Clinical Reasoning: The Art and Science of Critical and Creative Thinking / Edition 1

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Overview


This innovative book helps students relearn clinical reasoning skills to become more outcome oriented. It introduces the OPT (outcome, present state, test) model, an alternative to the nursing process, to help students develop the clinical reasoning skills required in contemporary practice. This model uses the client's story as a foundation for developing reasoning skills that are outcome focused, an area gaining importance in nursing.

The book contains black-and-white illustrations.

This innovative book helps students relearn clinical reasoning skills to become more outcome oriented. It introduces the OPT (outcome, present state, test) model, an alternative to the nurisng process, to help students develop the clinical reasoning skills required in contemporary practice.

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Editorial Reviews

Doody's Review Service
Reviewer: Carole A. Kenner, PhD, RN, FAAN (Council of International Neonatal Nurses)
Description: This very clear, concise text ties clinical reasoning with the nursing process and classification systems.
Purpose: The purpose is to present the art and science of critical and creative thinking. The model used is called Outcome-Present State-Test (OPT). It emphasizes reflection, outcomes, and testing using the client's information as the backdrop.
Audience: The editors do not really identify the audience. However, I feel this text could be used for any undergraduate or graduate student.
Features: Elements of critical/creative thinking, the nursing process,and different nursing classification systems are covered. The evolution of the nursing process is explained, as well as these classification systems. All the major systems are included: Gordon's functional health patterns, NIC, NOC, and the OMAHA systems. This presentation gives the book broad appeal to any curriculum. The pedagogical tools of illustrations of how elements of the various systems tie together to promote critical thinking are wonderful. Use of study questions at the end of each chapter is very good. The reader is taught clinical reasoning by example. The OPT model is reinforced in various specialty areas such as long-term care. Another strength is to point out how faculty can use this model in clinical supervision. ICD-9 and CPT codes are cited, and while these are clearly tied to the medical model, they are necessary for nurses.
Assessment: There is no comparable book. There are critical thinking books in other disciplines that are far too complex. The other nursing texts are Gordon's Manual of Nursing Diagnosis 1997-1998 (Mosby-Year Book, Inc. 1997), NANDA's NANDA Nursing Diagnoses: Definitions and Classification 1997 - 1998, Johnson's Nursing Outcomes Classification (NOC): Iowa Outcomes Project (Mosby-Year Book, Inc., 1997), McCloskey's Nursing Interventions Classification (NIC) (Mosby-Year Book, Inc., 1996), and Martin's The Omaha System: A Pocket Guide for Community Health Nursing (W.B. Saunders, 1992). All of these, along with generic nursing process books, are one-dimensional by comparison to this text. They do not, in general, promote clinical reasoning, a real need in today's nurse.
Carole Kenner
This very clear, concise text ties clinical reasoning with the nursing process and classification systems. The purpose is to present the art and science of critical and creative thinking. The model used is called Outcome-Present State-Test (OPT). It emphasizes reflection, outcomes, and testing using the client's information as the backdrop. The editors do not really identify the audience. However, I feel this text could be used for any undergraduate or graduate student. Elements of critical/creative thinking, the nursing process,and different nursing classification systems are covered. The evolution of the nursing process is explained, as well as these classification systems. All the major systems are included: Gordon's functional health patterns, NIC, NOC, and the OMAHA systems. This presentation gives the book broad appeal to any curriculum. The pedagogical tools of illustrations of how elements of the various systems tie together to promote critical thinking are wonderful. Use of study questions at the end of each chapter is very good. The reader is taught clinical reasoning by example. The OPT model is reinforced in various specialty areas such as long-term care. Another strength is to point out how faculty can use this model in clinical supervision. ICD-9 and CPT codes are cited, and while these are clearly tied to the medical model, they are necessary for nurses. There is no comparable book. There are critical thinking books in other disciplines that are far too complex. The other nursing texts are Gordon's Manual of Nursing Diagnosis 1997-1998 (Mosby-Year Book, Inc. 1997), NANDA's NANDA Nursing Diagnoses: Definitions andClassification 1997 - 1998, Johnson's Nursing Outcomes Classification (NOC): Iowa Outcomes Project (Mosby-Year Book, Inc., 1997), McCloskey's Nursing Interventions Classification (NIC) (Mosby-Year Book, Inc., 1996), and Martin's The Omaha System: A Pocket Guide for Community Health Nursing (W.B. Saunders, 1992). All of these, along with generic nursing process books, are one-dimensional by comparison to this text. They do not, in general, promote clinical reasoning, a real need in today's nurse.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780827378698
  • Publisher: Cengage Learning
  • Publication date: 1/21/1999
  • Series: Professional Reference - Nursing Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 264
  • Product dimensions: 7.30 (w) x 9.00 (h) x 0.60 (d)

Table of Contents


CLINICAL REASONING IN NURSING: Society and Nursing. Nursing Process: A Tradition in Nursing. The Metacognitive Model: Building on Traditional Nursing Process. Knowledge Work and Clinical Reasoning: Using Organized Knowledge in Nursing. CLINICAL REASONING ACROSS CONTEXTS: Using OPT in Clinical Practice. Clinical Reasoning in a Primary Care Context. Clinical Reasoning in an Acute Care Context. Clinical Reasoning in Community Care: Using the OPT Model and the Omaha Classification Systems. Clinical Reasoning in Community Mental Health Contexts: Using the OPT Model and DSM IV. Clinical Reasoning in a Long-Term Care Context. OPT and Clinical Supervision: the Development of Nursing Intelligence. Theory Development and Testing Using the OPT Model.
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