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Clinical judgment: an integrated model

M Gordon1, C P Murphy, D Candee

  • 1Boston College School of Nursing, Chestnut Hill, Massachusetts.

ANS. Advances in Nursing Science
|June 1, 1994
PubMed
Summary
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This study proposes an integrated model for clinical reasoning, combining diagnostic-therapeutic and ethical decision-making. It offers a framework for enhancing nursing education and practice through improved problem-solving skills.

Area of Science:

  • Nursing
  • Clinical Psychology
  • Medical Ethics

Background:

  • Existing literature on clinical judgment provides context.
  • Information processing and nursing process models are foundational.
  • Problem identification and solving are key components.

Purpose of the Study:

  • To propose an integrated model of clinical reasoning.
  • To combine diagnostic-therapeutic and ethical reasoning domains.
  • To provide a framework for education and practice.

Main Methods:

  • Literature review on clinical judgment.
  • Conceptual integration of information processing and nursing process.
  • Framework development for diagnostic-therapeutic and ethical reasoning.
Keywords:
Bioethics and Professional Ethics

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Main Results:

  • An integrated model for clinical reasoning is proposed.
  • The model integrates diagnostic-therapeutic and ethical reasoning.
  • The framework facilitates problem identification and solving.

Conclusions:

  • The integrated model enhances clinical reasoning in nursing.
  • It offers a structured approach for education and practice.
  • Identifies future research areas in clinical judgment.