IMPORTANT
As of Sept. 4, 2018, the following nursing colleges amalgamated to become
the British Columbia College of Nursing Professionals (BCCNP):
• College of Licensed Practical Nurses of British Columbia (CLPNBC)
• College of Registered Nurses of British Columbia (CRNBC)
• College of Registered Psychiatric Nurses of British Columbia (CRPNBC)
Although the information in the document you are about to access re�ects our
most current information about this topic, you’ll notice the content refers to
the previous nursing college that published this document prior to
Sept. 4, 2018.
We appreciate your patience while we work towards updating all of our
documents to re�ect our new name and brand.
Clinical Decision Making within the Standards of Nursing Practice Learning Resource
2
Clinical Decision Making in Nursing
Practice Web Module Learning Resources
BCCNP RESOURCES
Clinical Decision-Making in Nursing Practice Workbook, available at
http://www.bccnp.ca/PracticeSupport/RN_NP/Documents/CDMWorkbook.pdf
Health Professions Act, available from:
https://www.bccnp.ca/bccnp/RegulationOfNurses/Pages/Default.aspx
BCCNP Scope of practice for registered nurses: Standards, limits, conditions.
https://www.bccnp.ca/Standards/RN_NP/RNScopePractice/Pages/Default.aspx
BCCNP Professional standards for registered nurses and nurse practitioners.https://www.bccnp.ca/Standards/RN_NP/ProfessionalStandards/Pages/Default.aspx
BCCNP Practice standard for registered nurses and nurse practitioners: Nurse-client relationships. Vancouver, BC:
https://www.bccnp.ca/Standards/RN_NP/PracticeStandards/Pages/boundaries.aspx
BCCNP Web Module: Understanding the Scope of Registered Nurses’ Practice
http://www.bccnp.ca/Lists/Flash%20Modules/rnscope/player.html
BCCNP Quality Assurance
https://www.nccbp.ca/PracticeSupport/RN_NP/QA/Pages/Default.aspx
Library resources — scroll to the bottom of the web page for a list of library resources. BCCNP
does not offer library services.https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
BCCNP Practice and Supports:
http://www.bccnp.ca/PracticeSupport/RN_NP/PracticeSup/Pages/Default.aspx
CLINICAL DECISION-MAKING FRAMEWORKS
Arries, E. (2006). Practice standards for quality clinical decision-making in nursing. Curationis,
29(1), 62-72.
https://curationis.org.za/index.php/curationis/article/view/1052
3
Carnevali, D.L., Mitchell, P.H., Woods, N.H., & Tanner, C.A. (1984). Diagnostic reasoning in
nursing. Philadelphia, PA: J.B. Lippincott.
BCCNP has a web page that includes local library sources (Health Authorities and
Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Gillespie, M., & Peterson, B.L. (2009). Helping novice nurses make effective clinical decisions: The
Situated Clinical Decision-Making Framework. Nursing Education Perspectives, 30(3), 164-170.
https://www.researchgate.net/publication/26674998_Helping_novice_nurses_make_effective_clinical_decisions_The_Situated_Cli nical_Decision-Making_Framework
Hollingworth, S. (1986). The nursing process: Implications for curriculum planning. Journal of
Advanced Nursing, 11(2), 211-216.
https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1365-2648.1986.tb01239.x
Tanner, C. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing.
Journal of Nursing Education, 45(6), 204-211.
https//www.researchgate.net/publication/7003793
CLINICAL DECISION-MAKING IN SPECIFIC PRACTICE SETTINGS
Bowers, B.J., Lauring, C., Jacobson, N. (2001). How nurses manage time and work in long-term
care. Journal of Advanced Nursing, 33(4), 484-491.
https//www.researchgate.net/publication/12080252
Cioffi, J. (2000). Nurses' experiences of making decisions to call emergency assistance to their
patients. Journal of Advanced Nursing, 32(1), 108-14.
https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2648.2000.01414.x
Hallett, C.E., Austin, L., Caress, A., & Luker KA. (2000). Wound care in the community set ting:
clinical decision making in context. Journal of Advanced Nursing, 31(4), 783-93.
https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.2000.01348.x
Parker, C.B., Minick, P. & Kee, C.C. (1999). Clinical decision-making processes in perioperative
nursing. AORN Journal, 70(1), 45-62.
https://aornjournal.onlinelibrary.wiley.com/doi/abs/10.1016/S0001-2092(06)61855-3
Szarflarski, N.L. (1997). Diagnostic reasoning in acute and critical care. AACN Clinical Issues,
8(3), 291-302.
http://acc.aacnjournals.org/content/8/3/291.short
Watt, S. (2000). Clinical decision-making in the context of chronic illness. Health Expectations,
3(1), 6-16.
https://onlinelibrary.wiley.com/doi/full/10.1046/j.1369-6513.2000.00076.x
4
CONTEXTUAL INFLUENCES IN CLINICAL DECISION-MAKING: GENERAL
Bucknall, T.K. (2000). Critical care nurses’ clinical decision-making activities in the natural clinical
setting. Journal of Clinical Nursing, 9(1), 25-36.
https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2702.2000.00333.x
Bucknall, T. (2003). The clinical landscape of critical care: Nurses’ decision-making. Journal of
Advanced Nursing, 43(3), 310-319
https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2648.2003.02714.x
Chase, S. (1995). The social context of critical care clinical judgment. Heart and Lung,
24(2), 154-162.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Florin, J., Ehrenberg, A., & Ehnfors, M. (2006). Patient participation in clinical decision-making in
nursing: a comparative study of nurses' and patients' perceptions. Journal of Clinical Nursing,
15(12), 1498-1508.
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2702.2005.01464.x
Hoffman, K., Duffield, C., & Donoghue, J. (2004). Barriers to clinical decision-making in nurses in
Australia. Australian Journal of Advanced Nursing, 21(3), 8-13.
http://www.ajan.com.au/ajan_21.3.html
CONTEXTUAL INFLUENCES IN CLINICAL DECISION-MAKING:
ETHICAL DIMENSIONS
Hamilton, R. (1997). The case of Baby M: Nursing care in the ethical wilderness. Journal of
Holistic Nursing, 15(4), 425-436. http://journals.sagepub.com/doi/abs/10.1177/089801019701500408
CONTEXTUAL INFLUENCES IN CLINICAL DECISION-MAKING:
NURSES’ EXPERIENCE
Benner, P. (1982). From novice to expert... the Dreyfus Model of Skill Acquisition. American
Journal of Nursing, March, 402-7
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
5
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo
Park, CA: Addison-Wesley.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Benner, P., Tanner, C., & Chesla, C. (1992). From beginner to expert: Gaining a differentiated world
in critical care nursing. Advances in Nursing Science, 14(3), 13-28.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Benner, P., Tanner, C., & Chesla, C. (1996). Expertise in nursing practice: Caring, clinical
judgment and ethics. New York: NY: Springer.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Benner, P., Hooper-Kryriakidis, P., & Stannard, D. (1999). Clinical wisdom and interventions in
critical care: A thinking-in-action approach. Philadelphia, PA: Saunders.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/pages/Default.aspx
Edwards, B. (1994). Telephone triage: How experienced nurses reach decisions. Journal of
Advanced Nursing, 19(4), 717-724.
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2648.1994.tb01143.x
White, A. H. (2003). Clinical decision making among fourth-year nursing students: An interpretive
study. Journal of Nursing Education 42(3): 113-20.
https://www.healio.com/nursing/journals/jne/2003-3-42-3/%7B5df47a3a-860a-468b-a5a7-ce1d28b322fd%7D/clinical-decision-
making-among-fourth-year-nursing-students-an-interpretive-study
CONTEXTUAL INFLUENCES IN CLINICAL DECISION-MAKING:
COLLABORATIVE PRACTICE
Clinical decision-making in a team situation
Ottem, P. (2004). Assignment. Nursing BC, 36(1), 21-22.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Conger, M.M. (1999). Evaluation of an educational strategy for teaching delegation decision-
making to nursing students. Journal of Nursing Education, 38(9), 419-422.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
6
Tiedeman, M.E., & Lookinland, S. (2004). Traditional models of care delivery: what have we
learned? Journal of Nursing Administration, 34(6), 291-297.
https://www.ncbi.nlm.nih.gov/pubmed/15190224
FOUNDATIONAL KNOWLEDGE
Knowing the case: Evidence based practice & best practices
Paterson, B. (2003). The nature of evidence. Canadian Nurse, 99(3), 16-17.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Paterson, B. (2001). Getting comfortable with research. Canadian Nurse, 97 (8), 13-14.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Evidence based practice web site:
http://www.rnao.org/bestpractices/
Knowing the client or patient and person
Liaschenko, J. (1997). Knowing the patient? In S. Thorne & V. Hayes (Eds.), Nursing praxis:
Knowledge and action (pp. 23-38). Thousand Oaks, CA: Sage Publications.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page). https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Minick, P, & Harvey, S. (2003). The early recognition of patient problems among medical-surgical
nurses. MedSurg Nursing, 12(5), 291-297.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Tanner, C.A., Benner, P, Chesla, C., & Gordon, D.R. (1993). The phenomenology of knowing the
patient. Image: Journal of Nursing Scholarship, 25(4), 273-280.
https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1547-5069.1993.tb00259.x
Whittemore, R. (2000). Consequences of not “knowing the patient”. Clinical Nurse Specialist,
14(2), 75-81. https://journals.lww.com/cns-journal/pages/articleviewer.aspx?year=2000&issue=03000&article=00010&type=abstract
7
CLINICAL DECISION-MAKING PROCESSES: GENERAL
Bowers, B.J., Lauring, C., Jacobson, N. (2001). How nurses manage time and work in long-term
care. Journal of Advanced Nursing, 33(4), 484-491.
https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2648.2001.01686.x
Bucknall, T. (2003). The clinical landscape of critical care: Nurses’ decision-making. Journal of
Advanced Nursing, 43(3), 310-319.
https://onlinelibrary.wiley.com/doi/full/10.1046/j.1365-2648.2003.02714.x
Chase, S. (1995). The social context of critical care clinical judgment. Heart and Lung, 24(2), 154-
162.
https://www.sciencedirect.com/science/article/pii/S014795630580010X
Hendry, C. & Walker, A. (2004). Priority setting in clinical nursing practice: A literature review.
Journal of Advanced Nursing, 47(4), 427-436.
https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2648.2004.03120.x
THINKING PROCESSES
Benner, P., Hooper-Kryriakidis, P., & Stannard, D. (1999). Clinical wisdom and interventions in
critical care: A thinking-in-action approach. Philadelphia, PA: Saunders.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Brookfield, S.D. (1987). Developing critical thinkers: Challenging adults to explore alternative
ways of thinking and acting. San Francisco, CA: Jossey-Bass.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Case, B. (1995). Critical thinking: challenging assumptions and imagining alternatives. Dimensions
in Critical Care Nursing, 14(5). 274-279.
https://journals.lww.com/dccnjournal/Abstract/1995/09000/Critical_Thinking__Challenging_Assumptions_and.13.aspx
Duchscher, J.E.B. (1999). Catching the wave: understanding the concept of critical thinking. Journal
of Advanced Nursing, 29(3), 577-583.
https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1999.00925.x
Ebright, P.R., Patterson, E.S., Chalko, B.A., & Render, M.L. (2003). Understanding the complexity
of registered nurse work in acute care settings. Journal of Nursing Administration, 33(12), 630-638.
https://journals.lww.com/jonajournal/pages/articleviewer.aspx?year=2003&issue=12000&article=00004&type=abstract
8
Harris, R. (1998). Introduction to creative thinking. Retrieved from
http://www.virtualsalt.com./crebook1.htm
Jackson, M., Ignatavicius, D.D., & Case, B. (2006). Conversations in critical thinking and clinical
judgment. Sudbury, MS: Jones & Bartlett.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Minick, P, & Harvey, S. (2003). The early recognition of patient problems among medical-surgical
nurses. MedSurg Nursing, 12(5), 291-297.
https://search.proquest.com/openview/99cba7feecebde73fcc43e46289a5e1a/1?pq-origsite=gscholar&cbl=30764
Oermann, M.H. (1997). Evaluating critical thinking in clinical practice. Nurse Educator, 22(5),
25-28.
https://journals.lww.com/nurseeducatoronline/Abstract/1997/09000/Evaluating_Critical_Thinking_in_Clinical_Practice.11.aspx
Raingruber, B & Haffer, A. (2001). Using your head to land on your feet: A beginning nurses
guide to critical thinking. Sacramento, CA: F.A. Davis Company.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
STRATEGIES TO SUPPORT DEVELOPMENT OF CLINICAL DECISION-MAKING
Alfaro-Lefevre, R. (2009). Critical thinking and clinical judgment: A practical approach (4th ed.).
St. Louis, MO: Saunders.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).
https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Boney, J. & Baker, J.D. (1997). Strategies for teaching clinical decision-making. Nurse Education
Today, 17, 16-21.
https://www.nurseeducationtoday.com/article/S0260-6917(97)80074-3/abstract
Case, B. (1994). Walking around the elephant: A critical thinking strategy for decision-making. Journal of Continuing Education in Nursing, 25 (3), 101-109. https://www.ncbi.nlm.nih.gov/pubmed/7797684
Corcoran, S., Narayan, S., & Moreland, H. (1988). “Thinking aloud” as a strategy to improve clinical
decision making. Heart and Lung, 17(5), 463-468. https://www.ncbi.nlm.nih.gov/pubmed/3417458
Free, K.W. (1997). What if? What else? What then? A critical thinking game. Nurse Educator,
22(5), 9-12. https://journals.lww.com/nurseeducatoronline/Citation/1997/09000/What_If__What_Else__What_Then__A_Critical_Thinki ng.8.aspx
9
Haffer, A.G. & Raingruber, B.J. (1998). Discovering confidence in clinical reasoning and critical
thinking development in baccalaureate nursing students. Journal of Nursing Education,
37(2), 61-70
https://www.healio.com/nursing/journals/jne/1998-2-37-2/%7Ba2c364c0-b6a2-4756-a1c6-f3158933d808%7D/discovering-
confidence-in-clinical-reasoning-and-critical-thinking-development-in-baccalaureate-nursing-students
Sedlak, C. & Doheny, M. (1998). Peer review through clinical rounds. Nurse Educator, 23(5), 42-
45
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Standing, M. (2007). Clinical decision-making skills on the developmental journey from student to
Registered Nurse: a longitudinal inquiry. Journal of Advanced Nursing, 60(3), 257-69.
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2648.2007.04407.x
Wink, D.M. (1993). Using questioning as a teaching strategy. Nurse Educator, 18(5), 11-15.
BCCNP has a web page that includes local library sources (Health Authorities and Post-secondary Institution Libraries — scroll to the bottom of the web page).
https://www.bccnp.ca/PracticeSupport/Pages/Default.aspx
Top Related