Clinical reasoning: what do nurses, physicians, and students reason about

  • Clinical reasoning is a core ability in the health professions, but the term is conceptualised in multiple ways within and across professions. For interprofessional teamwork it is indispensable to recognise the differences in understanding between professions. Therefore, our aim was to investigate how nurses, physicians, and medical and nursing students define clinical reasoning. We conducted 43 semi-structured interviews with an interprofessional group from six countries and qualitatively analysed their definitions of clinical reasoning based on a coding guide. Our results showed similarities across professions, such as the emphasis on clinical skills as part of clinical reasoning. But we also revealed differences, such as a more patient-centered view and a broader understanding of the clinical reasoning concept in nurses and nursing students. The explicit sharing and discussion of differences in the understanding of clinical reasoning across health professions can provide valuableClinical reasoning is a core ability in the health professions, but the term is conceptualised in multiple ways within and across professions. For interprofessional teamwork it is indispensable to recognise the differences in understanding between professions. Therefore, our aim was to investigate how nurses, physicians, and medical and nursing students define clinical reasoning. We conducted 43 semi-structured interviews with an interprofessional group from six countries and qualitatively analysed their definitions of clinical reasoning based on a coding guide. Our results showed similarities across professions, such as the emphasis on clinical skills as part of clinical reasoning. But we also revealed differences, such as a more patient-centered view and a broader understanding of the clinical reasoning concept in nurses and nursing students. The explicit sharing and discussion of differences in the understanding of clinical reasoning across health professions can provide valuable insights into the perspectives of different team members on clinical practice and education. This understanding may lead to improved interprofessional collaboration, and our study's categories and themes can serve as a basis for such discussions.show moreshow less

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Metadaten
Author:Lukas Huesmann, Małgorzata Sudacka, Steven J. Durning, Carina Georg, Sören Huwendiek, Andrzej A. Kononowicz, Claudia Schlegel, Inga HegeORCiDGND
URN:urn:nbn:de:bvb:384-opus4-1050704
Frontdoor URLhttps://opus.bibliothek.uni-augsburg.de/opus4/105070
ISSN:1356-1820OPAC
ISSN:1469-9567OPAC
Parent Title (English):Journal of Interprofessional Care
Publisher:Informa UK Limited
Place of publication:Abingdon
Type:Article
Language:English
Year of first Publication:2023
Publishing Institution:Universität Augsburg
Release Date:2023/06/22
Tag:General Medicine
Volume:37
Issue:6
First Page:990
Last Page:998
DOI:https://doi.org/10.1080/13561820.2023.2208605
Institutes:Medizinische Fakultät
Medizinische Fakultät / Lehrstuhl für Medical Education Sciences
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):CC-BY-NC-ND 4.0: Creative Commons: Namensnennung - Nicht kommerziell - Keine Bearbeitung (mit Print on Demand)