Decision support strategies for bedside nursing clinical reasoning: A scoping review protocol

Authors

DOI:

https://doi.org/10.33448/rsd-v13i7.46196

Keywords:

Clinical problem-solving; Clinical reasoning; Decision-making; Decision support; Nursing.

Abstract

The aim of this scoping review is to map the evidence on self-instructed bedside decision strategies applied by nurses to support clinical reasoning. The ability to perform solid clinical reasoning is essential for providing healthcare with favourable patient outcomes. Accordingly, nurses should play an active role in developing clinical reasoning skills. Bedside support strategies are intended to be pragmatic, invaluable, and easy-to-apply resources to restructure cognitive processes when the clinical demands are complex. This review will consider studies that focus on bedside decision strategies, context-suitable, and practical to apply, self-instructed by nurses aimed to support nursing clinical reasoning. Studies focused on educational content, clinical case-specific studies, and studies related to software applications development or artificial intelligence will be excluded. The methodology will follow the JBI recommendations for scoping reviews. All published and unpublished sources of relevant evidence will be considered. Studies published in Portuguese, English, Spanish or Swedish will be included, without geographical or cultural limitations. Duplicates will be removed, and two independent reviewers will screen the abstracts and appraise the full text of the selected studies, based on the inclusion criteria. The results of the study selection will be summarized in a flowchart adapted from Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). The overview of datasets will be presented in a narrative summary to provide a description of the existing evidence.

References

Croskerry, P. (2009). Clinical cognition and diagnostic error: applications of a dual process model of reasoning. Advances in health sciences education, 14, 27-35.

Dissanayake, P. I., Colicchio, T. K., & Cimino, J. J. (2020). Using clinical reasoning ontologies to make smarter clinical decision support systems: a systematic review and data synthesis. Journal of the American Medical Informatics Association, 27(1), 159-174.

Giuffrida, S., Silano, V., Ramacciati, N., Prandi, C., Baldon, A., & Bianchi, M. (2023). Teaching strategies of clinical reasoning in advanced nursing clinical practice: A scoping review. Nurse Education in Practice, 103548.

Gruppetta, M., & Mallia, M. (2020). Clinical reasoning: Exploring its characteristics and enhancing its learning. British Journal of Hospital Medicine, 81(10), 1-9.

Huesmann, L., Sudacka, M., Durning, S. J., Georg, C., Huwendiek, S., Kononowicz, A. A., Schlegel, C., & Hege, I. (2023). Clinical reasoning: What do nurses, physicians, and students reason about. Journal of interprofessional care, 1-9.

Keeley, C. (2021). Conscious competence model and medicine. Foot & Ankle Surgery: Techniques, Reports & Cases, 1(3).

Kononowicz, A., Sudacka, M., Wagner, F. L., Edelbring, S., Hege, I., & Huwendiek, S. (2020). What are the expectations for a longitudinal clinical reasoning curriculum? An international needs analysis by the DID-ACT project.

Ludin, S. M. (2018). Does good critical thinking equal effective decision-making among critical care nurses? A cross-sectional survey. Intensive and Critical Care Nursing, 44, 1-10.

Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC nursing, 20, 1-13.

Mulkey, M. A. (2021). Engaging bedside nurse in research and quality improvement. Journal for nurses in professional development, 37(3), 138.

Munn, Z., Aromataris, E., Tufanaru, C., Stern, C., Porritt, K., Farrow, J., Lockwood, C., Stephenson, M., Moola, S., & Lizarondo, L. (2019). The development of software to support multiple systematic review types: the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information (JBI SUMARI). JBI evidence implementation, 17(1), 36-43.

Ortiz, D. R., Maia, F. d. O. M., Ortiz, D. C. F., Peres, H. H. C., & de Sousa, P. A. F. (2017). Computerized clinical decision support system utilization in nursing: a scoping review protocol. JBI evidence synthesis, 15(11), 2638-2644.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., & Brennan, S. E. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. International journal of surgery, 88, 105906.

Pelaccia, T., Tardif, J., Triby, E., & Charlin, B. (2011). An analysis of clinical reasoning through a recent and comprehensive approach: the dual-process theory. Medical education online, 16(1), 5890.

Peters, M. D., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2017). Scoping reviews. Joanna Briggs Institute reviewer’s manual, 2015, 1-24.

Piscotty Jr, R. J., Kalisch, B., & Gracey‐Thomas, A. (2015). Impact of healthcare information technology on nursing practice. Journal of Nursing Scholarship, 47(4), 287-293.

Simmons, B. (2010). Clinical reasoning: concept analysis. Journal of Advanced Nursing, 66(5), 1151-1158.

Sudacka, M., Adler, M., Durning, S. J., Edelbring, S., Frankowska, A., Hartmann, D., Hege, I., Huwendiek, S., Sobočan, M., & Thiessen, N. (2021). Why is it so difficult to implement a longitudinal clinical reasoning curriculum? A multicenter interview study on the barriers perceived by European health professions educators. BMC medical education, 21, 1-10.

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D., Horsley, T., & Weeks, L. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of internal medicine, 169(7), 467-473.

Tyo, M. B., & McCurry, M. K. (2019). An integrative review of clinical reasoning teaching strategies and outcome evaluation in nursing education. Nursing education perspectives, 40(1), 11-17.

Young, M. E., Thomas, A., Lubarsky, S., Gordon, D., Gruppen, L. D., Rencic, J., Ballard, T., Holmboe, E., Da Silva, A., & Ratcliffe, T. (2020). Mapping clinical reasoning literature across the health professions: a scoping review. BMC Medical Education, 20, 1-11.

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Published

28/06/2024

How to Cite

CUNHA, L. D. M. .; VENTURA, F.; PESTANA-SANTOS, M.; MOTA, M.; LOMBA, L.; SANTOS, M. R. . Decision support strategies for bedside nursing clinical reasoning: A scoping review protocol. Research, Society and Development, [S. l.], v. 13, n. 7, p. e1313746196, 2024. DOI: 10.33448/rsd-v13i7.46196. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/46196. Acesso em: 21 nov. 2024.

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