2.50
Hdl Handle:
http://hdl.handle.net/10755/161613
Type:
Presentation
Title:
Clinical Reasoning in Experienced Nurses
Abstract:
Clinical Reasoning in Experienced Nurses
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Simmons, Barbara
P.I. Institution Name:University of Illinois at Chicago
Title:Clinical Assistant Professor
Contact Address:College of Nursing, 845 South Damen Avenue, M/C 802, 740 NURS, Chicago, IL, 60612, USA
Contact Telephone:312.413.0581
Clinical reasoning is an important aspect of professional nursing which guides the nurse in processing information and making decisions. As a result of multiple changes in health care nurses have responsibility for more patients and must use varied reasoning strategies to manage data efficiently under conditions of increasing risk and uncertainty. The majority of practicing nurses are neither novice nor expert but experienced. However, little is known about clinical reasoning in the experienced nurse. In addition, few studies have been conducted in a practice setting. Therefore, this qualitative study was conducted to describe the cognitive processes used by experienced nurses as they assessed patients assigned to their care. Information processing theory guided this research. IRB approval was obtained and informed consents were signed. Fifteen nurses who met the sample criteria were asked to 'think aloud' about their initial shift assessments on assigned patients. Five medical-surgical units of a 250 bed teaching community hospital were used for data collection. Think aloud data were audio taped and transcribed. This paper presents the final research results. Through protocol analysis the investigator identified concepts that represented information that nurses were concentrating on, assertions that enabled them to make sense of assessments, and heuristics that made clinical reasoning more efficient. Experienced nurses considered multiple data simultaneously, planned care concurrently with assessment, used recursive reasoning, and employed numerous heuristics. Implications for further research include investigating clinical reasoning in different practice settings, nursing skill levels, and reasoning tasks.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleClinical Reasoning in Experienced Nursesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161613-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Clinical Reasoning in Experienced Nurses</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Simmons, Barbara</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Illinois at Chicago</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 845 South Damen Avenue, M/C 802, 740 NURS, Chicago, IL, 60612, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">312.413.0581</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">simmonsb@uic.edu</td></tr><tr><td colspan="2" class="item-abstract">Clinical reasoning is an important aspect of professional nursing which guides the nurse in processing information and making decisions. As a result of multiple changes in health care nurses have responsibility for more patients and must use varied reasoning strategies to manage data efficiently under conditions of increasing risk and uncertainty. The majority of practicing nurses are neither novice nor expert but experienced. However, little is known about clinical reasoning in the experienced nurse. In addition, few studies have been conducted in a practice setting. Therefore, this qualitative study was conducted to describe the cognitive processes used by experienced nurses as they assessed patients assigned to their care. Information processing theory guided this research. IRB approval was obtained and informed consents were signed. Fifteen nurses who met the sample criteria were asked to 'think aloud' about their initial shift assessments on assigned patients. Five medical-surgical units of a 250 bed teaching community hospital were used for data collection. Think aloud data were audio taped and transcribed. This paper presents the final research results. Through protocol analysis the investigator identified concepts that represented information that nurses were concentrating on, assertions that enabled them to make sense of assessments, and heuristics that made clinical reasoning more efficient. Experienced nurses considered multiple data simultaneously, planned care concurrently with assessment, used recursive reasoning, and employed numerous heuristics. Implications for further research include investigating clinical reasoning in different practice settings, nursing skill levels, and reasoning tasks.</td></tr></table>en_GB
dc.date.available2011-10-26T23:24:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:24:16Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.