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Biomedical subjects

N M Dluhy

Publications and source records attributed to N M Dluhy.

3 recordsLinked to original sources
PubMed1997

A longitudinal framework for fostering critical thinking and diagnostic reasoning.

Nurses' reasoning skills are of interest to nurse researchers, managers, clinicians, educators and students. Recent emphasis on critical thinking has raised important questions regarding the modes of reasoning necessary for practice and appropriate measures to improve nurses' cognitive skills. This paper analyses critical thinking and diagnostic reasoning. A longitudinal framework for promoting both modes of reasoning, beginning with nursing students through to experienced clinicians, is proposed as a model worth testing in nurse samples.

Education, Nursing↗
PubMed1995

Mapping knowledge in chronic illness.

Theory-based nursing practice requires a systematically developed, integrated body of information to deal effectively with the complexities of the human condition. This philosophical research is founded on a complementary knowledge model, valuing diverse views. The burden therefore is on uncovering connections between perspectives. A method is proposed and tested for mapping pluralistic knowledge in chronic illness. Underlying the method development is the premise that all knowledge can be represented as different combinations of ontology (views of the person) and epistemology (nature and aims of science). Based on a review of over 300 references, six major themes (comprised of 20 conceptual categories) are uncovered in the nursing literature. Analysis of the map reveals the influence of trends as well as areas of minimal development (e.g. holism). A key advantage of mapping is the opportunity to know the data in a large substantive area and to begin to identify potential linkages for cumulation. Fatigue, pain, symptom management, day-to-day living with illness, and social support are identified as promising areas to begin building a mid-range theory of chronic illness. Developing a cumulative knowledge base narrows the gap between theory and practice.

Chronic Disease↗