Assistant Professor (Dr Joplin-Gonzales), College of Nursing, Texas Woman's University, Dallas; and Professor and Associate Dean for Professional Development, DNP Program Director (Dr Rounds), University of Texas Medical Branch, Galveston.
Nurse Educ. 2022;47(6):E145-E149. doi: 10.1097/NNE.0000000000001202. Epub 2022 May 3.
Clinical reasoning is an important skill that enables health care professionals to identify and evaluate patients' real or potential problems, implement appropriate interventions, solve clinical problems, and improve the quality of health care and patient outcomes.
The goal of this study was to go beyond individual professions and seek consensus across health care professions on the essential elements of the clinical reasoning process.
This study used a traditional Delphi methodology to seek consensus from clinical reasoning experts from the fields of nursing, medicine, and physical and occupational health.
The experts reached a consensus on 56 essential elements identified from the clinical reasoning literature. This is the first time health care professions have reached a consensus on the essential elements of the clinical reasoning process using a Delphi study.
Achieving consensus on the essential elements of the clinical reasoning process is essential to better understanding, improved teaching, and evaluation of clinical reasoning skills.
临床推理是一种重要的技能，使医疗保健专业人员能够识别和评估患者的实际或潜在问题，实施适当的干预措施，解决临床问题，并提高医疗保健质量和患者结果。
本研究的目的是超越单一专业领域，寻求护理、医学和物理与职业健康等医疗保健专业之间对临床推理过程基本要素的共识。
本研究采用传统的德尔菲法，从护理、医学和物理与职业健康领域的临床推理专家那里寻求共识。
专家们就从临床推理文献中确定的 56 个基本要素达成了共识。这是医疗保健专业首次使用德尔菲研究就临床推理过程的基本要素达成共识。
就临床推理过程的基本要素达成共识对于更好地理解、改进教学和评估临床推理技能至关重要。
