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Clinical decision making in nursing.

J Harbison1

  • 1Glasgow South College of Nursing, Scotland.

Journal of Advanced Nursing
|April 1, 1991
PubMed
Summary
This summary is machine-generated.

This paper explores critical thinking in clinical decision-making for new nurses, examining rationalist and phenomenological approaches to enhance professional judgment. It highlights the nurse teacher's role in preparing practitioners for complex healthcare environments.

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Area of Science:

  • Nursing Education
  • Clinical Decision Making
  • Professional Development

Background:

  • Project 2000 curriculum in Scotland aimed to develop a new type of practitioner.
  • There is a recognized need to enhance critical thinking skills in nursing practice, particularly for clinical decision-making.
  • Existing models of decision-making require examination for their relevance to nursing.

Purpose of the Study:

  • To reflect on the 'new practitioner' envisioned by Project 2000.
  • To focus on the development of critical thinking ability in clinical decision-making for nurses.
  • To explore and discuss two distinct approaches to decision-making and their application in nursing.

Main Methods:

  • Outlined two approaches to decision-making: rationalist and phenomenological perspectives.

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  • Discussed models illustrating each perspective: decision analysis (rationalist) and hypothetico-deductive reasoning (phenomenological).
  • Examined the relevance of these models to the field of nursing.

    • Main Results:

    • Decision analysis and hypothetico-deductive reasoning were presented as models for clinical decision-making.
    • The nursing process model was discussed from both rationalist and phenomenological viewpoints.
    • The importance of interdisciplinary learning for professional judgment was highlighted.

    Conclusions:

    • Nurses should learn from other disciplines regarding professional judgment to enhance clinical decision-making.
    • The nurse teacher plays a crucial role in preparing new practitioners with advanced critical thinking skills.
    • Integrating diverse decision-making perspectives can foster more effective nursing practice.