Clinical reasoning in undergraduate nursing education: a scoping review

  • Sáskia Sampaio Cipriano de Menezes Universidade Federal do Amazonas; Escola de Enfermagem
  • Consuelo Garcia Corrêa Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem Médico-Cirúrgica
  • Rita de Cássia Gengo e Silva Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem Médico-Cirúrgica
  • Diná de Almeida Monteiro Lopes da Cruz Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem Médico-Cirúrgica

Abstract

OBJECTIVE This study aimed at analyzing the current state of knowledge on clinical reasoning in undergraduate nursing education. METHODS A systematic scoping review through a search strategy applied to the MEDLINE database, and an analysis of the material recovered by extracting data done by two independent reviewers. The extracted data were analyzed and synthesized in a narrative manner. RESULTS From the 1380 citations retrieved in the search, 23 were kept for review and their contents were summarized into five categories: 1) the experience of developing critical thinking/clinical reasoning/decision-making process; 2) teaching strategies related to the development of critical thinking/clinical reasoning/decision-making process; 3) measurement of variables related to the critical thinking/clinical reasoning/decision-making process; 4) relationship of variables involved in the critical thinking/clinical reasoning/decision-making process; and 5) theoretical development models of critical thinking/clinical reasoning/decision-making process for students. CONCLUSION The biggest challenge for developing knowledge on teaching clinical reasoning seems to be finding consistency between theoretical perspectives on the development of clinical reasoning and methodologies, methods, and procedures in research initiatives in this field.

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Published
2015-12-01
How to Cite
Menezes, S., Corrêa, C., Silva, R., & Cruz, D. (2015). Clinical reasoning in undergraduate nursing education: a scoping review . Revista Da Escola De Enfermagem Da USP, 49(6), 1032-1039. https://doi.org/10.1590/S0080-623420150000600021
Section
Critical Review