Development of the clinical reasoning of nurses of an emergency hospital service
DOI:
https://doi.org/10.15253/2175-6783.20192040249Keywords:
Clinical Decision-Making; Thinking; Organization and Administration; Emergency Nursing; Emergency Service, Hospital.Abstract
Objective: to understand the development of the clinical reasoning of nurses working in an emergency hospital service. Methods: qualitative research, with methodological reference of the Grounded Theory. Data collection took place through interviews, with a theoretical sample of 21 participants and analysis using substantive and theoretical coding. Results: the central category was identified as Knowing what to do, and four conceptual categories: 1) Uncovering the nurse’s duties in the emergency service; 2) Improving clinical reasoning through professional experience; 3) Providing care with quality and safety for the patient; and 4) Conquering professional recognition from the health team. Conclusion: the development of nurses’ clinical reasoning is a cumulative, experiential, and gradual process of knowing what to do in an emergency. It is based on the collaborative work with the health team and on the acquisition of technical-scientific knowledge to perform qualified assistance to patients.
References
Carbogim FC, Oliveira LB, Püschel VAA. Critical thinking: concept analysis from the perspective of Rodger’s evolutionary method of concept analysis. Rev Latino-Am Enfermagem. 2016; 24:e2785. doi: https://dx.doi.org/10.1590/1518-8345.1191.2785
Van Graan AC, Williams MJ, Koen MP. Professional nurses’ understanding of clinical judgement: a contextual inquiry. Health Sa Gesondheid. 2016; 21:280-93. doi: https://doi.org/10.1016/j.hsag.2016.04.001
Rossetti AC, Gaidzinski RR, Fugulin FMT. Nur- sing workload in the emergency department: a methodological proposal. Rev Latino-Am Enfermagem. 2013; 21(n.esp.):225-32. doi: https://dx.doi.org/10.1590/S0104-11692013000700028
Santos JLG, Menegon FHA, De Pin SB, Erdmann AL, Oliveira RJT, Costa IAP. The nurse’s work environment in a hospital emergency service. Rev Rene. 2017; 18(2):195-203. doi: https://dx.doi.org/10.15253/2175-6783.2017000200008
Holanda FL, Marra CC, Cunha ICKO. Construction of a professional competency matrix of the nurse in emergency services. Acta Paul Enferm. 2014; 27(4):373-9. doi: https://dx.doi.org/10.1590/1982-0194201400062
Crossetti MGO, Bittencourt GKGD, Lima AAA, Góes MGO, Saurin G. Structural elements of critical thinking of nurses in emergency care. Rev Gaúcha Enferm. 2014; 35(3):55-60. doi: https://dx.doi.org/10.1590/1983-1447.2014.03.45947
Pérez EZ, Canut MTL, Pegueroles AF, Llobet MP, Arroyo CM, Merino JR. Critical thinking in nursing: Scoping review of the literature. Int J Nurs Pract. 2015; 21(6):820-30. doi: https://doi.org/10.1111/ijn.12347
Smyth O, McCabe C. Think and think again! Clinical decision making by advanced nurse practitioners in the Emergency Department. Int Emerg Nurs. 2017; 31:72-4. doi: https://doi.org/10.1016/j.ienj.2016.08.001
Andrews T, Mariano GJS, Santos JLG, Koerber-Timmons K, Silva FH. The methodology of classic grounded theory: considerations on its application in nursing research. Texto Contexto Enferm. 2017; 26(4)e1560017. doi: http://dx.doi.org/10.1590/0104-070720170001560017
Monteiro RP, Jung W, Lazzari DD, Nascimento ERP, Dalamaria JM. The professional transition process from the perspective of nursing technicians who have become nurses. Rev Eletr Enf. 2014; 16(4):777-86. doi: http://dx.doi.org/10.5216/ree.v16i4.24129
Parker V, Giles M, Lantry G, McMillan M. New graduate nurses’ experiences in their first year of practice. Nurse Educ Today. 2014; 34(1):150-6. doi: https://doi.org/10.1016/j.nedt.2012.07.003
Narayanasamy A, Penney V. Coaching to promote professional development in nursing practice. Br J Nur. 2014; 23(11):568-73. doi: https://doi.org/10.12968/bjon.2014.23.11.568
Pfaff KA, Baxter PE, Jack SM, Ploeg J. Exploring new graduate nurse confidence in interprofessional collaboration: a mixed methods study. Int J Nurs Stud. 2014; 51(8):1142-52. doi: https://doi.org/10.1016/j.ijnurstu.2014.01.001
Kinsella D, Fry M, Zecchin A. Motivational factors influencing nurses to undertake postgraduate hospital-based education. Nurse Educ Pract. 2018; 31:54-60. doi: https://doi.org/10.1016/j.nepr.2018.04.011
Bampi R, Lorenzini E, Krauzer IM, Ferraz L, Silva EF, Dall’Agno CM. Perspectives of the nursing team on patient safety in an emergency unit. Rev Enferm UFPE on line [Internet]. 2017 [cited Apr. 13, 2019]; 11(2):584-90. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11977
Costa DB, Ramos D, Gabriel CS, Bernardes A. Patient safety culture: evaluation by nursing professionals. Texto Contexto Enferm. 2018; 27(3):e2670016. doi: http://dx.doi.org/10.1590/0104-070720180002670016
Lima RBS, Dias MSA, Brito MCC, Silva AV, Silva LMS, Coutinho JFV. Social representations of students in the construction of the professional identity of nurses. Rev Rene. 2018; 19:e32468. doi: http://dx.doi.org/10.15253/2175-6783.20181932468
Kydonaki K, Huby G, Tocher J, Aitken LM. Understanding nurses’ decision-making when managing weaning from mechanical ventilation: a study of novice and experienced critical care nurses in Scotland and Greece. J Clin Nur. 2016; 25(3-4):434-44. doi: https://doi.org/10.1111/jocn.13070
Ajeigbe DO, McNeese-Smith D, Phillips LR, Leach LS. Effect of nurse-physician teamwork in the emergency department nurse and physician perception of job satisfaction. J Nurs Care. 2014; 3:141. doi: http://dx.doi.org/10.4172/2167-1168.1000141
Tiffen J, Corbridge SJ, Slimmer L. Enhancing clinical decision making: development of a contiguous definition and conceptual framework. J Prof Nurs. 2014; 30(5):399-405. doi: https://doi.org/10.1016/j.profnurs.2014.01.006
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