The Essentials of Clinical Reasoning for Nurses

Using the Outcome-Present State-Test Model for Reflective Practice

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In today's healthcare environment of scarce resources and challenges related to safety and quality, nurses must make decisions after decision to ensure timely, accurate, and efficient provision of care. Solid decision-making, or lack thereof, can significantly affect patient care and outcomes. Clinical reasoning-how a nurse processes information and chooses what action to take-is a skill vital to nursing practice and split-second decisions. And yet, developing the clinical reasoning to make good decisions takes time, education, experience, patience, and reflection. Along the way, nurses can be...