title: Enhancing clinical decision making: development of a contiguous definition and conceptual framework.
abstract: Clinical decision making is a term frequently used to describe the fundamental role of the nurse practitioner; however, other terms have been used interchangeably. The purpose of this article is to begin the process of developing a definition and framework of clinical decision making. The developed definition was "Clinical decision making is a contextual, continuous, and evolving process, where data are gathered, interpreted, and evaluated in order to select an evidence-based choice of action." A contiguous framework for clinical decision making specific for nurse practitioners is also proposed. Having a clear and unique understanding of clinical decision making will allow for consistent use of the term, which is relevant given the changing educational requirements for nurse practitioners and broadening scope of practice.
authors.affiliation: Adult Gerontology Primary Care Nurse Practitioner Program, University of Illinois at Chicago College of Nursing, Department of Biobehavioral Health Science.. Electronic address: jtiffen@uic.edu.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Tiffen
authors.affiliation: Adult Gerontology Acute Care Nurse Practitioner Program, University of Illinois at Chicago College of Nursing, Department of Biobehavioral Health Science.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Corbridge
authors.affiliation: Retired Associate Department Head, University of Illinois at Chicago College of Nursing, Department of Biobehavioral Health Science.
authors.forename: Lynda
authors.initials: L
authors.lastname: Slimmer
mesh_terms: D003657:Decision Making; D006801:Humans; D009722:Nurse Practitioners
keywords: Advanced practice nurses; Clinical decision making; Consensus definition; Nursing education