메뉴 건너뛰기




Volumn 15, Issue 2, 2010, Pages 229-250

Cognitive elements in clinical decision-making: Toward a cognitive model for medical education and understanding clinical reasoning

Author keywords

Affect; Clinical decision making; Clinical outcome; Medical education; Metacognition; Need for cognition; Reflective coping; Trait anxiety

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; COGNITION; DECISION MAKING; EDUCATION; EDUCATIONAL MODEL; FEMALE; HUMAN; MALE; MEDICAL EDUCATION; METHODOLOGY; OBSTETRICS;

EID: 77954070811     PISSN: 13824996     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10459-009-9194-y     Document Type: Article
Times cited : (49)

References (54)
  • 1
    • 41849145230 scopus 로고    scopus 로고
    • Clinical reasoning and its application to nursing: Concepts and research studies
    • Banning, M. (2008). Clinical reasoning and its application to nursing: Concepts and research studies. Nurse Education in Practice, 8, 177-183.
    • (2008) Nurse Education in Practice , vol.8 , pp. 177-183
    • Banning, M.1
  • 2
    • 0022691688 scopus 로고
    • Need for cognition related to time perception
    • Baugh, B. T., & Mason, S. E. (1986). Need for cognition related to time perception. Perceptual and Motor Skills, 62, 540-542.
    • (1986) Perceptual and Motor Skills , vol.62 , pp. 540-542
    • Baugh, B.T.1    Mason, S.E.2
  • 3
    • 20244387487 scopus 로고    scopus 로고
    • The competent stage: A time of analysis, planning and confrontation
    • P. A. Benner, C. A. Tanner, and C. A. Chesla (Eds.), New York: Springer
    • Benner, P. A., Tanner, C. A., & Chesla, C. A. (1996). The competent stage: A time of analysis, planning and confrontation. In P. A. Benner, C. A. Tanner, & C. A. Chesla (Eds.), Expertise in nursing practice (pp. 78-113). New York: Springer.
    • (1996) Expertise in Nursing Practice , pp. 78-113
    • Benner, P.A.1    Tanner, C.A.2    Chesla, C.A.3
  • 4
    • 0029282771 scopus 로고
    • The effect of physician factors on the cesarean section decision
    • Burns, L. R., Geller, S. E., & Wholey, D. R. (1995). The effect of physician factors on the cesarean section decision. Medical Care, 33, 365-382.
    • (1995) Medical Care , vol.33 , pp. 365-382
    • Burns, L.R.1    Geller, S.E.2    Wholey, D.R.3
  • 6
    • 77955853439 scopus 로고    scopus 로고
    • Positioning the bar: Outcomes associated with successful completion of an enabling course
    • Cantwell, R. (2004). Positioning the bar: Outcomes associated with successful completion of an enabling course. Australian Journal of Adult Learning, 44, 354-388.
    • (2004) Australian Journal of Adult Learning , vol.44 , pp. 354-388
    • Cantwell, R.1
  • 7
    • 0041853567 scopus 로고    scopus 로고
    • The importance of cognitive errors in diagnosis and strategies to minimize them
    • Croskerry, P. (2003a). The importance of cognitive errors in diagnosis and strategies to minimize them. Academic Medicine, 78, 775-780.
    • (2003) Academic Medicine , vol.78 , pp. 775-780
    • Croskerry, P.1
  • 8
    • 0037227043 scopus 로고    scopus 로고
    • Cognitive forcing strategies in clinical decision making
    • Croskerry, P. (2003b). Cognitive forcing strategies in clinical decision making. Annals of Emergency Medicine, 41, 121-122.
    • (2003) Annals of Emergency Medicine , vol.41 , pp. 121-122
    • Croskerry, P.1
  • 9
    • 53049103156 scopus 로고    scopus 로고
    • How doctors feel: Affective issues in patients' safety
    • Croskerry, P., Abbass, A. A., & Wu, A. W. (2008). How doctors feel: Affective issues in patients' safety. Lancet, 372, 1205-1206.
    • (2008) Lancet , vol.372 , pp. 1205-1206
    • Croskerry, P.1    Abbass, A.A.2    Wu, A.W.3
  • 10
    • 42949169399 scopus 로고    scopus 로고
    • Overconfidence in clinical decision making
    • Croskerry, P., & Norman, G. (2008). Overconfidence in clinical decision making. American Journal of Medicine, 121(5 Suppl), S24-S29.
    • (2008) American Journal of Medicine , vol.121 , Issue.5 SUPPL.
    • Croskerry, P.1    Norman, G.2
  • 11
    • 4644224961 scopus 로고    scopus 로고
    • Operative vaginal delivery: A comparison of forceps and vacuum for success rate and risk of rectal sphincter injury
    • Damron, D. P., & Capeless, E. L. (2004). Operative vaginal delivery: A comparison of forceps and vacuum for success rate and risk of rectal sphincter injury. American Journal of Obstetrics and Gynaecology, 191, 907-910.
    • (2004) American Journal of Obstetrics and Gynaecology , vol.191 , pp. 907-910
    • Damron, D.P.1    Capeless, E.L.2
  • 12
    • 0023337320 scopus 로고
    • Systematic errors in medical decision making: Judgement limitations
    • Dawson, N. V., & Arkes, H. R. (1987). Systematic errors in medical decision making: Judgement limitations. Journal of General Internal Medicine, 2, 183-187.
    • (1987) Journal of General Internal Medicine , vol.2 , pp. 183-187
    • Dawson, N.V.1    Arkes, H.R.2
  • 13
    • 52249102750 scopus 로고    scopus 로고
    • The relationship between tolerance for ambiguity and need for course structure
    • DeRoma, V. M., Martin, K. M., & Kessler, M. L. (2003). The relationship between tolerance for ambiguity and need for course structure. Journal of Instructional Psychology, 30, 104-109.
    • (2003) Journal of Instructional Psychology , vol.30 , pp. 104-109
    • Deroma, V.M.1    Martin, K.M.2    Kessler, M.L.3
  • 14
    • 3042602318 scopus 로고    scopus 로고
    • Assisted performance and the zone of proximal development (ZPD); a potential framework for providing surgical education
    • Dunphy, B. C., & Dunphy, S. L. (2003). Assisted performance and the zone of proximal development (ZPD); a potential framework for providing surgical education. Australian Journal of Educational and Developmental Psychology, 3, 48-58.
    • (2003) Australian Journal of Educational and Developmental Psychology , vol.3 , pp. 48-58
    • Dunphy, B.C.1    Dunphy, S.L.2
  • 15
    • 3342939241 scopus 로고    scopus 로고
    • In pursuit of expertise. Toward an educational model for expertise development
    • Dunphy, B. C., & Williamson, S. L. (2004). In pursuit of expertise. Toward an educational model for expertise development. Advances in Health Sciences Education, 9, 107-127.
    • (2004) Advances in Health Sciences Education , vol.9 , pp. 107-127
    • Dunphy, B.C.1    Williamson, S.L.2
  • 16
    • 33745433099 scopus 로고    scopus 로고
    • The incidence and cost of adverse events in Victorian hospitals 2003-04
    • Ehsani, J. P., Jackson, T., & Duckett, S. J. (2006). The incidence and cost of adverse events in Victorian hospitals 2003-04. The Medical Journal of Australia, 184, 551-555.
    • (2006) The Medical Journal of Australia , vol.184 , pp. 551-555
    • Ehsani, J.P.1    Jackson, T.2    Duckett, S.J.3
  • 17
    • 0030209604 scopus 로고    scopus 로고
    • Individual differences in intuitive-experiential and analytical-rational thinking styles
    • Epstein, S., Pacini, R., & Denes-Raj, V. (1996). Individual differences in intuitive-experiential and analytical-rational thinking styles. Journal of Personality and Social Psychology, 71, 390-405.
    • (1996) Journal of Personality and Social Psychology , vol.71 , pp. 390-405
    • Epstein, S.1    Pacini, R.2    Denes-Raj, V.3
  • 18
    • 0348252421 scopus 로고    scopus 로고
    • Approaches to learning, need for cognition, and strategic flexibility among university students
    • Evans, C. J., Kirby, J. R., & Fabrigar, L. R. (2003). Approaches to learning, need for cognition, and strategic flexibility among university students. British Journal of Educational Psychology, 73, 507-528.
    • (2003) British Journal of Educational Psychology , vol.73 , pp. 507-528
    • Evans, C.J.1    Kirby, J.R.2    Fabrigar, L.R.3
  • 19
    • 77955848489 scopus 로고    scopus 로고
    • Fair, M., Cyr, M., Allen, A. C., Wen, S. W., Guyon, G., & Macdonald, R. C. (1999). Validation study for a record linkage of births and infant deaths in Canada. Statistics Canada, catalogue no. 84F0013XIE, Ottawa.
  • 20
    • 0034070366 scopus 로고    scopus 로고
    • An assessment of the validity of a computer system for probabilistic record linkage of birth and infant death records in Canada. The fetal and infant health study group
    • Fair, M., Cyr, M., Allen, A. C., Wen, S. W., Guyon, G., & MacDonald, R. C. (2000). An assessment of the validity of a computer system for probabilistic record linkage of birth and infant death records in Canada. The fetal and infant health study group. Chronic Disease Canada, 21, 8-13.
    • (2000) Chronic Disease Canada , vol.21 , pp. 8-13
    • Fair, M.1    Cyr, M.2    Allen, A.C.3    Wen, S.W.4    Guyon, G.5    Macdonald, R.C.6
  • 21
    • 0034051706 scopus 로고    scopus 로고
    • Trait anxiety and reactions to patient-centered and doctor-centered styles of communication: An experimental study
    • Graugaard, P. K., & Finset, A. (2000). Trait anxiety and reactions to patient-centered and doctor-centered styles of communication: An experimental study. Psychosomatic Medicine, 62, 33-39.
    • (2000) Psychosomatic Medicine , vol.62 , pp. 33-39
    • Graugaard, P.K.1    Finset, A.2
  • 23
    • 77955998340 scopus 로고    scopus 로고
    • The proactive coping inventory (PCI)
    • R. Schwarzer (Ed.), Berlin: Free University of Berlin. Institut for Arbeits, Organizations-und Gesundheipsychologie
    • Greenglass, E., & Schwarzer, R. (1998). The proactive coping inventory (PCI). In R. Schwarzer (Ed.), Advances in health psychology research (CD-ROM). Berlin: Free University of Berlin. Institut for Arbeits, Organizations-und Gesundheipsychologie.
    • (1998) Advances in Health Psychology Research (CD-ROM)
    • Greenglass, E.1    Schwarzer, R.2
  • 26
    • 23744459688 scopus 로고    scopus 로고
    • Sins of omission: Getting too little medical care may be the greatest threat to patient safety
    • Hayward, R. A., Asch, S. M., Hogan, M. M., Hofer, T. P., & Kerr, E. A. (2005). Sins of omission: Getting too little medical care may be the greatest threat to patient safety. Journal of General Internal Medicine, 20, 686-691.
    • (2005) Journal of General Internal Medicine , vol.20 , pp. 686-691
    • Hayward, R.A.1    Asch, S.M.2    Hogan, M.M.3    Hofer, T.P.4    Kerr, E.A.5
  • 27
    • 77955851931 scopus 로고    scopus 로고
    • His Holiness the Dalai Lama, & Cutler, H. C. (1998). The art of happiness: A handbook for living. In H. H. Dalai Lama & H. C. Cutler (Eds.), The art of happiness: A handbook for living (pp. 270-271). New York: River Head Books.
  • 28
    • 0037333240 scopus 로고    scopus 로고
    • Unexpected reduction in the incidence of birth trauma and birth asphyxia related to instrumental deliveries during the study period: Was this the Hawthorne effect?
    • Leung, W. C., Lam, H. S. W., Lam, K. W., To, M., & Lee, C. P. (2003). Unexpected reduction in the incidence of birth trauma and birth asphyxia related to instrumental deliveries during the study period: Was this the Hawthorne effect? British Journal of Obstetrics and Gynaecology, 110, 319-322.
    • (2003) British Journal of Obstetrics and Gynaecology , vol.110 , pp. 319-322
    • Leung, W.C.1    Lam, H.S.W.2    Lam, K.W.3    To, M.4    Lee, C.P.5
  • 29
    • 0001809542 scopus 로고    scopus 로고
    • Information processing at successive stages of decision making: Need for cognition and inclusion-exclusion effects
    • Levin, I. P., Huneke, M. E., & Jasper, J. D. (2000). Information processing at successive stages of decision making: Need for cognition and inclusion-exclusion effects. Organizational Behavior and Human Decision Processes, 82, 171-193.
    • (2000) Organizational Behavior and Human Decision Processes , vol.82 , pp. 171-193
    • Levin, I.P.1    Huneke, M.E.2    Jasper, J.D.3
  • 30
    • 0031255236 scopus 로고    scopus 로고
    • Need for cognition and irrational beliefs
    • Mahoney, J. M., & Kaufman, D. (1997). Need for cognition and irrational beliefs. Psychological Reports, 81, 685-690.
    • (1997) Psychological Reports , vol.81 , pp. 685-690
    • Mahoney, J.M.1    Kaufman, D.2
  • 31
    • 0036937025 scopus 로고    scopus 로고
    • An observational study of antibiotic prescribing behavior and the Hawthorne effect
    • Mangione-Smith, R., Elliott, M. N., McDonald, L., & McGlynn, E. A. (2002). An observational study of antibiotic prescribing behavior and the Hawthorne effect. Health Sciences Research, 37, 1603-1623.
    • (2002) Health Sciences Research , vol.37 , pp. 1603-1623
    • Mangione-Smith, R.1    Elliott, M.N.2    McDonald, L.3    McGlynn, E.A.4
  • 32
    • 84973817187 scopus 로고
    • The MSTAT-I: A new measure of an individual's tolerance for ambiguity
    • McLain, D. L. (1993). The MSTAT-I: A new measure of an individual's tolerance for ambiguity. Educational and Psychological Measurement, 3, 183-189.
    • (1993) Educational and Psychological Measurement , vol.3 , pp. 183-189
    • McLain, D.L.1
  • 33
    • 0035380416 scopus 로고    scopus 로고
    • Stress in the relation between trait and state anxiety
    • Meijer, J. (2001). Stress in the relation between trait and state anxiety. Psychological Reports, 88, 947-964.
    • (2001) Psychological Reports , vol.88 , pp. 947-964
    • Meijer, J.1
  • 34
    • 33644501320 scopus 로고    scopus 로고
    • Chicago, IL: SPSS Inc
    • Meulman, J. J., & Heiser, W. J. (2004). SPSS. Categories 13. 0. Chicago, IL: SPSS Inc. http://www. sscnet. ucla. edu/labs/SPSS13/SPSSCategories13. 0. pdf.
    • (2004) SPSS. Categories 13.0.
    • Meulman, J.J.1    Heiser, W.J.2
  • 36
    • 0034676777 scopus 로고    scopus 로고
    • Relation between private health insurance and high rates of cesarean section in Chile: Qualitative and quantitative study
    • Murray, S. (2000). Relation between private health insurance and high rates of cesarean section in Chile: Qualitative and quantitative study. British Medical Journal, 321, 1501-1505.
    • (2000) British Medical Journal , vol.321 , pp. 1501-1505
    • Murray, S.1
  • 37
    • 0000419341 scopus 로고
    • Psychometric comparability of the state-trait anxiety inventory for different ethnic subpopulations
    • Novy, D. M., Nelson, D. V., Goodwin, J., & Rowzee, R. D. (1993). Psychometric comparability of the state-trait anxiety inventory for different ethnic subpopulations. Psychological Assessment, 5, 343-349.
    • (1993) Psychological Assessment , vol.5 , pp. 343-349
    • Novy, D.M.1    Nelson, D.V.2    Goodwin, J.3    Rowzee, R.D.4
  • 38
    • 84907147702 scopus 로고
    • The convergent and discriminant validity of the need for cognition scale
    • Osberg, T. M. (1987). The convergent and discriminant validity of the need for cognition scale. Journal of Personality Assessment, 51, 441-450.
    • (1987) Journal of Personality Assessment , vol.51 , pp. 441-450
    • Osberg, T.M.1
  • 39
    • 0028824069 scopus 로고
    • Effect of anxiety on performance in multiple choice examination
    • Pamphlett, R., & Farnill, D. (1995). Effect of anxiety on performance in multiple choice examination. Medical Education, 29, 297-302.
    • (1995) Medical Education , vol.29 , pp. 297-302
    • Pamphlett, R.1    Farnill, D.2
  • 40
    • 0034006288 scopus 로고    scopus 로고
    • The role of complex thought in clinical prediction: Social accountability and the need for cognition
    • Ruscio, J. (2000). The role of complex thought in clinical prediction: Social accountability and the need for cognition. Journal of Consulting and Clinical Psychology, 68, 145-154.
    • (2000) Journal of Consulting and Clinical Psychology , vol.68 , pp. 145-154
    • Ruscio, J.1
  • 42
    • 77952720437 scopus 로고    scopus 로고
    • Radzenie sobie ze stresem: Wymiary i procesy
    • Schwarzer, R., & Taubert, S. (1999). Radzenie sobie ze stresem: wymiary i procesy (coping with stress: Dimensions and processes; in polish). Promocja zdrowia nauki spoleczene i medycyna, VI, 72-92.
    • (1999) Promocja zdrowia nauki spoleczene i medycyna , vol.VI , pp. 72-92
    • Schwarzer, R.1    Taubert, S.2
  • 43
    • 3442895792 scopus 로고    scopus 로고
    • Tenacious goal pursuits and striving toward personal growth: Proactive coping
    • E. Frydenberg (Ed.), London: Oxford University Press
    • Schwarzer, R., & Taubert, S. (2002). Tenacious goal pursuits and striving toward personal growth: Proactive coping. In E. Frydenberg (Ed.), Beyond coping: Meeting goals, visions and challenges (pp. 19-35). London: Oxford University Press.
    • (2002) Beyond Coping: Meeting Goals, Visions and Challenges , pp. 19-35
    • Schwarzer, R.1    Taubert, S.2
  • 44
    • 26444452073 scopus 로고    scopus 로고
    • Whole-body hypothermia for neonates with hypoxic-ischemic encephalopathy
    • Shankaran, S., Laptook, A. R., Ehrenkranz, R. A., et al. (2005). Whole-body hypothermia for neonates with hypoxic-ischemic encephalopathy. New England Journal of Medicine, 353, 1574-1584.
    • (2005) New England Journal of Medicine , vol.353 , pp. 1574-1584
    • Shankaran, S.1    Laptook, A.R.2    Ehrenkranz, R.A.3
  • 45
    • 0032412017 scopus 로고    scopus 로고
    • Effects of mindfulness-based stress reduction on medical and premedical students
    • Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581-599.
    • (1998) Journal of Behavioral Medicine , vol.21 , pp. 581-599
    • Shapiro, S.L.1    Schwartz, G.E.2    Bonner, G.3
  • 47
    • 77955854420 scopus 로고    scopus 로고
    • Spielberger, C. (1983). Manual for the state-trait anxiety inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press.
  • 49
  • 51
    • 7544222939 scopus 로고    scopus 로고
    • Resistance to persuasion and attitude certainty: The moderating role of elaboration
    • Tormala, Z. L., & Petty, R. E. (2004). Resistance to persuasion and attitude certainty: The moderating role of elaboration. Personality and Social Psychology Bulletin, 30, 1446-1457.
    • (2004) Personality and Social Psychology Bulletin , vol.30 , pp. 1446-1457
    • Tormala, Z.L.1    Petty, R.E.2
  • 52
    • 0018501430 scopus 로고
    • Relationship of state-trait anxiety to academic performance in Dutch medical students
    • van der Ploeg, H. M. (1979). Relationship of state-trait anxiety to academic performance in Dutch medical students. Psychological Reports, 45, 223-227.
    • (1979) Psychological Reports , vol.45 , pp. 223-227
    • van der Ploeg, H.M.1
  • 53
    • 21344459833 scopus 로고    scopus 로고
    • Metacognitive, cognitive and affective aspects of learning styles and strategies: A phenomenographic analysis
    • Vermunt, J. D. (1996). Metacognitive, cognitive and affective aspects of learning styles and strategies: A phenomenographic analysis. Higher Education, 31, 25-50.
    • (1996) Higher Education , vol.31 , pp. 25-50
    • Vermunt, J.D.1
  • 54
    • 17444421884 scopus 로고    scopus 로고
    • Vermunt, J. (2005). Relations between student learning patterns and personal and contextural factors and academic performance. Higher Education 49, 205-234.


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.