Clinical reasoning in undergraduate nursing education: a scoping review

Menezes, Sáskia Sampaio Cipriano de; Corrêa, Consuelo Garcia; Silva, Rita de Cassia Gengo e; Cruz, Diná de Almeida Monteiro Lopes da

doi:10.1590/s0080-623420150000600021

Cited by 48 publications

(63 citation statements)

References 32 publications

(91 reference statements)

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“…17 The drawing experience enabled the development of skills essential for decision making of nursing students and favored the recognition of barriers that intervene in the listening to patients in mental suffering, strengths and weaknesses of a therapeutic relationship, and indicative of attention to the interaction among nursing staff, patients, and health institutions. 2,3,15 In the present study, the proxemic communication unanimously stood out among those adopted by nursing students to listen, as it values the personal-body position, face, neck, and shoulders, maintained in the interaction and care directed to patients with mental disorders. 19 It is recognized that part of the communication adopted in listening, in addition to helping the development of positive relationships, involved the recognition of proxemic nonverbal aspects.…”

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confidence: 74%

“…15 Listening does not start with interpreting, but with suspending all judgment, trying to understand by empathy, senses and meanings that exist in care practice or situation. 6 The teaching of communication with valorization of the approach to proxemics was able to produce reactions and changes in nursing students, through the positive feedback in …”

Section: Discussionmentioning

confidence: 99%

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Communication of nursing students in listening to patients in a psychiatric hospital

et al. 2017

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A comunicação do estudante de enfermagem na escuta de pacientes em hospital psiquiátrico Comunicación del estudiante de enfermería en la escucha de pacientes en hospital psiquiátrico AbstrActQualitative exploratory and descriptive study with the aim of analyzing the communication of nursing students in the listening to patients in mental suffering admitted in a psychiatric hospital. The study was carried out from April to May 2013, with 23 nursing students regularly enrolled in a public higher education institution in the Southeast of Brazil. The data were collected based on artistic production and interviews, analyzed and categorized according to their thematic content. Proxemic nonverbal communication was unanimously indicated by the students based on personal-body position of face, neck, and, shoulders adopted in the listening to patients in mental suffering. The conscious use of proxemics favored clinical reasoning, improving interaction and listening in speech and thought disorders. Attentive, effective, and affective listening demands availability, control of fear, tension, anxiety, and insecurity. Os dados foram coletados a partir de produção artística e entrevista, e analisados e categorizados segundo conteúdo temático.A comunicação não verbal proxêmica foi unanimemente apontada pelos estudantes a partir da posição pessoal-corporal do rosto, pescoço e ombros, adotada na escuta dos pacientes em sofrimento psíquico. O uso consciente da proxemia favoreceu o raciocínio clínico, melhorando a interação e a escuta nas desordens da fala e do pensamento. Uma escuta atenta, efetiva e afetiva demanda disponibilidade, controle do medo, da tensão, da ansiedade e da insegurança. Palavras-chave:Educação em enfermagem; Comunicação; Estudantes de enfermagem; Saúde mental; Cuidados de enfermagem. resumenInvestigación cualitativa, exploratoria y descriptiva, con el objetivo de analizar la comunicación del estudiante de enfermería en la escucha de pacientes con sufrimiento psíquico internados en hospital psiquiátrico. Realizada entre abril y mayo de 2013, con 23 estudiantes de enfermería con matrícula regular en institución pública de Enseñanza Superior de la región Sudeste de Brasil. Datos recolectados a partir de producción artística y entrevista, y analizados y categorizados por contenido temático. La comunicación no verbal proxémica fue unánimemente señalada por los estudiantes a partir de la posición personal-corporal del rostro, cuello y hombros adoptada en la escucha de pacientes con sufrimiento psíquico. El uso consciente de la proxemia facilitó el razonamiento clínico, mejorando la interacción y la escucha en desórdenes del habla y del pensamiento. Una escucha atenta, efectiva y afectiva demanda disponibilidad, control del temor, la tensión, la ansiedad y la inseguridad.

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confidence: 74%

Section: Discussionmentioning

confidence: 99%

Communication of nursing students in listening to patients in a psychiatric hospital

et al. 2017

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“…In order to build the research strategies, an adapted version of the PECO strategy was adopted (P: patient, E: exposure, C: comparison, O: outcomes), turning into PEC, in which “P” means the population (users), “E” means exposure of interest (dental emergency), “C” means the context (health services)[14].…”

Section: Methodsmentioning

confidence: 99%

Dental emergency: scoping review

Frichembruder

Santos

Hugo

2019

Preprint

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32Part of the oral health care in the care network encompasses users in 33 cases of emergency. This study proposed to map the determinants of the use of 34 dental care services within the health care network to address dental 35 emergencies of the Brazilian Unified Health System (UHS) and to verify the 36 main gaps in the research in this area. This is a scoping review that took place 37 in 2018 using Andersen's behavioral model as a reference. A total of 16 studies, 38 out of 3786 original articles identified, were included and reviewed. Two 39 reviewers independently conducted the selection process and the decision was 40 consensually taken. The mapping of the determinants revealed a greater 41 number of enabling factors and a larger gap in results. Greater use of the 42 emergency service was registered by people in pain, women, adults, from an 43 urban area, with a lower income, and less education. In future studies, primary 44 surveys are recommended, which include all ages, analyzing different groups of 45 needs and users that take into account the country's northern region and the 46 different subjects pointed out in this review. 47 Introduction 57The majority of oral diseases is chronic and share several determinants 58 with other chronic non-transmissible diseases. Among the different oral 59 diseases, untreated dental caries registers the most prevalent, affecting almost 60 half of the world population, with a negative impact on the quality of life. The 61 pain caused by untreated dental caries affects the quality of sleep and the 62 ability to eat, it slows growth and negatively affects social life [1,2]. 63Since 1988, Brazil's Unified Health System (UHS) is attempting to build a 64 humanized care model, centered on the patient, and has been coordinating 65 services and shaping actions for the promotion, prevention and care in Primary 66Health Care (PHC) through the Family Health Strategy, but has also been 67 reorganizing other points of the care networks. The network conformation has 68 the intent to address the multiple health care challenges in a fragmented system 69 primarily oriented by acute conditions. Availability, access, and the ability to 70 quickly transition between health care providers are the defining elements of a 71 good or otherwise unsatisfactory network interface[3]. 72 The expansion of oral health care in Brazil since the establishment of the 73 UHS is undeniable, with the organization of priority programmatic actions, such 74 as the expansion of primary care, specialized dental care and support services, 75 care provided to pregnant women and children, and emergency services[4]. The 76 guarantee of care provided to patients in acute conditions in public services is 77 an ethical principle found in the guidelines of the National Policies of 78 Humanization, Primary Care, Oral Health and Emergency Care (National Policy 79 of Emergency Attention -NPEA)[5-8]. The network structure of emergency 80 care with settled flows intends to address acute cases according to their risk ...

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“…Stage 4 focused on the selection of appropriate materials to develop a technology based on nursing theories and diagnoses and learning sciences. The following materials were chosen: (a) the textbook Nursing Diagnoses 2015‐17: definitions and classification (Herdman & Kamitsuru, )—the main reference for diagnostic reasoning procedures and for the comparison to other articles for clarification purposes (Cerullo & Cruz, ; Lunney, ; Menezes, Corrêa, Silva, & Cruz, ); (b) the textbook Contemporary nursing knowledge: analysis and evaluation of nursing models and theories (Fawcett, DeSanto‐Madeya, )—the main source of contents about nursing models and theories; and (c) The art of Educating with V diagrams (Gowin & Alvarez, )—the main source of contents about the constructivist framework adopted in the educational technology.…”

Section: Methodsmentioning

confidence: 99%

T‐NDX Diagram: Educational Technology Used to Teach Diagnostic Reasoning Based on Nursing Theories

Lopes

Primo

Martins³

et al. 2019

Int J of Nursing Knowl

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PURPOSE To describe an educational technology to be applied to the teaching and learning of diagnostic judgment based on nursing theories. METHODS A methodological study with 10 stages for the development of educational technology. FINDINGS An innovative educational technology is proposed to incorporate theoretical and methodological domains in a V‐shaped diagram for the diagnosis judgment. CONCLUSIONS The technology is innovative in integrating theory and method in a more comprehensive and original way, considering the philosophies and world views of students throughout the reasoning process. IMPLICATIONS FOR NURSING PRACTICE T‐NDx Diagram may be useful in enhancing the integration of philosophical and theoretical knowledge and diagnostic judgment, especially for nursing undergraduate students.

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Clinical reasoning in undergraduate nursing education: a scoping review

Cited by 48 publications

References 32 publications

Communication of nursing students in listening to patients in a psychiatric hospital

Communication of nursing students in listening to patients in a psychiatric hospital

Dental emergency: scoping review

T‐NDX Diagram: Educational Technology Used to Teach Diagnostic Reasoning Based on Nursing Theories

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