by nurses in clinical decision making.

Kathryn A Smith Higuchi1, Janet G Donald

  • 1University of Lethbridge, School of Health Sciences, Alberta, Canada.

The Journal of Nursing Education
|April 17, 2002
PubMed
Summary
This summary is machine-generated.

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This study reveals that nurses use complex thinking processes for clinical decision making, which vary between medical and surgical specialties. Understanding these processes can improve nursing education and practice.

Area of Science:

  • Nursing
  • Clinical Practice
  • Cognitive Science

Background:

  • Expert clinical practice relies heavily on effective clinical decision making.
  • Understanding the cognitive processes underlying nursing decisions is crucial for enhancing patient care and education.

Purpose of the Study:

  • To investigate and document the thinking processes employed by nurses during clinical decision making.
  • To provide a foundation for improving nursing educational strategies based on documented decision-making processes.

Main Methods:

  • Analysis of clinical data to identify patterns in nursing thought processes.
  • Documentation of nursing exemplars and a working vocabulary to describe clinical decision making.

Main Results:

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  • Clinical decision making is a complex cognitive activity requiring diverse thinking processes.
  • Distinct thinking processes were observed between medical and surgical nurses, highlighting the influence of context.
  • A vocabulary and set of exemplars were developed to articulate these cognitive processes.

Conclusions:

  • The identified thinking processes and vocabulary can inform and enhance nursing education.
  • Recognizing context-specific decision-making strategies is vital for expert nursing practice.
  • Further research can build upon these findings to refine nursing curricula and professional development.