Log in

Relevant bibliographies by topics / Clinical decision making;reasoning;judgement / Journal articles

Journal articles on the topic 'Clinical decision making;reasoning;judgement'

To see the other types of publications on this topic, follow the link: Clinical decision making;reasoning;judgement.

Author: Grafiati

Published: 4 June 2021

Last updated: 20 February 2023

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 journal articles for your research on the topic 'Clinical decision making;reasoning;judgement.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.

1

Ward, Tony. "Method, Judgement, and Clinical Reasoning." Behaviour Change 16, no. 1 (April 1, 1999): 4–9. http://dx.doi.org/10.1375/bech.16.1.4.

Full text

Abstract:

AbstractResearchers have tended to take one of two mutually exclusive positions concerning the nature and status of clinical decision-making. On the one hand, clinicians are urged to be more rigorous and analytical when assessing a client, to disregard their intuitions and instead utilise explicit rules and algorithms. On the other hand, they are counselled to regard their “gut feelings” as valuable sources of knowledge about clients. As a way of reconciling these two perspectives, it is important to acknowledge that clinical psychologists are confronted with a wide range of assessment and clinical tasks that vary in their degree of structure. Therefore, in order to effectively manage the diverse tasks they face during a typical assessment, they need to possess a wide range of cognitive skills. These skills, and their associated cognitive tasks, will span the cognitive continuum from the intuitive to the analytical poles (Hammond, 1996).

APA, Harvard, Vancouver, ISO, and other styles

2

Gladstone, Nicholas. "Comparative Theories in Clinical Decision Making and their Application to Practice: a Reflective Case Study." British Journal of Anaesthetic and Recovery Nursing 13, no. 3-4 (August 2012): 65–71. http://dx.doi.org/10.1017/s1742645612000435.

Full text

Abstract:

AbstractWithin this article the author critically reviews the theories surrounding clinical decision making and judgement while discussing a clinical incident, and his experiences of decision making within his own practice setting. Exploring the works of Elstein and Schwarz, Benner, Hammond and Hamm, the author discusses how aspects from each of their theories relate to his practice and clinical reasoning before concluding on the clinical decision-making process and factors that can influence their successful application.

APA, Harvard, Vancouver, ISO, and other styles

3

Siegert, Richard J. "Some Thoughts About Reasoning in Clinical Neuropsychology." Behaviour Change 16, no. 1 (April 1, 1999): 37–48. http://dx.doi.org/10.1375/bech.16.1.37.

Full text

Abstract:

AbstractThe present paper argues that discussion of the role of reasoning in clinical neuropsychology has been largely restricted to a debate over the reliability and validity of end-stage decision-making. This has sometimes led to heated debate, but has not resulted in any careful consideration of either the process of clinical reasoning or the cognition of the clinician. There is already a wealth of theory and research on the kinds of errors typical of human judgement and decision-making. Moreover, much of this work is particularly relevant for neuropsychology, being frequently based on research on medical diagnosis. This literature is briefly reviewed, with examples that demonstrate the relevance of research in this area for clinical neuropsychology. Then, a step-by-step approach is taken to examining the process of clinical neuropsychological assessment, with consideration at each step of some of the issues that arise demanding clinical reasoning. Finally, the article is briefly summarised and some implications for clinical training are advanced.

APA, Harvard, Vancouver, ISO, and other styles

4

Ameen, Saleem, Ming-Chao Wong, Kwang-Chien Yee, and Paul Turner. "AI and Clinical Decision Making: The Limitations and Risks of Computational Reductionism in Bowel Cancer Screening." Applied Sciences 12, no. 7 (March 25, 2022): 3341. http://dx.doi.org/10.3390/app12073341.

Full text

Abstract:

Advances in artificial intelligence in healthcare are frequently promoted as ‘solutions’ to improve the accuracy, safety, and quality of clinical decisions, treatments, and care. Despite some diagnostic success, however, AI systems rely on forms of reductive reasoning and computational determinism that embed problematic assumptions about clinical decision-making and clinical practice. Clinician autonomy, experience, and judgement are reduced to inputs and outputs framed as binary or multi-class classification problems benchmarked against a clinician’s capacity to identify or predict disease states. This paper examines this reductive reasoning in AI systems for colorectal cancer (CRC) to highlight their limitations and risks: (1) in AI systems themselves due to inherent biases in (a) retrospective training datasets and (b) embedded assumptions in underlying AI architectures and algorithms; (2) in the problematic and limited evaluations being conducted on AI systems prior to system integration in clinical practice; and (3) in marginalising socio-technical factors in the context-dependent interactions between clinicians, their patients, and the broader health system. The paper argues that to optimise benefits from AI systems and to avoid negative unintended consequences for clinical decision-making and patient care, there is a need for more nuanced and balanced approaches to AI system deployment and evaluation in CRC.

APA, Harvard, Vancouver, ISO, and other styles

5

Hahn, Sukwon, and Young Mi Ryu. "Trends in research on clinical reasoning in nursing over the past 20 years: a bibliometric analysis." Science Editing 9, no. 2 (August 19, 2022): 112–19. http://dx.doi.org/10.6087/kcse.276.

Full text

Abstract:

Purpose: Clinical reasoning is an essential component of nursing education. This study aimed to identify the trends in research on clinical reasoning in nursing over a 22-year period.Methods: The Web of Science Core Collection was used as the target database, with the search terms “clinical reasoning,” “clinical judgement,” and “clinical decision.” The scope of the search included the subject, abstract, author’s keywords, and Keywords Plus for each article. Our literature search included journal articles from 2000 to 2021, with the subject area restricted to nursing. A total of 4,675 articles met the inclusion criteria after the removal of duplicates using digital object identifier. We used bibliometric analyses to conduct quantitative and statistical analyses of publication trends, the journals and countries with the most publications, the most productive authors, the most globally cited documents, and the most frequent keywords.Results: In nursing, studies related to clinical reasoning have increased significantly since 2000. The most prolific country has been the United States. The journal with the most publications was the <i>Journal of Clinical Nursing</i>. The most productive author was Considine J, with 23 publications. The most widely cited author was Tanner CA, with 614 citations. The most frequent keywords in the literature related to clinical reasoning were “care,” “nurses,” and “decision-making,” in that order.Conclusion: This study examined the quantitative analysis and statistics of publications related to clinical reasoning in nursing in the past 20 years using bibliographic information. This study can help guide future research on clinical reasoning for nurse educators.

APA, Harvard, Vancouver, ISO, and other styles

6

Besa, Chola, G. Chongo, and N. Cooper. "Cognitive Autopsy of a Fatal Diagnostic Error." Medical Journal of Zambia 46, no. 4 (December 31, 2019): 357–61. http://dx.doi.org/10.55320/mjz.46.4.609.

Full text

Abstract:

Background: Diagnostic error is a significant cause of preventable harm worldwide and diagnostic errors have been identified as a high priority patient safety problem by the World Health Organization. Research shows thatdiagnostic error occurs mainly due to system failures and 'cognitive errors' – that is, failure to synthesise all the available information. There is a worldwide consensus that medical schools and postgraduate training programmes rarely teachthe diagnostic process and related decision making (clinical reasoning) in a way that is explicit, systematic and consistent with what is known from research. Materials and methods: This paper presents a short case report and analyses it from a clinical reasoning perspective – performing a 'cognitive autopsy' of a fatal diagnostic error. Results: Clinicians make cognitive shortcuts through pattern recognition and this is highly accurate most of the time. However, shortcuts sometimes go wrong and these are termed 'cognitive biases'. Cognitive biases are subconscious errors of judgement or perception and common examples include 'anchoring', 'the framing effect', 'search satisficing 'and' confirmation biases. These errors are more likely when clinicians are fatigued or cognitively overloaded, and when systems are not designed to mitigate human errors. Conclusions: There is a vast literature on clinical reasoning, 'human factors', and reflection during decision making that show us how we can reduce diagnostic error in our everyday practice. This paper attempts to highlight some of the key findings in the literature that will hopefully encourage readers to explore the patient safety and clinical reasoning literature for themselves and work together to improve outcomes for patients.

APA, Harvard, Vancouver, ISO, and other styles

7

Oliva, Antonio, Simone Grassi, Massimo Zedda, Marco Molinari, and Stefano Ferracuti. "Forensic Value of Genetic Variants Associated with Anti-Social Behavior." Diagnostics 11, no. 12 (December 17, 2021): 2386. http://dx.doi.org/10.3390/diagnostics11122386.

Full text

Abstract:

Insanity defense is sometimes invoked in criminal cases, and its demonstration is usually based on a multifactorial contribution of behavioural, clinical, and neurological elements. Neuroradiological evidence of structural alterations in cerebral areas that involve decision-making and moral reasoning is often accepted as a useful tool in these evaluations. On the other hand, the genetic predisposition to anti-social behavior is still controversial. In this paper, we describe two cases of violent crimes committed by young carriers of genetic variants associated with personality disorder; both the defendants claimed to be insane at the time of the crime. We discuss these cases and review the scientific literature regarding the relationship between legal incapacity/predisposition to criminal behavior and genetic mutations. In conclusion, despite some genetic variants being able to influence several cognitive processes (like moral judgement and impulse control), there is currently no evidence that carriers of these mutations are, per se, incapable of intentionally committing crimes.

APA, Harvard, Vancouver, ISO, and other styles

8

Dowie, Jack. "The ‘Number Needed to Treat’ and the ‘Adjusted NNT’ in Health Care Decision-Making." Journal of Health Services Research & Policy 3, no. 1 (January 1998): 44–49. http://dx.doi.org/10.1177/135581969800300110.

Full text

Abstract:

Within ‘evidence-based medicine and health care’ the ‘number needed to treat’ (NNT) has been promoted as the most clinically useful measure of the effectiveness of interventions as established by research. Is the NNT, in either its simple or adjusted form, ‘easily understood’, ‘intuitively meaningful’, ‘clinically useful’ and likely to bring about the substantial improvements in patient care and public health envisaged by those who recommend its use? The key evidence against the NNT is the consistent format effect revealed in studies that present respondents with mathematically-equivalent statements regarding trial results. Problems of understanding aside, trying to overcome the limitations of the simple (major adverse event) NNT by adding an equivalent measure for harm (‘number needed to harm’ NNH) means the NNT loses its key claim to be a single yardstick. Integration of the NNT and NNH, and attempts to take into account the wider consequences of treatment options, can be attempted by either a ‘clinical judgement’ or an analytical route. The former means abandoning the explicit and rigorous transparency urged in evidence-based medicine. The attempt to produce an ‘adjusted’ NNT by an analytical approach has succeeded, but the procedure involves carrying out a prior decision analysis. The calculation of an adjusted NNT from that analysis is a redundant extra step, the only action necessary being comparison of the results for each option and determination of the optimal one. The adjusted NNT has no role in clinical decision-making, defined as requiring patient utilities, because the latter are measurable only on an interval scale and cannot be transformed into a ratio measure (which the adjusted NNT is implied to be). In any case, the NNT always represents the intrusion of population-based reasoning into clinical decision-making.

APA, Harvard, Vancouver, ISO, and other styles

9

Silvério Rodrigues, David, Paulo Faria Sousa, Nuno Basílio, Ana Antunes, Maria da Luz Antunes, Maria Isabel Santos, and Bruno Heleno. "Primary care physicians’ decision-making processes in the context of multimorbidity: protocol of a systematic review and thematic synthesis of qualitative research." BMJ Open 9, no. 4 (April 2019): e023832. http://dx.doi.org/10.1136/bmjopen-2018-023832.

Full text

Abstract:

IntroductionGood patient outcomes correlate with the physicians’ capacity for good clinical judgement. Multimorbidity is common and it increases uncertainty and complexity in the clinical encounter. However, healthcare systems and medical education are centred on individual diseases. In consequence, recognition of the patient as the centre of the decision-making process becomes even more difficult. Research in clinical reasoning and medical decision in a real-world context is needed. The aim of the present review is to identify and synthesise available qualitative evidence on primary care physicians’ perspectives, views or experiences on decision-making with patients with multimorbidity.Methods and analysisThis will be a systematic review of qualitative research where PubMed, CINAHL, PsycINFO, Embase and Web of Science will be searched, supplemented with manual searches of reference lists of included studies. Qualitative studies published in Portuguese, Spanish and English language will be included, with no date limit. Studies will be eligible when they evaluate family physicians’ perspectives, opinions or perceptions on decision-making for patients with multimorbidity in primary care. The methodological quality of studies selected for retrieval will be assessed by two independent reviewers before inclusion in the review using the Critical Appraisal Skills Programme (CASP) tool. Thematic synthesis will be used to identify key categories and themes from the qualitative data. The Confidence in the Evidence from Reviews of Qualitative research approach will be used to assess how much confidence to place in findings from the qualitative evidence synthesis.Ethics and disseminationThis review will use published data. No ethical issues are foreseen. The findings will be disseminated to the medical community via journal publication and conference presentation(s).PROSPERO registration numberID 91978.

APA, Harvard, Vancouver, ISO, and other styles

10

Owen, Gareth S., George Szmukler, Genevra Richardson, Anthony S. David, Vanessa Raymont, Fabian Freyenhagen, Wayne Martin, and Matthew Hotopf. "Decision-making capacity for treatment in psychiatric and medical in-patients: Cross-sectional, comparative study." British Journal of Psychiatry 203, no. 6 (December 2013): 461–67. http://dx.doi.org/10.1192/bjp.bp.112.123976.

Full text

Abstract:

BackgroundIs the nature of decision-making capacity (DMC) for treatment significantly different in medical and psychiatric patients?AimsTo compare the abilities relevant to DMC for treatment in medical and psychiatric patients who are able to communicate a treatment choice.MethodA secondary analysis of two cross-sectional studies of consecutive admissions: 125 to a psychiatric hospital and 164 to a medical hospital. The MacArthur Competence Assessment Tool – Treatment and a clinical interview were used to assess decision-making abilities (understanding, appreciating and reasoning) and judgements of DMC. We limited analysis to patients able to express a choice about treatment and stratified the analysis by low and high understanding ability.ResultsMost people scoring low on understanding were judged to lack DMC and there was no difference by hospital (P=0.14). In both hospitals there were patients who were able to understand yet lacked DMC (39% psychiatric v. 13% medical in-patients, P<0.001). Appreciation was a better ‘test’ of DMC in the psychiatric hospital (where psychotic and severe affective disorders predominated) (P<0.001), whereas reasoning was a better test of DMC in the medical hospital (where cognitive impairment was common) (P=0.02).ConclusionsAmong those with good understanding, the appreciation ability had more salience to DMC for treatment in a psychiatric setting and the reasoning ability had more salience in a medical setting.

APA, Harvard, Vancouver, ISO, and other styles

11

Shah, Koonal K., Richard Cookson, Anthony J. Culyer, and Peter Littlejohns. "NICE's social value judgements about equity in health and health care." Health Economics, Policy and Law 8, no. 2 (May 1, 2012): 145–65. http://dx.doi.org/10.1017/s1744133112000096.

Full text

Abstract:

AbstractThe National Institute for Health and Clinical Excellence (NICE) routinely publishes details of the evidence and reasoning underpinning its recommendations, including its social value judgements (SVJs). To date, however, NICE's SVJs relating to equity in the distribution of health and health care have been less specific and systematic than those relating to cost-effectiveness in the pursuit of improved total population health. NICE takes a pragmatic, case-based approach to developing its principles of SVJ, drawing on the cumulative experience of its advisory bodies in making decisions that command respect among its broad range of stakeholders. This paper aims to describe the SVJs about equity in health and health care that NICE has hitherto used to guide its decision making. To do this, we review both the general SVJs reported in NICE guidance on methodology and the case-specific SVJs reported in NICE guidance about particular health care technologies and public health interventions.

APA, Harvard, Vancouver, ISO, and other styles

12

Martin, Peter J. "Clinical Decision Making and Judgement in Nursing Clinical Decision Making and Judgement in Nursing." Nursing Standard 16, no. 25 (March 6, 2002): 29. http://dx.doi.org/10.7748/ns2002.03.16.25.29.b341.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Hlatky, Mark A., Robert M. Califf, Frank E. Harrell, Kerry L. Lee, Daniel B. Mark, Lawrence H. Muhlbaier, and David B. Pryor. "Clinical judgement and therapeutic decision making." Journal of the American College of Cardiology 15, no. 1 (January 1990): 1–14. http://dx.doi.org/10.1016/0735-1097(90)90167-n.

Full text

APA, Harvard, Vancouver, ISO, and other styles

14

Jarrett-Williams, Tianna. "Clinical Judgement and Decision Making for Nursing StudentsClinical Judgement and Decision Making for Nursing Students." Nursing Standard 26, no. 23 (February 8, 2012): 30. http://dx.doi.org/10.7748/ns2012.02.26.23.30.b1314.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

Barker, Wendy. "Clinical Decision Making and Judgement in Nursing." Journal of Advanced Nursing 39, no. 6 (September 2002): 607. http://dx.doi.org/10.1046/j.1365-2648.2002.02350_1.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Lugg, Jason. "Clinical Judgement and Decision Making in Nursing." Emergency Nurse 25, no. 09 (February 9, 2018): 16. http://dx.doi.org/10.7748/en.25.09.16.s18.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Messer, Harold H. "Clinical Judgement And Decision Making In Endodontics." Australian Endodontic Journal 25, no. 3 (December 1999): 124–32. http://dx.doi.org/10.1111/j.1747-4477.1999.tb00119.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

Conti, C. Richard. "Decision Making in Clinical Cardiology, Clinical Trials, and Judgement." Clinical Cardiology 30, no. 7 (2007): 317–18. http://dx.doi.org/10.1002/clc.20198.

Full text

APA, Harvard, Vancouver, ISO, and other styles

19

D’Aurizio, Giulia, Fabrizio Santoboni, Francesca Pistoia, Laura Mandolesi, and Giuseppe Curcio. "Moral Judgement along the Academic Training." International Journal of Environmental Research and Public Health 19, no. 1 (December 21, 2021): 10. http://dx.doi.org/10.3390/ijerph19010010.

Full text

Abstract:

Moral reasoning and consequent decision making are central in the everyday life of all people, independent of their profession. It is undoubtedly crucial in the so-called “helping professions”, when the professional through his/her decisions can support or not support others. Our study aimed to investigate whether academic training can play an essential role in influencing moral reasoning. We used three different conditions: 20 moral personal, 20 moral impersonal, and 20 nonmoral dilemmas to assessed differences in moral judgement between students of Economics, Medicine, and Psychology at their first year and at the end of university training. We observed a difference between school and year of course: psychology students showing more time when asked to read and answer the proposed questions. Moreover, medical students showed a significant increase in sensitiveness to moral issues as a function of academic ageing, whereas such a moral sense regressed from the first to the fifth year of academic training in other students. Gender was also relevant, with women showing an increased response and reading times compared to than men when asked to cope with moral decisions. This study shows that the main factor driving moral decision making is the faculty to which one is enrolled, significantly modulated by sex and academic seniority.

APA, Harvard, Vancouver, ISO, and other styles

20

French, Simon, Jack Dowie, and Arthur Elstein. "Professional Judgement: A Reader in Clinical Decision Making." Journal of the Operational Research Society 40, no. 11 (November 1989): 1055. http://dx.doi.org/10.2307/2583145.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

French, Simon. "Professional Judgement: A Reader in Clinical Decision Making." Journal of the Operational Research Society 40, no. 11 (November 1989): 1055–56. http://dx.doi.org/10.1057/jors.1989.182.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Corbally, Melissa. "Clinical Judgement and Decision Making for Nursing Students." Nurse Education in Practice 12, no. 3 (May 2012): e28. http://dx.doi.org/10.1016/j.nepr.2011.12.003.

Full text

APA, Harvard, Vancouver, ISO, and other styles

23

Gallacher, Kathleen. "Clinical judgement and decision making in palliative care." Primary Health Care 17, no. 3 (April 2007): 40–43. http://dx.doi.org/10.7748/phc2007.04.17.3.40.c4402.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Hsu, Mei-Chi, and Wen-Chen Ouyang. "Effects of Integrated Moral Reasoning Development Intervention for Management of Violence in Schizophrenia: A Randomized Controlled Trial." Journal of Clinical Medicine 11, no. 5 (February 22, 2022): 1169. http://dx.doi.org/10.3390/jcm11051169.

Full text

Abstract:

Moral cognition is an important and multidimensional, but often overlooked, determinant of violence. Very few interventions have systematically examined the role of moral reasoning, anger management and problem-solving together in violence. A randomized controlled trial was conducted to comprehensively evaluate the sustained effects of an integrated Moral Reasoning Development Intervention (MRDI) in the management of repetitive violence in schizophrenia. This study placed special emphasis on essential components related to moral reasoning and violence in patients with schizophrenia. Evaluations, including measures of violence, moral reasoning, ethical valuation and judgement, decision-making, conflict management style, and personality traits, were performed at baseline, end of intervention, and 1-month follow-up after intervention. We found that MRDI was superior to treatment-as-usual, in improving moral reasoning and related variables and violence outcomes (p < 0.05). In comparison with the treatment-as-usual group (n = 22), patients in the MRDI group (n = 21) showed improved levels of moral reasoning, with decreased levels of violent behaviors. The MRDI participants also experienced significantly greater improvements or changes (p < 0.05) in their ethical valuation and judgement, decision-making style and preferences, and conflict management style. Our findings provide important implications for risk assessment and violence management and prevention.

APA, Harvard, Vancouver, ISO, and other styles

25

Martin, Peter J. "Clinical decision making and judgement in nursingClinical decision making and judgement in nursing Carl Thompson , DawnDowding Churchill Livingstone199pp£16.9504430707680443070768." Learning Disability Practice 5, no. 4 (May 2002): 20. http://dx.doi.org/10.7748/ldp.5.4.20.s10.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

Crebbin, Wendy, Spencer Beasley, Stephen Tobin, Glenn Guest, Robbert Duvivier, and David Watters. "Judgement: clinical decision‐making as a core surgical competency." ANZ Journal of Surgery 89, no. 6 (April 11, 2019): 760–63. http://dx.doi.org/10.1111/ans.15098.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

Jenkin, Annie. "Book Reviews: Clinical decision making and judgement in nursing." Accident and Emergency Nursing 10, no. 3 (July 2002): 182–83. http://dx.doi.org/10.1054/aaen.2002.0364.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Jenkins, J., M. Shields, C. Patterson, and F. Kee. "Decision making in asthma exacerbation: a clinical judgement analysis." Archives of Disease in Childhood 92, no. 8 (April 11, 2007): 672–77. http://dx.doi.org/10.1136/adc.2007.117424.

Full text

APA, Harvard, Vancouver, ISO, and other styles

29

Bryant, Robin, and Roger Arditti. "‘A wicked problem’? Risk assessment and decision-making when licensing possession and use of firearms in Greater London." Police Journal: Theory, Practice and Principles 92, no. 3 (September 11, 2018): 203–20. http://dx.doi.org/10.1177/0032258x18797992.

Full text

Abstract:

This paper analyses the risk assessment and decision-making used by a police force to assess the suitability of a person to own a firearm. The decision to grant a firearms licence has many characteristics of a ‘wicked problem’. Firearms Enquiries Officers (FEOs) in the police force concerned primarily use professional judgement to solve this problem, employing various forms of reasoning and heuristics, but potentially also prone to cognitive bias. We conclude with some observations on how training of FEOs and their supervisors in risk assessment and decision-making might be further developed.

APA, Harvard, Vancouver, ISO, and other styles

30

Menezes, Sáskia Sampaio Cipriano de, Consuelo Garcia Corrêa, Rita de Cássia Gengo e. Silva, and Diná de Almeida Monteiro Lopes da Cruz. "Clinical reasoning in undergraduate nursing education: a scoping review." Revista da Escola de Enfermagem da USP 49, no. 6 (December 2015): 1032–39. http://dx.doi.org/10.1590/s0080-623420150000600021.

Full text

Abstract:

Abstract OBJECTIVE This study aimed at analyzing the current state of knowledge on clinical reasoning in undergraduate nursing education. METHODS A systematic scoping review through a search strategy applied to the MEDLINE database, and an analysis of the material recovered by extracting data done by two independent reviewers. The extracted data were analyzed and synthesized in a narrative manner. RESULTS From the 1380 citations retrieved in the search, 23 were kept for review and their contents were summarized into five categories: 1) the experience of developing critical thinking/clinical reasoning/decision-making process; 2) teaching strategies related to the development of critical thinking/clinical reasoning/decision-making process; 3) measurement of variables related to the critical thinking/clinical reasoning/decision-making process; 4) relationship of variables involved in the critical thinking/clinical reasoning/decision-making process; and 5) theoretical development models of critical thinking/clinical reasoning/decision-making process for students. CONCLUSION The biggest challenge for developing knowledge on teaching clinical reasoning seems to be finding consistency between theoretical perspectives on the development of clinical reasoning and methodologies, methods, and procedures in research initiatives in this field.

APA, Harvard, Vancouver, ISO, and other styles

31

Doeltgen, Sebastian H., Sue McAllister, Joanne Murray, Elizabeth C. Ward, and Jean E. Pretz. "Reasoning and Decision Making in Clinical Swallowing Examination." Current Physical Medicine and Rehabilitation Reports 6, no. 3 (May 24, 2018): 171–77. http://dx.doi.org/10.1007/s40141-018-0191-z.

Full text

APA, Harvard, Vancouver, ISO, and other styles

32

Bleakley, Alan, Richard Farrow, David Gould, and Robert Marshall. "Making sense of clinical reasoning: judgement and the evidence of the senses." Medical Education 37, no. 6 (June 2003): 544–52. http://dx.doi.org/10.1046/j.1365-2923.2003.01542.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

33

Lockwood, Craig. "Clinical judgement and decision-making in nursing and interprofessional healthcare." International Journal of Evidence-Based Healthcare 9, no. 1 (March 2011): 69–70. http://dx.doi.org/10.1111/j.1744-1609.2010.00203.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Corcoran, Sheila, and Judith Graves. "Clinical judgement and decision making: The future with nursing diagnosis." Journal of Professional Nursing 5, no. 5 (September 1989): 289–90. http://dx.doi.org/10.1016/8755-7223(89)90043-4.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Hahn, Ulrike. "Why rational norms are indispensable." Behavioral and Brain Sciences 34, no. 5 (October 2011): 257–58. http://dx.doi.org/10.1017/s0140525x11000641.

Full text

Abstract:

AbstractNormative theories provide essential tools for understanding behaviour, not just for reasoning, judgement, and decision-making, but many other areas of cognition as well; and their utility extends to the development of process theories. Furthermore, the way these tools are used has nothing to do with the is-ought fallacy. There therefore seems no basis for the claim that research would be better off without them.

APA, Harvard, Vancouver, ISO, and other styles

36

Flores, Amanda, Pedro L. Cobos, Francisco J. López, and Antonio Godoy. "Detecting fast, online reasoning processes in clinical decision making." Psychological Assessment 26, no. 2 (June 2014): 660–65. http://dx.doi.org/10.1037/a0035151.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

Martinez-Brawley, Emilia. "Judgement, Common Sense and Discernment: Contributions from humanistic thinking to the social professions." Revista CENTRA de Ciencias Sociales 1, no. 1 (June 21, 2022): 51–66. http://dx.doi.org/10.54790/rccs.11.

Full text

Abstract:

This paper reviews definitions and usage of judgement and common sense as time-tested criteria in decision-making. It looks at how scholars in different disciplines and professions have approached judgement and professional wisdom, (to include tacit knowledge and common sense). It advocates teaching, reflecting and dialoguing on ethical principles and the incorporation of the classical virtues in discussions to increase social workers and other professionals’ full understanding of the complex meaning of these terms. The paper does not advocate any single approach to decision-making and acknowledges the quandaries of professionals. However, the paper builds the case that practitioners and academics can use good judgement to enhance, not abandon, their commitment to fairness and justice. Professionals, in the sense of those who belong to a discourse tradition (MacIntyre, 1984), can successfully overcome prejudicial assumptions relying on discernment developed through study, reflection and lived experiences. Finally, it is acknowledged that social work policies and practice parameters are reliant on ethical and legal frameworks. Philosophic and legal reasoning discourses are discussed as offering worthwhile perspectives. The paper strives to draw on the humanistic and multidisciplinary approaches to «knowing» to enhance the wisdom upon which the all human professions build.

APA, Harvard, Vancouver, ISO, and other styles

38

Dempsey, E. E., C. Moore, S. A. Johnson, S. H. Stewart, and I. M. Smith. "Morality in autism spectrum disorder: A systematic review." Development and Psychopathology 32, no. 3 (September 6, 2019): 1069–85. http://dx.doi.org/10.1017/s0954579419001160.

Full text

Abstract:

AbstractMoral reasoning and decision making help guide behavior and facilitate interpersonal relationships. Accounts of morality that position commonsense psychology as the foundation of moral development, (i.e., rationalist theories) have dominated research in morality in autism spectrum disorder (ASD). Given the well-documented differences in commonsense psychology among autistic individuals, researchers have investigated whether the development and execution of moral judgement and reasoning differs in this population compared with neurotypical individuals. In light of the diverse findings of investigations of moral development and reasoning in ASD, a summation and critical evaluation of the literature could help make sense of what is known about this important social-cognitive skill in ASD. To that end, we conducted a systematic review of the literature investigating moral decision making among autistic children and adults. Our search identified 29 studies. In this review, we synthesize the research in the area and provide suggestions for future research. Such research could include the application of an alternative theoretical framework to studying morality in autism spectrum disorder that does not assume a deficits-based perspective.

APA, Harvard, Vancouver, ISO, and other styles

39

Mata, André. "An easy fix for reasoning errors: Attention capturers improve reasoning performance." Quarterly Journal of Experimental Psychology 73, no. 10 (June 17, 2020): 1695–702. http://dx.doi.org/10.1177/1747021820931499.

Full text

Abstract:

Research on problem-solving, judgement, and decision making documents systematic reasoning errors. Such errors are often attributed to reasoning shortcomings, an inability to think properly. However, recent research suggests another cause for those errors: insufficient attention to the critical premises in a problem, resulting in miscomprehension, such that, even if a person is capable of reasoning properly, she will fail to solve the problem correctly if she is operating on wrong premises. The first study in this article provided further evidence for this comprehension account of reasoning errors: Performance on reasoning problems was found to relate to verbal comprehension on a separate task. This suggests that reasoning errors are in part due to lack of comprehension. The upside of this account is that it should be possible to improve reasoning performance by drawing attention to the critical premises. Three additional studies provided consistent evidence for this hypothesis, showing that the same participants who at first proved unable to solve certain problems correctly were able to overcome this inability and performed better when simple attention-capturing devices drew their attention to the critical premises.

APA, Harvard, Vancouver, ISO, and other styles

40

Kirkpatrick, Megan, J. David Patterson, and Patricia Prince. "Enhancing clinical judgement and decision-making skills of prelicensure nursing students." Journal of Nursing Education and Practice 12, no. 6 (February 28, 2022): 45. http://dx.doi.org/10.5430/jnep.v12n6p45.

Full text

Abstract:

This article describes an authentic learning activity intended to enhance prelicensure nursing students' clinical judgment and decision-making skills. This activity was designed for fourth year nursing students in a pediatric nursing theory course. Part A of the activity requires students to choose the most appropriate staffing assignment for the unit's staff on an inpatient pediatric unit and provide a rationale for that decision. In part B, students review shift reports, prioritize care based on the provided patient information, and identify appropriate referrals to the interdisciplinary team. This activity is adaptable to various educational healthcare disciplines and can be modified for junior and/or senior learners.

APA, Harvard, Vancouver, ISO, and other styles

41

Bishop, Emily T. "Narrative Reasoning in Practice." Journal of the American Podiatric Medical Association 109, no. 1 (January 1, 2019): 64–69. http://dx.doi.org/10.7547/17-099.

Full text

Abstract:

Background: Clinical reasoning and decision making within health care are as important as ever in a world where evidence-based health care and patient outcomes are highly valued. It is increasingly recognized that decisions are not made in isolation, and are influenced by many factors, both intrinsic and extrinsic. Expert and novice practitioners share reasoning techniques, and there are many interpretations of reasoning paradigms within the field of health care. Methods: A reflective diary was kept for 3 months linking personal reflections on a particular clinical decision with theoretical learning on clinical reasoning. Several decision-making paradigms were looked at in relation to the decision, with a deeper focus on narrative reasoning. Narrative reasoning resonated particularly with the author's previous experience studying literature. Results: The clinical decision was usefully analyzed using a narrative reasoning strategy. The decision made by the author was perhaps contrary to the evidence, and yet had a positive outcome. The positive outcome of the decision was looked at within the context of evidence-based practice and ethical practice. Conclusions: Narrative reasoning comes from within the interpretive research model and puts the patient's experience at the heart of decision making. Narrative reasoning can be a valuable way of combining diagnostic, management, and ethical aspects of care. Further research—particularly in podiatry, where research is lacking—could identify helpful reasoning strategies for care of patients with long-term chronic conditions or complex conditions.

APA, Harvard, Vancouver, ISO, and other styles

42

Wright, Joyce, and Debra Scardaville. "A nursing residency program: A window into clinical judgement and clinical decision making." Nurse Education in Practice 50 (January 2021): 102931. http://dx.doi.org/10.1016/j.nepr.2020.102931.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

Lunghi, Christian, and Francesca Baroni. "Cynefin Framework for Evidence-Informed Clinical Reasoning and Decision-Making." Journal of the American Osteopathic Association 119, no. 5 (May 1, 2019): 312. http://dx.doi.org/10.7556/jaoa.2019.053.

Full text

APA, Harvard, Vancouver, ISO, and other styles

44

Marcum, J. A. "The Role of Emotions in Clinical Reasoning and Decision Making." Journal of Medicine and Philosophy 38, no. 5 (August 24, 2013): 501–19. http://dx.doi.org/10.1093/jmp/jht040.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Munroe, Heli. "Clinical Reasoning in Community Occupational Therapy." British Journal of Occupational Therapy 59, no. 5 (May 1996): 196–202. http://dx.doi.org/10.1177/030802269605900502.

Full text

Abstract:

A qualitative research study was undertaken in order to ascertain the scope and nature of clinical reasoning in community occupational therapy. Thirty occupational therapists based in social work departments in Scotland participated in this study, which required them to describe the content and meaning of their thinking during routine interventions with clients and carers living in their own homes. The findings indicated that the participants adopted patterns of reasoning that consisted of three elements: reflection, decision making and reasoning. Reflection-in-action was commonplace during the home visits, while decision making was found to be concerned more with interactive than with technical or procedural issues. Reasoning was relativistic or pragmatic in response to contextual influences. In addition, it was found that the respondents tended to use coded meaning when explaining their thinking, which may in part account for the difficulties in articulating the reasoning that underpins clinical action. These issues are discussed in the context of current research on thinking.

APA, Harvard, Vancouver, ISO, and other styles

46

Rahim, Nur Raidah, Sharifalillah Nordin, and Rosma Mohd Dom. "A Clinical Decision Support System based on Ontology and Causal Reasoning Models." Jurnal Intelek 14, no. 2 (November 29, 2019): 187–97. http://dx.doi.org/10.24191/ji.v14i2.234.

Full text

Abstract:

Clinical decision support system (CDSS) is promising in assisting physicians for improving decision-making process and facilitates healthcare services. In medicine, causality has become the main concern throughout healthcare and decision-making. Causality is necessary for understanding all structures ofscientific reasoning and for providing a coherent and sufficient explanation for any event. However, thereare lack of existing CDSS that provide causal reasoning for the presented outcomes or decisions. Theseare necessary for showing reliability of the outcomes, and helping the physicians in making properdecisions. In this study, an ontology-based CDSS model is developed based on several key concepts andfeatures of causality and graphical modeling techniques. For the evaluation process, the Pellet reasoneris used to evaluate the consistency of the developed ontology model. In addition, an evaluation toolknown as Ontology Pitfall Scanner is used for validating the ontology model through pitfalls detection.The developed ontology-based CDSS model has potentials to be applied in clinical practice and helpingthe physicians in decision-making process. Keywords: clinical decision support system, ontology, causality, causal reasoning, graphical modeling

APA, Harvard, Vancouver, ISO, and other styles

47

Jarrett-Williams, Tianna. "Clinical judgement and decision making for nursing students Mooi Standing Clinical judgement and decision making for nursing students Learning Matters 208pp £17 978 1 8444 5468 6 1844454681." Nursing Standard 26, no. 23 (February 8, 2012): 30. http://dx.doi.org/10.7748/ns.26.23.30.s39.

Full text

APA, Harvard, Vancouver, ISO, and other styles

48

Kerry, Roger, Matthew Low, and Peter O'Sullivan. "Person-centred clinical reasoning and evidence-based healthcare." European Journal for Person Centered Healthcare 8, no. 2 (August 18, 2020): 215. http://dx.doi.org/10.5750/ejpch.v8i2.1845.

Full text

Abstract:

Purpose: Clinical practice, and in particular decision-making, are dependent on data and knowledge which are relevant to the context at hand. Numerous frameworks have existed which aim to facilitate best clinical decision-making for healthcare professionals and their patients, for example clinical reasoning and the evidence-based healthcare models. The purpose of this paper is to provide some reconciliation between apparently conflicting models of healthcare practice with regards to best practice.Methods: We provide a theoretical narrative account of clinical practice with regards to clinical reasoning and best decision-making. We problematise the practice frameworks of clinical reasoning and evidence base healthcare by suggesting they are conflicting and contradictory to each other. We frame the arguments available with philosophical views of causation, making the assumption that causation lies central to all aspects of knowledge. We use the narrative to expose causal theories behind different practice models and illustrate our account with a case study.Results: Clinical reasoning and evidence-based healthcare are characterised by different causal theories which do not readily align with each other. By reconceptualising causation as a dispositional phenomenon, reconciliation between individualised person-centred care and the population data which are the core interest of evidence-based healthcare, can be found, thus preserving the most valuable aspects of each practice framework.Conclusion: Reconceptualising causation in dispositionalist terms facilitates a more person-centred, multi-dimensional clinical reasoning process. This in-turn allows for the integration of data from prioritised methods of evidence-based healthcare into complex and context-sensitive individualised clinical situations.

APA, Harvard, Vancouver, ISO, and other styles

49

Costello, Barry, and Simon Downs. "Student paramedic decision-making: a critical exploration of a patient interaction." Journal of Paramedic Practice 13, no. 2 (February 2, 2021): 76–80. http://dx.doi.org/10.12968/jpar.2021.13.2.76.

Full text

Abstract:

Clinical decision-making is a multifaceted construct, requiring the practitioner to gather, interpret and evaluate data to select and implement an evidence-based choice of action. Clinical reasoning is a difficult skill for students to develop due in part to the inability to guarantee awareness or opportunity to develop within time spent in practice. While professional developments within the past few years have established a supportive preceptorship programme within NHS trusts for new paramedic registrants, enhancing activities to develop these crucial skills within a pre-registrant programme should be prioritised to enhance the abilities of students and subsequent new registrants. A better understanding of the reasoning processes used during clinical decision-making may help health professionals with less experience to develop their processes in their own clinical reasoning. To embed such awareness and enhanced practice, the lead author, a third-year student paramedic at the time of writing, presents a reflective consideration of a patient encounter using the hypothetico-deductive model to evaluate and critically explore his own reasoning and processing within a meaningful patient interaction.

APA, Harvard, Vancouver, ISO, and other styles

50

Rahajeng, Indah Mei, and Faridatul Muslimah. "THE APPLICATION OF CLINICAL JUDGMENT AND DECISION MAKING OF CRITICAL CARE NURSES IN INTENSIVE CARE UNITS (ICUs)." International Journal of Nursing and Health Services (IJNHS) 2, no. 1 (March 30, 2019): 1–14. http://dx.doi.org/10.35654/ijnhs.v2i1.20.

Full text

Abstract:

Background Intensive Care Unit (ICU) is the hospital setting in which applied specific application of clinical decision making and judgement. The critical patient conditions in ICU may drive nurses to make decision and clinical judgement in short period of time. The approach of clinical decision making which appropriate to be applied in the critical circumstances is important to be identified, thus it could become a guidance for novice and expert critical nurses. Aim The aim of this study was to explain how clinical decision making is applied in Intensive Care Unit (ICU) Method A systematic review of 22 articles was carried out, articles were retrieved from CINAHL, MEDLINE, PUBMED and DISCOVERED databases. The articles were critically reviewed and analized to answer this study’s aim. Result The critically review of the articles were categorized in themes: 1) application of Tanner’s clinical judgment model in ICU, 2) Types of decisions in ICU, 3) Theoretical approach: implementation of decision-making in ICU, 4) Case illustration of decision-making scheme in ICU, 5) Influencing factors of decision-making in ICU, 6) Supporting tools for clinical decision-making in ICU, 7) Understanding of attributes and concepts may enhance the quality of the clinical decision-making process in ICU, 8) Implications for nursing education and practice of understanding clinical decision making in ICU. Conclusions Critical care nurses usually combine different techniques in making decisions; analytical methods including the hypothetic-deductive method, pattern recognition, intuition, narrative thinking, and decision analysis theory are potentially applied. Clinical decision activities in ICU appear in many clinical situations, such as intervention decisions, communication decisions, and evaluation decisions. There are several factors influencing clinical decision-making in intensive care units, including nurses’ experience, the patient’s situation, the layout of the ICU, shift work, inter-professional collaboration practice, physical and personnel resources. The application of clinical decision making could be supported by systematic tools, and the nurses’ knowledge about the concepts and attributes used in ICUs affect their clinical decision-making abilities. Keywords: clicinal decision making, critical care nurse, ICU

APA, Harvard, Vancouver, ISO, and other styles

We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!