scholarly journals Intuition in clinical decision-making by the nurse in ICU

2001 ◽  
Vol 6 (2) ◽  
pp. 18-32
Author(s):  
Eben Arries ◽  
Annatjie Botes ◽  
Elsabe Nel
Keyword(s):  
Decision Making ◽  
Full Text ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Concept Analysis ◽  
Previous Article ◽  
Research Article

This research article follows on a previous article where the results of a concept analysis of intuition were reported.OpsommingHierdie artikel volg op ‘n vorige een waarin die resultate van ‘n konsepanalise van intuïsie beskryf is. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Critical thinking: concept analysis from the perspective of Rodger's evolutionary method of concept analysis

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Fábio da Costa Carbogim ◽  
Larissa Bertacchini de Oliveira ◽  
Vilanice Alves de Araújo Püschel
Keyword(s):  
Decision Making ◽  
Critical Thinking ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Concept Analysis ◽  
Cognitive Skill ◽  
Related Factor ◽  
Evolutionary Perspective ◽  
Analytical Thinking

ABSTRACT Objective: to analyze the concept of critical thinking (CT) in Rodger's evolutionary perspective. Method: documentary research undertaken in the Cinahl, Lilacs, Bdenf and Dedalus databases, using the keywords of 'critical thinking' and 'Nursing', without limitation based on year of publication. The data were analyzed in accordance with the stages of Rodger's conceptual model. The following were included: books and articles in full, published in Portuguese, English or Spanish, which addressed CT in the teaching and practice of Nursing; articles which did not address aspects related to the concept of CT were excluded. Results: the sample was made up of 42 works. As a substitute term, emphasis is placed on 'analytical thinking', and, as a related factor, decision-making. In order, the most frequent preceding and consequent attributes were: ability to analyze, training of the student nurse, and clinical decision-making. As the implications of CT, emphasis is placed on achieving effective results in care for the patient, family and community. Conclusion: CT is a cognitive skill which involves analysis, logical reasoning and clinical judgment, geared towards the resolution of problems, and standing out in the training and practice of the nurse with a view to accurate clinical decision-making and the achieving of effective results.

Contracting for Safety: A Concept Analysis

Crisis ◽  
1997 ◽  
Vol 18 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Mary P. Egan
Keyword(s):  
Decision Making ◽  
Therapeutic Relationship ◽  
Nursing Practice ◽  
Clinical Decision Making ◽  
Scientific Evidence ◽  
Clinical Decision ◽  
Concept Analysis ◽  
Psychiatric Nursing ◽  
Legal Contract ◽  
Suicidal Patients

The concept of contracting for safety, although a popularly accepted method for managing suicidal patients, has no scientific evidence to support its effectiveness. There are questions regarding the clinical justification. This article provides a concept analysis of contracting for safety to evolve and clarify exemplary criteria of the concept within psychiatric nursing practice. At times in clinical practice, contracting is often the primary factor in clinical decision-making, justifying a lower level of intervention. If a patient is inebriated or psychotic, he or she cannot enter into a legal contract. There may be undue reliance on the patient's apparent willingness to contract for safety. There may be little opportunity to establish a therapeutic relationship with the concomitant rapport and trust necessary for contracting. If it is used at all, contracting for safety should be used judiciously.

scholarly journals The Effect of Heel Height on Gait and Posture

2009 ◽  
Vol 99 (6) ◽  
pp. 512-518 ◽  
Author(s):  
Emma E. Cowley ◽  
Thierry L. Chevalier ◽  
Nachiappan Chockalingam
Keyword(s):  
Decision Making ◽  
Full Text ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Heel Height ◽  
Locomotor Disorders

This article explores relevant full-text literature to reveal the effects of heel height on gait and posture and the kinetics and kinematics of the foot, ankle, knee, hip, and spine. Furthermore, special attention will be given to the implications of increased heel height for clinicians treating locomotor disorders and provide information to aid clinical decision making. Full-text articles accessed from databases including AMED, ASSIA, Blackwell Synergy, BNI, Voyager, CINAHL, ScienceDirect, and Taylor Francis inform the review. (J Am Podiatr Med Assoc 99(6): 512–518, 2009)

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

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