The ‘five rights’ of clinical reasoning: An educational model to enhance nursing students’ ability to identify and manage clinically ‘at risk’ patients

Nurse Education Today - Tập 30 Số 6 - Trang 515-520 - 2010
Tracy Levett‐Jones1, Christine Duffield1, Jennifer Dempsey2, Sarah Jeong2, Danielle Noble1, Carol Norton2, Jan Roche1, Noelene Hickey2
1School of Nursing and Midwifery, The University of Newcastle, Callaghan, NSW 2308, Australia
2School of Nursing and Midwifery, The University of Newcastle, P.O. Box 127 Ourimbah, NSW 2258, Australia

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Aiken, 2003, Educational levels of hospital nurses and surgical patient mortality, JAMA, 290, 1617, 10.1001/jama.290.12.1617

Alfaro-LeFevre, R., 2009. Critical Thinking and Clinical Judgement: A Practical Approach to Outcome-Focused Thinking, fourth ed. Elsevier, St. Louise.

Andersen, 1991, Mapping the terrain of the discipline, 95

Arbon, 2004, Understanding experience in nursing, Journal of Clinical Nursing, 13, 150, 10.1046/j.1365-2702.2003.00861.x

Banning, 2008, Clinical reasoning and its application to nursing: concepts and research studies, Nurse Education in Practice, 8, 177, 10.1016/j.nepr.2007.06.004

Benner, 2001

Bright, 2004, Clinical review: outreach – a strategy for improving the care of the acutely ill hospitalized patient, Critical Care, 8, 33, 10.1186/cc2377

Bucknall, 2000, Critical care nurses’ decision-making activities in the natural clinical setting, Journal of Clinical Nursing, 9, 25, 10.1046/j.1365-2702.2000.00333.x

Buist, 2004, Association between clinical abnormal observations and subsequent in-hospital mortality: a prospective study, Resuscitation, 62, 137, 10.1016/j.resuscitation.2004.03.005

Cioffi, 2002, What are clinical judgments

Clarke, 2003, Failure to rescue, American Journal of Nursing, 103, 42, 10.1097/00000446-200301000-00020

del Bueno, 2005, A crisis in critical thinking, Nursing Education Perspectives, 278

Dempsey, 2004, Falls prevention revisited: a call for a new approach, Journal of Clinical Nursing, 13, 479, 10.1046/j.1365-2702.2003.00868.x

Di Vito-Thomas, 2005, Nursing student stories on learning how to think like a nurse, Nurse Education, 30, 133, 10.1097/00006223-200505000-00017

Ebright, 2003, Understanding the complexity of registered nurse work in acute care settings, Journal of Nursing Administration, 33, 630, 10.1097/00005110-200312000-00004

Elstein, 1991, Psychology of clinical reasoning

Ericsson, 2007, Expert performance in nursing: reviewing research on expertise in nursing within the framework of the expert-performance approach, Advances in Nursing Science, 30, 58, 10.1097/00012272-200701000-00014

Ericsson, K., Simon, H., 1993. Protocol Analysis: Verbal Reports as Data, revised ed. The MIT Press, Cambridge, Massachusetts.

Ericsson, K., Simon, H., 1984. Protocol Analysis: Verbal Reports as Data. The MIT Press, Cambridge, Massachusetts.

Goldhill, 2001, The critically ill: following your MEWS, QJM: An International Journal of Medicine, 94, 507, 10.1093/qjmed/94.10.507

Hamers, 1997, Differences in pain assessment and decisions regarding the administration of analgesics between novices, intermediates and experts in pediatric nursing, International Journal of Nursing Studies, 34, 325, 10.1016/S0020-7489(97)00024-2

Hardy, 2002, Exploring nursing expertise: nurses talk nursing, Nursing Inquiry, 9, 196, 10.1046/j.1440-1800.2002.00144.x

Higuchi Smith, 2002, Thinking processes used by nurses in clinical decision-making, Journal of Nursing Education, 41, 145, 10.3928/0148-4834-20020401-04

Hoffman, K., Aitken, L., Duffield, C., in press. A comparison of novice and expert nurses’ cue collection during clinical decision-making: verbal protocol analysis. International Journal of Nursing Studies. doi: 10.1016/j.injnurstu.2009.04.001.

Hoffman, K., 2007. A Comparison of Decision-making by “Expert” and “Novice” Nurses in the Clinical Setting, Monitoring Patient Haemodynamic Status Post Abdominal Aortic Aneurysm Surgery. Unpublished PhD Thesis. University of Technology, Sydney.

Hoffman, 2004, Decision-making in clinical nursing: investigating contributing factors, Journal of Advanced Nursing, 45, 53, 10.1046/j.1365-2648.2003.02860.x

Incident Management in the NSW Public Health System 2007 July to December, 2008. Clinical Excellence Commission. NSW Health.

Jacques, 2006, Signs of critical conditions and emergency responses (SOCCER): a model for predicting adverse events in the inpatient setting, Resuscitation, 69, 175, 10.1016/j.resuscitation.2005.08.015

Jones, 1989, The verbal protocol: a research technique for nursing, Journal of Advanced Nursing, 14, 1062, 10.1111/j.1365-2648.1989.tb01518.x

Kiely, 2009, Persistent delirium predicts greater mortality, Journal of the American Geriatrics Society, 57, 55, 10.1111/j.1532-5415.2008.02092.x

Lamond, 1998, The treatment of pressure sores: a comparison of novice and expert nurses’ knowledge, information and decision accuracy, Journal of Advanced Nursing, 27, 280, 10.1046/j.1365-2648.1998.00532.x

Lasater, 2007, High-fidelity simulation and the development of clinical judgment: students’ experiences, Journal of Nursing Education, 46, 269, 10.3928/01484834-20070601-06

McCarthy, 2003, Detecting acute confusion in older adults: comparing clinical reasoning of nurses working in acute, long-term, and community health care environments, Research in Nursing and Health, 26, 203, 10.1002/nur.10081

Mikos, 2007, Monitoring handoffs for standardization, Nurse Manager, 38, 16

Needleman, J., Buerhaus, P., Mattke, S., Stewart, M., Zevinsky, K., 2001. Nurse Staffing and Patient Outcomes in Hospitals. Harvard School of Public Health, Boston.

NSW Health, 2006. Patient Safety and Clinical Quality Program: Third report on Incident Management in the NSW Public Health System 2005–2006. NSW Department of Health, Sydney.

O’Neill, 2005, Modelling novice clinical reasoning for a computerised decision support system, Journal of Advanced Nursing, 49, 68, 10.1111/j.1365-2648.2004.03265.x

O’Neill, 1994, The influence of experience on community health nurses’ use of the similarity heuristic in diagnostic reasoning, Scholarly Inquiry for Nursing Practice, 8, 217

Palmeri, 1997, Exemplar similarity and the development of automaticity, Journal of Experimental Psychology: Learning, Memory, and Cognition, 23, 324, 10.1037/0278-7393.23.2.324

Schmidt, 1990, A cognitive perspective on medical expertise: theory and implications, Academic Medicine, 65, 611, 10.1097/00001888-199010000-00001

Schuurmans, 2001, Early recognition of delirium: review of the literature, Journal of Clinical Nursing, 10, 721, 10.1046/j.1365-2702.2001.00548.x

Smith, 2002, Knowledge of aspects of acute care in trainee doctors, Postgraduate Medicine Journal, 2, 335, 10.1136/pmj.78.920.335

Tanner, 2006, Thinking like a nurse: a research-based model of clinical judgment in nursing, Journal of Nursing Education, 45, 204, 10.3928/01484834-20060601-04

Thompson, 2004, Nurses, information use, and clinical decision making: the real world potential for evidence-based decisions in nursing, Evidence-Based Nursing, 7, 68, 10.1136/ebn.7.3.68

Thompson, 2008, The effects of time pressure and experience on nurses’ risk assessment decisions: a signal detection analysis, Nursing Research, 57, 302, 10.1097/01.NNR.0000313504.37970.f9

Thompson, 2002

White, 1992, Content and process in clinical decision-making by nurse practitioners, Image – Journal of Nursing Scholarship, 24, 153, 10.1111/j.1547-5069.1992.tb00241.x