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Clinical reasoning and critical thinking
Josinete Aparecida da Silva Bastos Cerullo1, Diná de Almeida Lopes Monteiro da Cruz
1Escola de Enfermagem, Universidade de São Paulo, SP, Brazil. josinet@usp.br
Revista Latino-Americana De Enfermagem
|April 30, 2010
Summary
This study analyzes nursing literature, finding that clinical reasoning develops from knowledge and values. Strategies exist to improve nurses
Area of Science:
- Nursing
- Healthcare Education
Background:
- Clinical reasoning and critical thinking are crucial for effective nursing practice.
- Understanding the development and enhancement of these skills is essential for patient care.
- Existing literature provides insights into factors influencing nurses' clinical reasoning.
Purpose of the Study:
- To identify and analyze nursing literature concerning clinical reasoning and critical thinking.
- To synthesize findings on the development and improvement strategies for nurses' clinical reasoning.
- To highlight areas for future research in nursing education and practice.
Main Methods:
- Bibliographical search conducted in LILACS, SCIELO, PUBMED, and CINAHL databases.
- Selection of relevant abstracts followed by a comprehensive review of full-text articles.
- Systematic analysis of identified nursing literature.
Main Results:
- Clinical reasoning is founded on scientific and professional knowledge, influenced by ethical decisions and nurses' values.
- Various personal and institutional strategies can enhance nurses' critical thinking and clinical reasoning abilities.
- The integration of psychosocial and physiological responses is a key aspect of comprehensive patient care.
Conclusions:
- Clinical reasoning is a complex process influenced by knowledge, ethics, and values.
- Targeted strategies can effectively improve nurses' critical thinking and clinical reasoning.
- Further research is needed to evaluate educational programs that integrate psychosocial and physiological patient responses.
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