da Silva Bastos Cerullo Josinete Aparecida, de Almeida Lopes Monteiro da Cruz Diná
Escola de Enfermagem, Universidade de São Paulo, SP, Brazil.
Rev Lat Am Enfermagem. 2010 Jan-Feb;18(1):124-9. doi: 10.1590/s0104-11692010000100019.
This study identifies and analyzes nursing literature on clinical reasoning and critical thinking. A bibliographical search was performed in LILACS, SCIELO, PUBMED and CINAHL databases, followed by selection of abstracts and the reading of full texts. Through the review we verified that clinical reasoning develops from scientific and professional knowledge, is permeated by ethical decisions and nurses values and also that there are different personal and institutional strategies that might improve the critical thinking and clinical reasoning of nurses. Further research and evaluation of educational programs on clinical reasoning that integrate psychosocial responses to physiological responses of people cared by nurses is needed.
本研究识别并分析了关于临床推理和批判性思维的护理文献。在拉丁美洲和加勒比地区健康科学数据库（LILACS）、科学电子图书馆在线（SCIELO）、医学期刊数据库（PUBMED）和护理学与健康领域数据库（CINAHL）中进行了文献检索，随后筛选摘要并阅读全文。通过综述，我们证实临床推理源于科学和专业知识，受到伦理决策和护士价值观的影响，并且存在不同的个人和机构策略，可能会提高护士的批判性思维和临床推理能力。需要对整合了护士所护理人群心理社会反应与生理反应的临床推理教育项目进行进一步研究和评估。
