Effects of Clinical Reasoning Prompts on Nursing Students’ Clinical Judgment for a Patient Experiencing Respiratory Distress

Autor: Mary Gay Tesoro, Anne Marie Simmons, Alba Lucia Bottura Leite Barros, Camila Takao Lopes, Lidia Santiago Guandalini, Elaine Drehmer de Almeida Cruz, Aline Batista Maurício
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Nursing Knowledge. 32:37-43
ISSN: 2047-3095
2047-3087
Popis: Purpose To test the effects of clinical reasoning prompts on students' clinical judgment of a written case study. Methods An experimental pre- and posttest study with second semester nursing students (N = 163). Findings The intervention was insufficient to significantly improve clinical judgment. Students identified that the prompts would help them "narrow… down the problem" and "slow… the decision-making process" to improve analysis. The most accurate patient problem was identified by 28% of students in pretest and 35% in posttest. Conclusions This study provides evidence of variations in nursing students' clinical judgment and students' desire to use decision-making algorithms. Nursing implications Nurse educators should provide students with additional education and practice to identify and solve these types of problems.
Databáze: OpenAIRE