The relevance of the contribution of psychoneuroendocrinoimmunology and psychology of reasoning and decision making to nursing science: A discursive paper.

clinical reasoning decision making nursing nursing priority nursing theoretics psychology psychoneuroimmunology theoretical nursing

Journal

Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811

Informations de publication

Date de publication:
06 Feb 2024
Historique:
revised: 20 11 2023
received: 05 03 2023
accepted: 21 01 2024
medline: 6 2 2024
pubmed: 6 2 2024
entrez: 6 2 2024
Statut: aheadofprint

Résumé

Patients' death or adverse events appear to be associated with poor healthcare decision-making. This might be due to an inability to have an adequate representation of the problem or of the connections among problem-related elements. Changing how a problem is formulated can reduce biases in clinical reasoning. The purpose of this article is to explore the possible contributions of psychoneuroendocrinoimmunology (PNEI) and psychology of reasoning and decision-making (PRDM) to support a new nursing theoretical frame. Discursive paper. This article discusses the main assumptions about nursing and nurses' ability to face patient's problems, suggesting a new approach that integrates knowledge from PNEI and PRDM. While PNEI explains the complexity of systems, highlighting the importance of systems connections in affecting health, PRDM underlines the importance of the informative context in creating a mental representation of the problem. Furthermore, PRDM suggests the need to pay attention to information that is not immediately explicit and its connections. Nursing recognizes the patient-nurse relationship as the axiom that governs care. The integration of PNEI and PRDM in nursing theoretics allows the expansion of the axiom by providing essential elements to read a new type of relationship: the relationship among information. PNEI explains the relationships between biological systems and the psyche and between the whole individual and the environment; PRDM provides tools for the nurse's analytical thinking system to correctly process information and its connections. A theoretical renewal is mandatory to improve nursing reasoning and nursing priority identification. Integrating PNEI and PRDM into nursing theoretics will modify the way professionals approach patients, reducing cognitive biases and medical errors. There was no patient or public involvement in the design or writing of this discursive article.

Identifiants

pubmed: 38318634
doi: 10.1111/jan.16087
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.

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Auteurs

Alessandra Milani (A)

Nursing Education, IEO, European Institute of Oncology IRCCS, Milan, Italy.
PhD Student, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Luisa Saiani (L)

University of Verona, Verona, Italy.

Eliana Misurelli (E)

Nursing Education, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Silvana Lacapra (S)

Nursing Education, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Gabriella Pravettoni (G)

Department of Oncology and Haemato-Oncology, University of Milan, Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Giorgio Magon (G)

Nursing Manager, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Ketti Mazzocco (K)

Department of Oncology and Haemato-Oncology, University of Milan, Milan, Italy.
Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Classifications MeSH