Doyon Odette, Raymond Louis
Department of Nursing Sciences, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
Int J Nurs Knowl. 2025 Jul;36(3):339-350. doi: 10.1111/2047-3095.12484. Epub 2024 Jul 26.
To characterize the thematic foci, structure, and evolution of nursing research on clinical reasoning and judgment.
Bibliometric analysis.
We used a bibliometric method to analyze 1528 articles.
We searched the Scopus bibliographic database on January 7, 2024.
Through a keyword co-occurrence analysis, we found the most frequent keywords to be clinical judgment, clinical reasoning, nursing education, simulation, nursing, clinical decision-making, nursing students, nursing assessment, critical thinking, nursing diagnosis, patient safety, nurses, nursing process, clinical competence, and risk assessment. The focal themes, structure, and evolution of nursing research on clinical reasoning and judgment were revealed by keyword mapping, clustering, and time-tracking.
By assessing key nursing research areas, we extend the current discourse on clinical reasoning and clinical judgment for researchers, educators, and practitioners. Critical challenges must still be met by nursing professionals with regard to their use of clinical reasoning and judgment within their clinical practice. Further knowledge and comprehension of the clinical reasoning process and the development of clinical judgment must be successfully translated from research to nursing education and practice.
This study highlights the nursing knowledge gaps with regard to nurses' use of clinical reasoning and judgment and encourages nursing educators and professionals to focus on developing nurses' clinical reasoning and judgment with regard to their patients' safety.
In addressing nurses' use of clinical reasoning and judgment, and with regard to patient safety in particular, this study found that, in certain clinical settings, the use of clinical reasoning and judgment remains a challenge for nursing professionals. This study should thus have an effect on nursing academics' research choices, on nursing educators' teaching practices, and on nurses' clinical practices.
Relevant EQUATOR guidelines have been adhered to by employing recognized bibliometric reporting methods.
描述护理领域中关于临床推理与判断的研究主题焦点、结构及发展演变。
文献计量分析。
采用文献计量法分析1528篇文章。
于2024年1月7日检索Scopus文献数据库。
通过关键词共现分析，我们发现最常出现的关键词有临床判断、临床推理、护理教育、模拟、护理、临床决策、护生、护理评估、批判性思维、护理诊断、患者安全、护士、护理程序、临床能力及风险评估。通过关键词映射、聚类和时间追踪揭示了护理领域关于临床推理与判断研究的焦点主题、结构及发展演变。
通过评估关键的护理研究领域，我们为研究人员、教育工作者和从业者拓展了当前关于临床推理和临床判断的论述。护理专业人员在临床实践中运用临床推理和判断方面仍必须应对重大挑战。临床推理过程的进一步知识和理解以及临床判断的发展必须成功地从研究转化到护理教育和实践中。
本研究突出了护士在运用临床推理和判断方面的护理知识差距，并鼓励护理教育工作者和专业人员关注培养护士在保障患者安全方面的临床推理和判断能力。
在探讨护士对临床推理和判断的运用，尤其是在患者安全方面，本研究发现，在某些临床环境中，临床推理和判断的运用对护理专业人员而言仍是一项挑战。因此，本研究应会对护理学术人员的研究选择、护理教育工作者的教学实践以及护士的临床实践产生影响。
采用公认的文献计量报告方法，遵循了相关的EQUATOR指南。
