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Clinical reasoning in experienced nurses.

Barbara Simmons¹, Dorothy Lanuza, Marsha Fonteyn

¹College of Nursing, Department of Medical-Surgical Nursing, University of Illlinois at Chicago, USA.

Western Journal of Nursing Research

|October 8, 2003

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Experienced nurses utilize conceptual language and heuristics for efficient clinical reasoning during patient care. This study explored their cognitive strategies in real-world nursing practice.

Area of Science:

Nursing Practice
Cognitive Science
Healthcare Research

Background:

Clinical reasoning is fundamental to nursing.
Cognitive strategies of experienced, non-expert nurses are understudied.
Few studies examine nursing clinical reasoning in actual practice settings.

Purpose of the Study:

To explore the cognitive strategies used by experienced nurses.
To understand how nurses reason about patient assessment findings.

Main Methods:

Qualitative descriptive study.
Small group research design.
Think-aloud (TA) method with protocol analysis.

Main Results:

Experienced nurses use conceptual language for reasoning.

Related Experiment Videos

Nurses employ heuristics for faster, efficient decision-making.

Findings based on analysis of 15 experienced nurses' think-aloud data.

Conclusions:

Experienced nurses possess distinct reasoning strategies.
Conceptual language and heuristics are key components of their cognitive processes.
Further research can inform nursing education and practice.