Abstract
to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation. this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric - Brazilian Version and the Diagnostic Thinking Inventory. clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the "noticing" aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047). the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.
Highlights
IntroductionCompetence to provide nursing care requires clinical reasoning development, which comprises a complex cognitive process, including cognition, metacognition and knowledge of specific disciplines to collect and analyze patient data, interpret their meaning and consider possible actions[1]
Nursing care has considerable impact on health outcomes of populations
CJ refers to the thought process described by Tanner[2] in the model of clinical judgment developed by nurses; and diagnostic reasoning (DR), according to Bordage, Grant and Marsden[3], describes the thought process for identifying diagnoses
Summary
Competence to provide nursing care requires clinical reasoning development, which comprises a complex cognitive process, including cognition, metacognition and knowledge of specific disciplines to collect and analyze patient data, interpret their meaning and consider possible actions[1]. The terms clinical reasoning, clinical judgment, diagnostic reasoning, critical thinking, and decision making are often used interchangeably and refer to thought processes. CJ refers to the thought process described by Tanner[2] in the model of clinical judgment developed by nurses; and DR, according to Bordage, Grant and Marsden[3], describes the thought process for identifying diagnoses. Clinical decision making is the collection and interpretation of data performed by nurses, or other health professionals, to inform a choice of action mediated by limited information, interrelationships, emotional and ethical challenges, and time pressure[5]. Selfregulatory judgment, which results in interpretation, analysis, evaluation, inference, and clarification of evidence, concepts, criteria or contexts on which the judgment was based[6]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
