护理研究中的临床推理和临床判断:文献计量分析。

IF 1.4 4区 医学 Q3 NURSING
Odette Doyon, Louis Raymond
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引用次数: 0

摘要

目的:描述有关临床推理和判断的护理研究的主题重点、结构和演变:设计:文献计量分析:我们使用文献计量学方法分析了 1528 篇文章:我们检索了 2024 年 1 月 7 日的 Scopus 文献数据库:通过关键词共现分析,我们发现最常见的关键词是临床判断、临床推理、护理教育、模拟、护理、临床决策、护理学生、护理评估、批判性思维、护理诊断、患者安全、护士、护理过程、临床能力和风险评估。通过关键词映射、聚类和时间追踪,揭示了临床推理和判断护理研究的重点主题、结构和演变:通过评估关键护理研究领域,我们为研究人员、教育工作者和从业人员扩展了当前有关临床推理和临床判断的讨论。护理专业人员在临床实践中使用临床推理和判断时仍需应对严峻挑战。对临床推理过程和临床判断能力发展的进一步认识和理解必须从研究成功地转化为护理教育和实践:本研究强调了护士在使用临床推理和判断方面的护理知识差距,鼓励护理教育者和专业人员关注护士临床推理和判断能力的发展,以保障患者的安全:本研究发现,在某些临床环境中,护士使用临床推理和判断仍是护理专业人员面临的一项挑战。因此,本研究应对护理学者的研究选择、护理教育者的教学实践以及护士的临床实践产生影响:报告方法:采用公认的文献计量学报告方法,遵守相关的 EQUATOR 指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical reasoning and clinical judgment in nursing research: A bibliometric analysis.

Aims: To characterize the thematic foci, structure, and evolution of nursing research on clinical reasoning and judgment.

Design: Bibliometric analysis.

Methods: We used a bibliometric method to analyze 1528 articles.

Data source: We searched the Scopus bibliographic database on January 7, 2024.

Results: 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.

Conclusion: 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.

Implications for the profession: 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.

Impact: 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.

Reporting method: Relevant EQUATOR guidelines have been adhered to by employing recognized bibliometric reporting methods.

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来源期刊
CiteScore
2.90
自引率
14.30%
发文量
47
审稿时长
>12 weeks
期刊介绍: The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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