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Background: Clinical reasoning (CR) is crucial for learning and improving. Today's healthcare services require effective use of clinical reasoning complex nursing situations in order to quickly assess the need for patient care. This study aimed to evaluate the effects of guided clinical reasoning on nursing students' knowledge and achievement regarding management of primary postpartum hemorrhage. Design: Quasi experimental research design was utilized. Setting: The study was carried out at two settings; the first one was Maternity Nursing Lab at the Faculty of Nursing-Mansoura University, Egypt, the second was Labor & Delivery room of Mansoura University Hospital, Egypt. Subjects: One hundred and four nursing students enrolled in the maternity course during 2nd term of the academic year 2018- 2019 were recruited in the study. Sample type: Purposive sampling technique. Tools: Data were collected by using four tools (Structured Interviewing schedule, Students’ achievement, Observation checklist, Students’ satisfaction scale). Results: The students in the clinical reasoning group reported a significant improvement of knowledge regard CR than those of traditional group (P=0.0001), Pretest data related to students achievement between CR group and traditional group, showed no statistically significant difference between both groups (p = 0.182).While there was highly statistically significant difference in posttest with improvement in CR group (P 0.0001). Also, there was a highly statistically significant difference between both group regarding implementing CR steps of 1ry pphge management, moreover CR group reported more satisfaction by training method than traditional group. Conclusion: It was evident that CR teaching method was an effective; provided students with knowledge and practices that translate into significantly higher achievements and higher satisfaction scores compared to the traditional method. Recommendation: The study recommended that integrating CR method in maternity nursing and midwifery curriculum for positive patient outcomes.

Effect of Guided Clinical Reasoning on Nursing Students' Knowledge and Achievement Regarding Management of Primary Postpartum Hemorrhage