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J Adv Nurs. 1999 Nov;30(5):1222-9.

A conceptual treadmill: the need for 'middle ground' in clinical decision making theory in nursing.

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1
Centre for Evidence-Based Nursing, Genesis 6, Science Park, University of York, York, YO10 5DQ, England. cat4@york.ac.uk

Abstract

This paper explores the two predominant theoretical approaches to the process of nurse decision making prevalent within the nursing research literature: systematic-positivistic approaches as exemplified by information processing theory, and the intuitive-humanistic approach of Patricia Benner. The two approaches' strengths and weaknesses are explored and as a result a third theoretical stance is proffered: the idea of a cognitive continuum. According to this approach the systematic and intuitive theoretical camps occupy polar positions at either end of a continuum as opposed to separate theoretical planes. The methodological and professional benefits of adopting such a stance are also briefly outlined.

PMID:
10564422
[Indexed for MEDLINE]
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