Clinical reasoning in nursing*
Journal of Advanced NursingPublished 1 March 1988
Jennifer A. Jones
Citations131
SJR quartileQ1
SJR score1.40
SNIP1.69
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Three main types of explanation are compared; hypothesis generation/testing, decision analysis, and the information processing model and the potential benefits of the advent of expert systems into nursing are discussed.
Abstract
This paper traces the development of the concept of nursing diagnosis and the various approaches being used to explain the cognitive processes used by practitioners in diagnosing patient problems. Three main types of explanation are compared; hypothesis generation/testing, decision analysis, and the information processing model. The recent development of the latter approach within the field of artificial intelligence is described and expert system research introduced. Finally, the potential benefits of the advent of expert systems into nursing are discussed.
Keywords
Computer ScienceMedicineBiochemistry, Genetics and Molecular Biology
New England Journal of Medicine<i>Internist-I</i>, an Experimental Computer-Based Diagnostic Consultant for General Internal Medicine
1,103 Citations1982Randolph A. Miller, Harry E. Pople +1 more
It is demonstrated that the present form of the INTERNIST-I program is not sufficiently reliable for clinical applications and specific deficiencies that must be overcome include the program’s inability to reason anatomically or temporally, its inability to construct differential diagnoses spanning multiple problem areas, and its occasional attribution of findings to improper causes.
AJN American Journal of NursingNursing Diagnosis: Process and Application
534 Citations1983Ann Marriner, Marjory Gordon
Annals of Internal MedicineClinical Problem Solving: A Behavioral Analysis
354 Citations1978Jerome P. Kassirer, G. ANTHONY GORRY
Analysis of tape-recorded behavior of experienced clinicians engaged in "taking the history of the present illness" from a simultated patient showed that specific diagnostic hypotheses were generated often with little more information than presenting complaints and testing of diagnostic hypotheses consisted of various case-building strategies for corroborating and discrediting hypotheses.
The American Journal of MedicineDecision analysis and clinical judgment
247 Citations1973William B. Schwartz, G. Anthony Gorry +2 more
It is suggested that the theory and technics of decision analysis provide new and useful strategies appropriate for dealing with complex clinical situations and, when applied quantitatively, the formalism affords greater precision than is otherwise readily attainable.
Systems Research and Behavioral ScienceDecision rules, types of error, and their consequences in medical diagnosis
142 Citations2007Thomas J. Scheff
A particular decision rule of the medical profession is discussed, and some possible harmful consequences of its application are discussed.
Nursing ResearchUse of a Decision Tree to Improve Accuracy of Diagnosis
80 Citations1979Mary Jo Aspinall
Thirty triads of nurses matched for educational background, length of experience, and previous performance were studied to determine if use of a decision tree would improve diagnostic accuracy.
Methods of Information in MedicineAlternatives to Bayes?
72 Citations1980Jean‐Paul Fox, David Barber +1 more
A rule- based system that was closely modelled on clinical thinking is described and a quantitative comparison with a successful Bayesian system for the diagnosis of Dyspepsia is presented, suggesting that the rule-based approach may have considerable potential as an efficient alternative to Bayesian inference.
Nursing ResearchPredictive Strategies in Diagnostic Tasks
70 Citations1980Marjory Gordon
A concept attainment model of diagnosis was used to study the influence of inferential ability and restricted-unrestricted information conditions on 60 nurses' hypothesis-scanning strategies, diagnostic accuracy, and confidence in two diagnostic tasks.
Nursing ResearchInformation Structures
31 Citations1979Mary E. Broderick, William Ammentorp
This study demonstrated a methodology of measuring Information content and manipulation of nursing subject matter and suggested features of information processing nurses may use to determine the condition of patients.
AJN American Journal of NursingNURSING DIAGNOSES AND
20 Citations1976Marjory Gordon
Nursing diagnosis does differ from the medical one, but here is how and why.
Methods of Information in MedicineAn Overview of Medical Expert Systems
18 Citations1985P. de Vries, Pieter F. de Vries Robbé
The classification of expert systems along the procedural-declarative continuum provides the basis for the analysis of their knowledge representations, and the central role of these knowledge types in one of the most important tasks of expert systems, explaining, is emphasized.
Nursing ForumOn the Development and Classification of Diagnoses
16 Citations1975Andrea U. Bircher
A workable taxonomy of nursing diagnoses would articulate areas of unique concern to nurses and nursing and would allow more unequivocal communication of the focus, limits, and nature of the realm of nursing to other professions, third-party payers, governmental agencies, and the public.
Methods of Information in MedicineFormalization of Medical Knowledge
7 Citations1986Jan H. van Bemmel