Côté Sarah, St-Cyr Tribble Denise
Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Québec, Canada.
Rech Soins Infirm. 2012 Dec(111):13-21.
Nurses work in situations of complex care requiring great clinical reasoning abilities. In literature, clinical reasoning is often confused with other concepts and it has no consensual definition.
To conduct a concept analysis of a nurse's clinical reasoning in order to clarify, define and distinguish it from the other concepts as well as to better understand clinical reasoning.
Rodgers's method of concept analysis was used, after literature was retrieved with the use of clinical reasoning, concept analysis, nurse, intensive care and decision making as key-words.
The use of cognition, cognitive strategies, a systematic approach of analysis and data interpretation, generating hypothesis and alternatives are attributes of clinical reasoning. The antecedents are experience, knowledge, memory, cues, intuition and data collection. The consequences are decision making, action, clues and problem resolution.
This concept analysis helped to define clinical reasoning, to distinguish it from other concepts used synonymously and to guide future research.
护士工作于需要强大临床推理能力的复杂护理情境中。在文献中，临床推理常与其他概念混淆，且尚无一致的定义。
对护士的临床推理进行概念分析，以澄清、界定该概念，并将其与其他概念区分开来，同时更好地理解临床推理。
以临床推理、概念分析、护士、重症监护和决策制定为关键词检索文献后，采用罗杰斯概念分析法。
临床推理的属性包括运用认知、认知策略、系统的分析方法和数据解读、生成假设及备选方案。其前因包括经验、知识、记忆、线索、直觉和数据收集。后果包括决策制定、行动、线索和问题解决。
该概念分析有助于界定临床推理，将其与同义使用的其他概念区分开来，并为未来研究提供指导。
