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Nurses' Clinical Reasoning Process: A Grounded Theory Study.

Susana Mendonça^1,2,3

¹School of Nursing of Lisbon, University of Lisbon, 1649-004 Lisboa, Portugal.

Healthcare (Basel, Switzerland)

|January 28, 2026

Summary

This summary is machine-generated.

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Nurses

Area of Science:

Nursing
Clinical Reasoning
Emergency Care

Background:

Clinical reasoning is a core nursing competence for quality and safety.
Essential in emergency departments for rapid assessment and intervention.
Refined skills improve patient outcomes and health gains.

Purpose of the Study:

Analyze the clinical reasoning process of nurses.
Develop a theory explaining clinical reasoning in emergency settings.

Main Methods:

Qualitative study using Grounded Theory methodology.
Theoretical sample of 20 nurses.
Data collected via in-depth interviews, participant observation, and field notes.

Main Results:

Keywords:

clinical reasoning diagnostic nursing assessment grounded theory nurses patient therapeutic intervention

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Clinical reasoning comprises Diagnostic Nursing Assessment and Therapeutic Nursing Intervention.
Nurses classify patient severity into Level I (life-threatening) and Level II (non-life-threatening).
Interventions are adjusted based on patient severity levels.

Conclusions:

The Nursing Clinical Reasoning Model is a dynamic, continuous process.
Involves both assessment and intervention, rooted in the nurse-patient-family relationship.
Context influences assessments, interventions, and patient responses.