Clinical reasoning and the Nursing process

Reflections on scope and interfaces*

Authors

  • Emilia Campos de Carvalho Universidade de São Paulo - USP. Escola de Enfermagem de Ribeirão Preto - EERP. Departamento de Enfermagem Geral e Especializada - DEGE. Ribeirão Preto, SP - Brasil. https://orcid.org/0000-0003-0738-0539
  • Aline Helena Appoloni Eduardo Universidade Federal de São Carlos - UFSCAR. Departamento de Enfermagem - DENF. São Carlos, SP - Brasil. https://orcid.org/0000-0003-1577-3383
  • Cristina Mara Zamarioli Universidade de São Paulo - USP. Escola de Enfermagem de Ribeirão Preto - EERP. Departamento de Enfermagem Geral e Especializada - DEGE. Ribeirão Preto, SP - Brasil. https://orcid.org/0000-0002-4757-7611
  • Natalia Chantal Magalhães da Silva Universidade Federal do Estado do Rio de Janeiro - UNIRIO. Escola de Enfermagem Alfredo Pinto - EEAP. Rio de Janeiro, RJ - Brasil. https://orcid.org/0000-0003-1883-4313
  • Sheila Coelho Ramalho Vasconcelos Morais Universidade Federal de Pernambuco - UFPE. Departamento de Enfermagem - DE. Recife, PE - Brasil. https://orcid.org/0000-0001-9831-0338

DOI:

https://doi.org/10.35699/2316-9389.2024.52959

Keywords:

Clinical Reasoning, Nursing Diagnosis, Nursing Process, Clinical Decision Making

Abstract

This report aims at reflecting on the scope of the concept of expanded Clinical Reasoning and the interfaces of that process, as well as those of the Nursing Process, within the context of clinical practice. The objective is to encourage discussion so as to see clinical reasoning as not simply determining and labeling the condition of the person being cared for and the respective therapeutic recommendation to solve, minimize or adjust it to the current situation, which are the most common approaches in nursing education. To this end, the cognitive processes that constitute Clinical Reasoning are presented, namely diagnostic reasoning, in an expanded view, and management reasoning, including the choice and implementation of therapy, monitoring and assessment, thus requiring knowledge acquisition, problem-solving skills and metacognition. The aim is also to contribute to understanding the interfaces between this view of Clinical Reasoning and that of the Nursing Process, according to COFEN Resolution No. 736, published recently in 2024. The concluding remarks present the contribution to the nursing profession from such an expanded view of these two processes, which are considered here to be interchangeable and inseparable.

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References

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Additional Files

Published

2024-07-01

Issue

Vol. 28 (2024)

Section

Reflection

License

Copyright (c) 2024 REME-Revista Mineira de Enfermagem

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How to Cite

1.
Clinical reasoning and the Nursing process: Reflections on scope and interfaces*. REME Rev Min Enferm. [Internet]. 2024 Jul. 1 [cited 2025 Dec. 24];28(1). Available from: https://periodicos.ufmg.br/index.php/reme/article/view/52959

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