ArticleJournal of advanced nursing2022
Illness scripts in nursing: Directed content analysis.
Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Dichotomous horizontal representation of acute deterioration risk on illnesses.Scientific reports · 2024Article
- Expert assessment of ChatGPT's ability to generate illness scripts: an evaluative study.BMC medical education · 2024Article
- Reasoning like a doctor or like a nurse? A systematic integrative review.Frontiers in medicine · 2023Review
- Clinical reasoning in emergency medical technicians and its compliance with the illness script theory: A pilot study.Journal of education and health promotion · 2023Article
- FINCA - a conceptual framework to improve interprofessional collaboration in health education and care.Frontiers in medicine · 2023Article
- Illness scripts in nursing: Directed content analysis.Journal of advanced nursing · 2022Article
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Authors and funding
6 authors.
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Abstract
aimsTo explore the possible extension of the illness script theory used in medicine to the nursing context.
designA qualitative interview study.
methodsThe study was conducted between September 2019 and March 2020. Expert nurses were asked to think aloud about 20 patient problems in nursing. A directed content analysis approach including quantitative data processing was used to analyse the transcribed data.
resultsThrough the analysis of 3912 statements, scripts were identified and a nursing script model is proposed; the medical illness script, including enabling conditions, fault and consequences, is extended with management, boundary, impact, occurrence and explicative statements. Nurses often used explicative statements when pathophysiological causes are absent or unknown. To explore the applicability of Illness script theory we analysed scripts' richness and maturity with descriptive statistics. Expert nurses, like medical experts, had rich knowledge of consequences, explicative statements and management of familiar patient problems.
conclusionThe knowledge of expert nurses about patient problems can be described in scripts; the components of medical illness scripts are also relevant in nursing. We propose to extend the original illness script concept with management, explicative statements, boundary, impact and occurrence, to enlarge the applicability of illness scripts in the nursing domain. IMPACT: Illness scripts guide clinical reasoning in patient care. Insights into illness scripts of nursing experts is a necessary first step to develop goals or guidelines for student nurses' development of clinical reasoning. It might lay the groundwork for future educational strategies.
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