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Clinical reasoning strategies used during care planning.

This descriptive study provides insight into home health nurses' thinking processes as they planned care for chronically ill clients. The author interviewed five experienced home health nurses to elicit think-aloud data about 10 different chronically ill clients, obtaining 20 interviews. The researc...

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Published in:Clinical Nursing Research Vol. 6; no. 4; pp. 349 - 362
Main Author: Fowler LP
Format: research tables/charts Journal Article
Published: Sage Publications Inc. Nov97
Online Access:View this record in EBSCOhost
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      dt: Nov97
      vid: 6
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      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Clinical reasoning strategies used during care planning.
      aug:
        au: Fowler LP
        affil: Assistant Professor, Medical University of South Carolina, Florence
      sug:
        subj:
          Home Health Nursing
          Thinking
          Expert Nurses
          Planning Techniques
          Cognition
          Descriptive Research
          Interviews
          Content Analysis
          Purposive Sample
          Audiorecording
          Interrater Reliability
          Chronic Disease
          Human
      ab: This descriptive study provides insight into home health nurses' thinking processes as they planned care for chronically ill clients. The author interviewed five experienced home health nurses to elicit think-aloud data about 10 different chronically ill clients, obtaining 20 interviews. The researcher used verbal protocol analysis, a content analysis interpretive strategy, to unravel the concepts and label the cognitive processes used in the thinking task of planning nursing care. The following cognitive strategies were discovered: hypothesizing, cue logic, framing, reflexive comparison, prototype case reasoning, and testing. Findings support the importance of content, clinical context, and experience whenever reasoning to plan care. Findings did not support problem-solving models of thinking such as the nursing process. The findings for this study are applicable to staff development and education programs. Theoretical models of clinical reasoning need to be further developed and tested.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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