Clinical Reasoning and Evidence-Based Practice: Deliberate Decision-Making by Nurses

This book helps nursing students increase the quality of their clinical reasoning and therefore the quality of care. It teaches students to recognize when clinical reasoning is needed, and what reasoning is involved, and to avoid reasoning errors. This is important for nurses, since good quality of their clinical reasoning leads to a good quality of their decisions. Thus, it is directly connected to better nursing care. This volume is based on current knowledge about learning complex cognitive skills. From this knowledge, four sets of standard questions have been formulated that allow students to develop cognitive scripts for reasoning about diagnosis, etiology, prognosis, and interventions. Special attention is payed to diversity-sensitive reasoning in this English edition. From the 4C/ID model, a scientific educational whole task model for learning and developing and complex cognitive skills, complexity levels, learning tasks and subtask exercises are included. Learning clinical reasoning is supported with case videos and flash lectures, among other things. It consists of three parts: the first part, on clinical reasoning, is written for first- and second-year bachelor students in nursing. Part two, on evidence-based practice (EBP), is also suitable for later years. It teaches students to read and critically appraise scientific articles, and to assess whether they can be used in their own practice. Part three contains more in-depth information, extra explanations, examples, and material that teachers can use in a flexible way. This book is illustrated with videos.The translation from Dutch to English was done with the help of artificial intelligence (machine translation by the service DeepL.com). The authors have subsequently revised the text further in an endeavour to refine the work stylistically.

Part 1 Clinical reasoning1. Background knowledge 2. Decision on diagnosis: what is the problem?3. Decision on etiology: what caused the problem?4. Decision on prognosis: what can be achieved?5. Decision on therapy: what can we do about the problem?; Part 2 Evidence-based practice6. Clinical reasoning and evidence-based practice7. What is the problem: how to appraise scientific articles on diagnostic tests?8. What caused the problem: how to appraise scientific articles on etiological factors?9. What can be achieved: how to appraise scientific articles on prognostic research?10. What can we do about the problem: how to appraise scientific articles on interventions?11. How to reach a better understanding of the patients' perspective: reading and appraising qualitative research; Part 3 Extra's12. this part is one chapter with many short paragraphs related to, and deepening the content related to the previous chapters. E.g. clinical examples and elaborations.13. Education about clinical reasoning and evidence-based practice.