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Effects of Clinical Reasoning Prompts on Nursing Students’ Clinical Judgment for a Patient Experiencing Respiratory Distress
Author(s) -
Tesoro Mary Gay,
Simmons Anne Marie,
Barros Alba Lucia Bottura Leite,
Lopes Camila Takao,
Guandalini Lidia Santiago,
Cruz Elaine Drehmer de Almeida,
Maurício Aline Batista
Publication year - 2021
Publication title -
international journal of nursing knowledge
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.545
H-Index - 23
eISSN - 2047-3095
pISSN - 2047-3087
DOI - 10.1111/2047-3095.12286
Subject(s) - clinical judgment , intervention (counseling) , psychology , nurse education , clinical decision making , test (biology) , nursing , medical education , medicine , family medicine , paleontology , medical physics , biology
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.