Clinical Reasoning in Primary Care

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 1 October 2026 | Viewed by 3828

Editor


E-Mail Website
Guest Editor
Department of International Cooperation for Medical Education, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan
Interests: medical education; health professional education; clinical education; primary care; family medicine; assessment; program evaluation; interprofessional education; collaborative practice; curriculum development; psychometric analysis; communication skills; patient-provider relationship
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Numerous studies have been published in the field of clinical reasoning; however, this topic continues to captivate researchers, as clinical reasoning constitutes a fundamental aspect of the daily tasks related to addressing patient health issues. Many investigations are confined to the realm of physician diagnosis, or do not specifically target the processes pertinent to nursing and its associated domains.

This Special Issue primarily focuses on the following aspects: (1) whole-person care, (2) longitudinal care, (3) educational strategies, (4) contextual learning, (5) multimorbidity management, (6) interprofessional collaboration, and (7) therapeutic/management reasoning.

In this Special Issue, original research articles, reviews, and conceptual papers are welcome. Research areas may include (but not limited to) the following: middle-range theories to explain how primary-care clinical reasoning is cognitively functioning, any educational programs to enhance primary-care clinical reasoning, any conceptual difference between specialist care and generalist care, etc.

I look forward to receiving your contributions.

Dr. Hirotaka Onishi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • shared decision making
  • person-centered care
  • patient–healthcare provider relationship
  • middle-range theory
  • cognitive science
  • precepting
  • interprofessional collaborative practice
  • interprofessional socialization

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

20 pages, 1051 KB  
Article
Nurses’ Clinical Reasoning Process: A Grounded Theory Study
by Susana Mendonça
Healthcare 2026, 14(2), 230; https://doi.org/10.3390/healthcare14020230 - 16 Jan 2026
Viewed by 3065
Abstract
Background: Nurses’ clinical reasoning is increasingly being recognized as a core competence that enhances the quality and safety of care across diverse healthcare settings. Nurses with refined clinical reasoning skills contribute significantly to improved health outcomes and broader health gains. In emergency [...] Read more.
Background: Nurses’ clinical reasoning is increasingly being recognized as a core competence that enhances the quality and safety of care across diverse healthcare settings. Nurses with refined clinical reasoning skills contribute significantly to improved health outcomes and broader health gains. In emergency departments, this competence is essential to rapidly assessing complex problems, anticipating complications, and preventing the deterioration of patients’ clinical conditions. Such expertise enables nurses to discern the severity of clinical situations quickly and intervene effectively. Objectives: The aims of this study were to analyze the clinical reasoning process of nurses and develop a theory that explains this process in emergency care settings. Methodology: This qualitative study explored the following research question: “How do nurses enact the clinical reasoning process in emergency departments?” The Grounded Theory methodology was used, with a theoretical sample of 20 nurses. Data collection methods included in-depth interviews, participant observation, and field notes. Results: The theoretical analysis identified clinical reasoning as a substantive theory composed of two subprocesses: Diagnostic Nursing Assessment and Therapeutic Nursing Intervention. Nurses’ clinical reasoning determines two levels of patient severity—Level I, life-threatening situations (immediate risk), and Level II, non-life-threatening situations (expressed problems)—according to which nursing interventions are adjusted. Conclusions: The Nursing Clinical Reasoning Model is a dynamic and continuous process that involves both Diagnostic Nursing Assessment and Nursing Therapeutic Intervention. It is deeply rooted in the nurse–patient–family relationship and is shaped by the specific care context, which influences nurses’ assessments and interventions and patients’ responses and behaviors. Full article
(This article belongs to the Special Issue Clinical Reasoning in Primary Care)
Show Figures

Figure 1

Back to TopTop