2.50
Hdl Handle:
http://hdl.handle.net/10755/150364
Type:
Presentation
Title:
Innovations in Clinical Reasoning: Pathway to Expert Practice
Abstract:
Innovations in Clinical Reasoning: Pathway to Expert Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Smith, Thomas
P.I. Institution Name:Mount Sinai Hospital
Purpose: The purpose of this educational intervention is to enhance the clinical reasoning and critical thinking abilities of the nurse to promote expert practice and quality patient care outcomes. Description of Project: This project is an educational intervention at The Mount Sinai Hospital in New York City. In 2000, an Educational Intervention Task Force was created to investigate and plan strategies to expand knowledge and use of clinical reasoning in nursing practice. These efforts included Nursing Grand Rounds, small group workshops for Directors of Nursing, Clinical Nurse Managers, Nurse Educators and Clinical Nurses, and clinical unit rounds. In 2001, a demonstration project will include more focused education with 4 pilot units to actualize clinical reasoning strategies and outcome-based thinking in the implementation of patient care. The Outcome-Present State-Test (OPT) model, created by Dr. Daniel Pesut, has been chosen as the framework for this education. Sample and Setting: The initial measurement of the program will involve a convenience sample of approximately 150 clinical nurses on three medical-surgical units and one intensive care unit within an academic health science center setting. Method: Pre-workshop and post-intervention questionnaires have been administered to the clinical nurses on the selected units using the Reflective Clinical Reasoning and the Barrett Power as Knowing Participation in Change tools. Data analysis is underway. The educational intervention consisted of a 3-hour workshop led by faculty trained in the OPT method followed by unit activities to apply the strategies to patient care planning and outcome-based practice. Implications for Nursing Practice: This project is a unique intervention with the goal of improving clinical reasoning in the nurse’s day-to-day clinical practice. The model is intuitively useful in that it focuses on the processes of clinical reasoning and decision-making. This includes using self-reflective strategies and outcome-based methods rather than problem-oriented methods and task-based practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInnovations in Clinical Reasoning: Pathway to Expert Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150364-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Innovations in Clinical Reasoning: Pathway to Expert Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Smith, Thomas</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Mount Sinai Hospital</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">thomas.smith@mountsinai.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this educational intervention is to enhance the clinical reasoning and critical thinking abilities of the nurse to promote expert practice and quality patient care outcomes. Description of Project: This project is an educational intervention at The Mount Sinai Hospital in New York City. In 2000, an Educational Intervention Task Force was created to investigate and plan strategies to expand knowledge and use of clinical reasoning in nursing practice. These efforts included Nursing Grand Rounds, small group workshops for Directors of Nursing, Clinical Nurse Managers, Nurse Educators and Clinical Nurses, and clinical unit rounds. In 2001, a demonstration project will include more focused education with 4 pilot units to actualize clinical reasoning strategies and outcome-based thinking in the implementation of patient care. The Outcome-Present State-Test (OPT) model, created by Dr. Daniel Pesut, has been chosen as the framework for this education. Sample and Setting: The initial measurement of the program will involve a convenience sample of approximately 150 clinical nurses on three medical-surgical units and one intensive care unit within an academic health science center setting. Method: Pre-workshop and post-intervention questionnaires have been administered to the clinical nurses on the selected units using the Reflective Clinical Reasoning and the Barrett Power as Knowing Participation in Change tools. Data analysis is underway. The educational intervention consisted of a 3-hour workshop led by faculty trained in the OPT method followed by unit activities to apply the strategies to patient care planning and outcome-based practice. Implications for Nursing Practice: This project is a unique intervention with the goal of improving clinical reasoning in the nurse&rsquo;s day-to-day clinical practice. The model is intuitively useful in that it focuses on the processes of clinical reasoning and decision-making. This includes using self-reflective strategies and outcome-based methods rather than problem-oriented methods and task-based practice.</td></tr></table>en_GB
dc.date.available2011-10-26T10:22:42Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T10:22:42Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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