Assessment of nurses' knowledge towards clinical reasoning skills in AL-Diwaniya Teaching Hospital
Keywords:
assessment, clinical reasoning skills, NCRS, nurse knowledgeAbstract
Descriptive research was carried out from 1/7/2023 to 5/12/2023 to assess the level of clinical reasoning skills among the staff at Al-Diwaniya Teaching Hospital, and to ascertain the demographic characteristics of the participants. A sample of 50 nurses was recruited using potential sampling approaches. The participants in this study were clinical practitioners who gathered data using a specifically designed questionnaire. Data is gathered by employing questionnaire and interview procedures as tools for data gathering. Interviews were done with the nurses employed at Al-Diwaniya Teaching Hospital. Each interview had a duration of 5 to 10 minutes. The data collection process commenced on August 1st and concluded on October 6th. The data were evaluated using descriptive statistical analysis methodologies. The most important conclusions were that there is an acute shortage of nursing staff (nursing specialization), there is an acute shortage of training courses to develop clinical reasoning skills for nurses, and there are large proportions of nurses working in emergency, intensive care and resuscitation units, who are inexperienced groups. There is also an acute shortage of nurses' knowledge and the extent to which they apply clinical reasoning skills, as the repetition rate in the questionnaire paragraphs reached 63.6%. The most important recommendations are to provide the hospital with specialized nursing staff, strengthen the nursing staff, develop their clinical reasoning skills by increasing the quantity of instructional programs in the specific domain of clinical reasoning, and strengthen the intensive care units and emergency and recovery units with nursing staff with experience in the field of clinical work. The study recommended conducting more research in the field of developing clinical reasoning skills among nurses.
References
Brown Tyo M, McCurry MK. An integrative review of clinical reasoning teaching strategies and outcome evaluation in nursing education. Nursing Education Perspectives. 2019;40(1):11-17.
Goudreau J, BL, Létourneau D. Clinical nursing reasoning in nursing practice: A cognitive learning model based on a think aloud methodology. Quality Advancement in Nursing Education – Avancées en Formation infirmière. 2014;1(1):1-18.
Benner P. Educating nurses: A call for radical transformation-howfar have we come? The Journal of Nursing Education. 2012;51(4):183-184.
Modi JNA, Gupta P, Singh T. Teaching and assessing clinical reasoning skills. Indian Pediatrics. 2015;52(9):787-794.
Hosseinzadeh T, Norouzi-tabrizi TK, Fallahi-Khoshknab M, Khankeh H, Shokooh F. Exploration and prioritization of strategies to improve clinical reasoning skills among coronary care nurses: A qualitative study. Nursing forum. 2022;57(5):860-868.
Alfayoumi IH. The impact of combining concept-based learningand concept-mapping pedagogies on nursing students' clinical reasoning abilities. Nurse Education Today. 2019;72:40-46.
Juma S, Goldszmidt M. What physicians reason about during admission case review. Adv Health Sci Educ Theory Pract. 2017;22:691-711. https://doi.org/10.1007/s10459-016-9701-x.
Levett-Jones T, Hoffman K, Dempsey J, Jeong SY, Noble D, Norton CA, et al. The ‘five rights’ of clinical reasoning: an educational model to enhance nursing students’ ability to identify and manage clinically ‘at risk’ patients. Nurse Educ Today. 2010;30:515–20. https://doi.org/10.1016/j.nedt.2009.10.020.
American Nurses Association. Nursing: scope and standards of practice. 3rd ed. Silver Spring: American Nurses Association, 2015.
Simmons B. Clinical reasoning: concept analysis. J Adv Nurs. 2010;66:1151–8. https://doi.org/10.1111/j.1365-2648.2010.05262.x.
Holder AG. Clinical reasoning: a state of the science report. Int J Nurs Educ Scholarsh. 2018;15:20160024. https://doi.org/10.1515/ijnes-2016-0024.
Lee J, Lee YJ, Bae J, Seo M. Registered nurses’ clinical reasoning skills and reasoning process: a think-aloud study. Nurse Educ Today. 2016;46:75–80. https://doi.org/10.1016/j.nedt.2016.08.017.
Hur HK, Roh YS. Effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. Korean J Adult Nurs. 2013;25:574–84. https://doi.org/10.7475/kjan.2013.25.5.574.
Lee J, Lee Y, Lee S, Bae J. Effects of high-fidelity patient simulation led clinical reasoning course: focused on nursing core competencies, problem solving, and academic self-efficacy. Jpn J Nurs Sci. 2016;13:20–8. https://doi. org/10.1111/jjns.12080.
Kang M, Song YH, Park SH. Relationships among metacognition, flow, interactions and problem solving ability in web-based problem based learning. J Res Curric Instr. 2008;12:293-315. https://doi.org/10.24231/rici.2008.12.2.293.