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Doody's Review ServiceReviewer: 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.