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