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Problem solving in clinical nursing practice

¹School of Nursing, Deakin University, Victoria, Australia.

Journal of Advanced Nursing

|August 1, 1997

Summary

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Clinical nurses utilize diagnostic reasoning for problem-solving in patient care. This study explored cognitive processes, differentiating novice and expert nurses, and suggests educational improvements.

Area of Science:

Nursing
Cognitive Science
Healthcare Education

Background:

Effective clinical nursing practice relies on adept problem-solving.
Understanding the cognitive processes nurses employ is crucial for optimizing patient care delivery.

Purpose of the Study:

To identify the specific cognitive problem-solving processes used by nurses during clinical care.
To explore differences in problem-solving approaches between novice and expert nurses.

Main Methods:

Qualitative research methodology employed in a clinical setting.
Data collection through direct observation and in-depth semi-structured interviews with nurses.

Main Results:

Diagnostic reasoning was identified as the primary cognitive process used by nurses in clinical problem-solving.

Related Experiment Videos

Observed variations in diagnostic reasoning between nurses with different levels of experience.

Conclusions:

Diagnostic reasoning is central to effective nursing problem-solving.
Findings suggest a need to refine nursing education to better cultivate expert-level diagnostic reasoning skills.