Reasoning Competence Research Articles

Teaching Decimal Operations to Develop Mathematical Thinking and Reasoning Competency for Primary School Students in Vietnam

Vietnam is in the process of comprehensively reforming education. In 2018, the Vietnamese Ministry of Education and Training issued the General Education Program. In addition to general competencies, the 2018 General Education Program also aims to develop specific competencies for students, including mathematical competency. Mathematical competency includes 5 component competencies: mathematical thinking and reasoning; mathematical modeling competency; mathematical problem solving competency; mathematical communication competency; competency in using mathematical tools and means. This article presents some measures to develop mathematical thinking and reasoning competency for 5th grade students through teaching the content of calculations with decimals in primary school. These are also some suggestions for managers and teachers of primary schools in Vietnam to improve the quality of teaching Mathematics in general.

문제중심학습 교육이 간호대학생의 문제해결능력, 자기주도 학습능력, 임상추론역량에 미치는 효과

Objectives The purpose of this study was to determine the effect of problem-based learning education on problem-solving ability, self-directed learning ability, and clinical reasoning competency of nursing students. Methods The research design is a quasi-experimental study with a single-group before/after design. A preliminary survey was conducted on April 3 and 4, 2024, targeting 55 fourth-year nursing students, and a follow-up survey was conducted on April 24 and 25. Data analysis included descriptive statistics, paired t-test, and Pearson correlation analysis using the SPSS Statistics 22.0 program. Results After problem-based learning education, nursing students' problem-solving ability(t=-5.91, p<.001), self-directed learning ability(t=-6.02, p<.001), and clinical reasoning ability(t=-7.39, p<.001) was statistically significantly improved. Conclusions Through this study, it was confirmed that problem-based learning is an effective teaching and learning method in improving nursing students' problem-solving ability, self-directed learning ability, and clinical reasoning competency. Therefore, efforts should be made to strengthen the capabilities of nursing students by expanding subjects that apply problem-based learning in nursing education.

Psychometrics assessment of clinical reasoning competency scale in nurses of critical care units

BackgroundNurses play a crucial role in identifying patients’ needs and assessing their clinical conditions to provide adequate and timely interventions. However, evaluating the clinical reasoning competence of nurses requires valid, specific, and comprehensive tools. The present study aimed to translate and psychometrically assess the Persian version of the Clinical Reasoning Competence Scale (CRCS) for nurses in special care units in Iran.MethodsThis cross-sectional, multi-axis methodological study involved 630 nurses from critical care departments in 11 Iranian hospitals. The original version of the Clinical Reasoning Competency Scale for Nurses (CRCSN) was translated into Persian using the forward and backward translation method. The psychometric properties of this scale were assessed using COSMIN criteria.ResultsEach item’s content validity ratio (CVR) ranges from 0.69 to 1, the Item content validity index (I-CVI) ranges from 0.82 to 1, while the S-w was 0.95. Exploratory factor analysis revealed that the items load on three distinct dimensions—“plan setting,” “intervention strategy regulation,” and “self-instruction”—with loadings ranging from 0.621 to 0.912. These dimensions collectively explain 74.32% of the variance. Confirmatory validity was affirmed without necessitating the removal or reordering of items during the exploratory phase. The scale’s reliability was established with a Cronbach’s alpha coefficient of 0.91 and a test-retest reliability coefficient of 0.92. Factor analysis was also conducted.ConclusionThe Persian version of CRCSN has been found to be valid and reliable in critical care units. Therefore, nursing managers can confidently use this tool to evaluate the clinical reasoning competence of nurses. They can also implement appropriate strategies, such as educational interventions, to improve their clinical reasoning skills.

Принципы, условия и средства формирования компетентности правдоподобного рассуждения студентов-математиков педвуза

This article highlights the actual problem of modern education, aimed not only at transferring knowledge, but also at preparing students for life difficulties, adapting to changes and actively participating in the development of society. The approaches to the formation of the competence of plausible reasoning among students of mathematics at pedagogical universities, as well as the principles, conditions and means necessary for its development are considered. The purpose of the study is to analyze various methods and strategies that contribute to the development of the competence of plausible reasoning, and describe the basic principles, conditions and means to ensure its successful formation. The methodological basis of the research is the theory of the gradual formation of mental actions by P. Ya. Galperin, the theory of the development of thinking, as well as systematic and constructive approaches. These theories play an important role in shaping students' plausible reasoning, as they are directly related to cognitive activity. The article presents and analyzes the main approaches to the formation of competence of plausible reasoning, such as theoretical-semantic, inductive and analog, computational, constructive, problem-oriented, modeling and design, as well as provides examples of each of them. Special attention is paid to the use of open tasks as an important tool in the development of this competence. The article provides examples of the use of open problems for the formation of plausible reasoning competence in mathematics students, as well as describes the basic principles, conditions and means of its effective formation. As a result of the research, the importance of integrating various approaches into the educational process and the need for further study of methods for forming the competence of plausible reasoning is emphasized.

Factors influencing clinical reasoning competence in nursing students

This study is a descriptive survey research aimed at identifying the factors influencing clinical reasoning competence among nursing students. The participants were 553 third-year students from nursing programs at three universities located in the K region of South Korea. The collected data were analyzed using the SPSS 23.0 program, employing Pearson’s correlation coefficient and multiple regression analysis. According to the research results, the factors affecting the participants' clinical reasoning competence were found to be communication skills (β = 0.23, p = 0.000), problem-solving processes (β = 0.50, p = 0.000), and self-efficacy (β = 0.10, p = 0.008). Therefore, it is necessary to assess the effectiveness of various educational programs and teaching methods for improving clinical reasoning competence. The study suggests developing and researching programs focused on enhancing communication skills, self-efficacy, and problem-solving processes to improve clinical reasoning competence among nursing students.

Effectiveness of simulation-based augmented reality in enhancing pediatric nursing and clinical reasoning competency among students: A quasi-experimental study

BackgroundThis study developed simulation-based augmented reality (AR) to enhance pediatric nursing and clinical reasoning competency among students in Taiwan. MethodsA quasi-experimental repeated measures study was conducted with 45 participants. The pediatric nursing knowledge test and clinical reasoning scale (CRS) were evaluated three times: pre-test, post-test, and follow-up. ResultsRepeated measures ANOVA showed that pediatric nursing knowledge and CRS both had significant differences in the three time points. The highest-scoring CRS domain was 'awareness of clinical cues' and the lowest was 'conformation of clinical problems'. ConclusionsSimulation-based AR is effective in improving students’ knowledge and clinical reasoning competency.

Fostering scientific reasoning competencies: investigating impacts of cross- and within-content area experimentation using the competency triad

ABSTRACT Educational standards and science education research suggest that experiments can be used to foster scientific reasoning competencies. So far, little is known about whether to sequence experiments from one or multiple content areas for this purpose. Therefore, we compared two sequences in an experimental study to investigate the influence of content areas of experiments on competencies’ development: Based on the same underlying structure, the first, homogeneous sequence includes four kinetics experiments. The second, heterogeneous sequence involves experiments from kinetics, thermodynamics, and redox chemistry. A total of 97 students participating in undergraduate chemistry lab courses were randomly assigned to one of the sequences. The changes in competencies within the sequences were compared based on the ‘competency triad’ differentiating between underlying knowledge (dispositions), the use of this knowledge (processes), and the quality of the resulting investigations (products). The results show that both sequences are comparably suitable to foster scientific reasoning competencies. However, in the post-experiments, we found a tendency of increased inadequate or irrelevant content-related reasoning by bringing in and conflating concepts from previous experiments such as activation energy or the chemical equilibrium (in particular Le Chatelier's principle). We discuss these findings concerning the consequences of sequencing experiments for fostering scientific reasoning.

Collaborative framework to assess achievement of American Association of Colleges of Nursing and National Organization of Nurse Practitioner Faculties patient-centered competencies using evolving case studies

BackgroundThe American Association of Colleges of Nursing (AACN) and National Organization of Nurse Practitioner Faculties (NONPF) emphasize the role of clinical reasoning in nurse practitioner (NP) competencies. Evidence-based clinical reasoning is vital to patient safety. Collaborative technology tools can aid in assessing progress towards achieving clinical reasoning competency. Purpose/aimsThe purpose of this article is to describe an electronic, collaborative learning framework to teach and assess second year NP students in systematically selecting and eliminating diagnoses and forming treatment plans. Design/methodsPost gap analysis, the collaborative learning framework was created. This visual, collaborative resource was scaffolded across two sequential advanced NP second year clinical synthesis courses and embedded with evolving case studies. Students identified pertinent positives and negatives from the history, physical, and diagnostic findings. Each student developed a unique differential diagnosis and plan of care and critiqued their peers. Result/findingsThe tool exceeded expectations. Faculty were able to visualize data, provide clarification on interpretation of data and pharmacology, and grade in small groups. ConclusionThe collaborative learning framework provided real-time visualization of students' work in clinical reasoning. It was easy to use and integrate into second year NP courses to meet learning objectives and assess clinical reasoning competency.

The Relationships among communication competence, professional autonomy and clinical reasoning competence in oncology nurses.

To investigate the relationships among communication competence, professional autonomy and clinical reasoning and to identify the factors that influence clinical reasoning competence in oncology nurses. Cross-sectional descriptive design. Participants included 147 oncology nurses with more than a year of clinical experience in cancer wards. The Global Interpersonal Communication Competence Scale, Schutzenhofer Professional Autonomy Scale and Nurses Clinical Reasoning Scale (NCRS) were used to collect data. Data were analysed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis and hierarchical multiple regression analysis. Communication competence (r = 0.59) and professional autonomy (r = 0.46) showed significant positive relationships with clinical reasoning competence. Clinical experience, communication competence, age and professional autonomy were statistically significant predictors and explained 48.6% of clinical reasoning competence. The clinical reasoning competence of oncology nurses increases proportionally with their communication competence and professional autonomy. Therefore, oncology nurses must reinforce their communication competence and professional autonomy to enhance their clinical reasoning competence. The reinforcement of communication competence and professional autonomy is necessary for oncology nurses to enhance their clinical reasoning competence. In order to improve nurses' communication competence, practical-focused communication education programmes must be designed and deployed systematically and periodically. In addition, to increase nurses' professional autonomy, it is necessary to expand their clinical experiences through the regular rotation of working units and to make institutional efforts to retain experienced nurses. We have adhered to STROBE checklist. Participants in the study were recruited online. They were informed of the study's purpose, method and usability and the survey could only be conducted if they consented to participate voluntarily.

Interprofessional clinical reasoning education.

Clinical reasoning is considered one of the most important competencies but is not included in most healthcare curricula. The number and diversity of patient encounters arethe decisive factors in the development of clinical reasoning competence. Physical real patient encounters are considered optimal, but virtual patient cases also promote clinical reasoning. A high-volume, low-fidelity virtual patient library thus can support clinical reasoning training in a safe environment and can be tailored to the needs of learners from different health care professions. It may also stimulate interprofessional understanding and team shared decisions. Implementation will be challenged by tradition, the lack of educator competence and prior experience as well as the high-density curricula at medical and veterinary schools and will need explicit address from curriculum managers and education leads.

Validation of the Scientific Reasoning Competencies Instrument: Relationships with Epistemological Beliefs and Analytical Thinking

AbstractScientific reasoning competencies (SRC) are an area of competence emphasized in science education and are considered essential in the world of 21st Century skills. Developing these competencies is important for all levels of education, from primary school to university. However, to accurately measure them, measurement tools with validity and reliable evidence are needed. The current study was conducted with two different sample groups. In Study-1 (n = 155), the SRC test consisting of 21 items was adapted into Turkish, and evidence of its validity and reliability was presented. To this end, the Turkish adaptation of the SRC test, which was previously developed and tested for validity in different languages, was conducted in a sample of primary school teacher candidates. In Study-2 (n = 483), the relationship between SRC and epistemological beliefs and analytic thinking skills was examined. Regression analysis showed that epistemological beliefs and analytic thinking were significant predictors of SRC. The study and discussion offer implications for future research on the relationship between SRC and other thinking skills not examined in this research.

Factors Influencing Nursing Performance of Intensive Care Unit Nurses: Role of Clinical Reasoning Competence, Positive Psychological Capital, and Nursing Work Environment

Factors Influencing Nursing Performance of Intensive Care Unit Nurses: Role of Clinical Reasoning Competence, Positive Psychological Capital, and Nursing Work Environment

Assessing Mathematical Deductive Reasoning Competence of Eighth-Grade Students from China

Assessing Mathematical Deductive Reasoning Competence of Eighth-Grade Students from China

Teaching Clinical Reasoning to Veterinary Medical Learners with a Case Example

Clinical reasoning is an essential competence of veterinary graduands. It is a complex competence with cognitive, metacognitive, social, and situational activities. The literature on clinical reasoning in veterinary medical education is relatively scarce or focused on theoretical rather than practical applications. In this review, we address the practicality of teaching clinical reasoning to veterinary learners utilizing a practical example of a cow with allergic rhinitis. Learners should be guided through all the domains of clinical reasoning, including concepts, data collection and analysis, take action, and reflection on an encounter. Each of these domains needs to be clearly but concisely explained and practiced repeatedly by learners throughout the veterinary curricula. The teaching of clinical reasoning should start as early in the curriculum as possible, preferably in the pre-clinical years, with a gradual scaffolding and building of complexity before work-based learning begins, with an increase in demanding for advanced clinical reasoning competence. The teaching of clinical reasoning is best performed in specialized sessions and continued as a horizontally and vertically integrated activity.

Understanding the Solution-Making Ability of Senior High School Students in Solving Photosynthesis Problems

This study further explains the errors made by senior high school students when trying to solve photosynthesis problems. The method used in this research is descriptive qualitative, involving a sample of four senior high school students. The study results will be discussed with Polya's problem-solving procedure, which includes understanding, planning, execution, and checking. Errors at the comprehension stage are in understanding the relationship between photons and photosynthetic light reactions and in drawing genealogies. Errors in the planning stage, in making wrong assumptions or inaccuracies in interpreting those derived from the understanding stage. In addition, this study found errors in identifying chemical reactions in photosynthesis and errors in mathematical reasoning competence. The conclusion of this study shows the failure in making photosynthesis problem-solving solutions due to the interaction between the problem-solving phase and the student's general competence.

Comparing the effects of patient safety education using design thinking and case based learning on nursing students’ competence and professional socialization: A quasi-experimental design

BackgroundPatient safety issues should be constantly monitored and sensitively recognized. In nursing education, it is necessary to find effective teaching methods to increase students' competencies in patient safety. ObjectivesThis study aimed to compare the effectiveness of a new method, design thinking (DT), and a traditional method, case-based learning (CBL), in patient safety education. DesignThis study used a quasi-experimental, pre-post control group design. SettingsA 30-h training tutorial was developed for intervention groups, DT and CBL, while the control group received no treatment. ParticipantsIn this study were junior nursing students receiving baccalaureate nursing education with experiences of at least 480-h clinical practice. A total of 53 students (21 in the DT group, 19 in the CBL group, and 13 in the control group) were recruited. MethodsClinical reasoning competency, patient safety competency, and professional socialization were measured immediately after the end of the educational program using DT and CBL, 4 weeks later, and 8 weeks later. Effects of DT and CBL were analyzed using a generalized estimating equation. ResultsBoth DT and CBL were effective in clinical reasoning competency (χ2 = 15.432, p = 0.017) and knowledge domain of patient safety competency (χ2 = 42.824, p < 0.001), showing no significant difference between the two. CBL was more effective in professional socialization than DT. ConclusionsDT was as effective as CBL in clinical reasoning competency and knowledge domain of patient safety competency. In the healthcare field, where improving the patient experience is becoming increasingly important, DT is worth applying as an educational method to train nursing students who can take a creative and human-centered problem-solving approach. It is expected that educational curricula utilizing DT will be developed not only in the field of patient safety but also in various patient care areas.

Comparative study of clinical reasoning competence and self-directed learning competence in nurses across varied years of experience.

To compare and analyse the differences in the clinical reasoning competence of nurses with different working years and their relationship with self-directed learning competence. A cross-sectional survey design (online investigation) was used. A total of 376 nurses were recruited from four independent hospitals in China. Online questionnaires collected data on nurses' demographic characteristics and assessed their clinical reasoning and self-directed learning competence. Pearson correlation analysis, t-test, analysis of variance (ANOVA) and multivariate regression analysis were used. Clinical reasoning competence scores of nurses with working years >10 years were higher than those of other nurses. Self-directed learning competence scores of nurses with working years of <1 year and (from ≥1 year to <3 years) were lower than those of nurses with working years of 6-10 years and >10 years. Self-directed learning competence scores of nurses with working years of 3-5 years were lower than those of nurses with working years of >10 years. There was a positive correlation between clinical reasoning competence, self-directed learning competence and each dimension among nurses of different working years. There are differences in the influence of different dimensions of self-directed learning competence on clinical reasoning competence among different working years. There were differences in clinical reasoning and self-directed learning competence among nurses with different working years. Self-directed learning competence is a positive predictor of nurses' clinical reasoning competence, which applied to nurses with all working years; however, the specific effect of self-directed learning competence on clinical reasoning competence differed among nurses with different working years. Nursing managers should pay attention to the development characteristics of clinical reasoning competence and self-directed learning competence of nurses with different working years and determine effective intervention strategies according to specific influencing factors.

Using Group History-Taking and Individual Reasoning to Identify Shortcomings in Clinical Reasoning for Medical Students.

It is crucial that teaching faculties determine and remain informed of medical school learners' clinical reasoning competence. We created an innovative assessment method for fourth-year medical students to identify deficiencies in various components of their clinical reasoning ability. This was a cross-sectional observational study of fourth-year medical students' reasoning assessments from 2019 to 2022. Teams of four-five trainees questioned standardized patients in clinical scenarios, including fever, abdominal pain, and weight loss. They then individually documented key information to reflect comprehension of patient problems. Trainees were tasked with differentiating diagnoses and associated statuses and reaching the most likely diagnosis along with two tentative diagnoses. The correlations observed between 2020 and 2022 for abdominal pain were analyzed using student t-tests. A total of 177 students participated in this study. Across the scenarios, there was no significant difference in key information representation scores (56%-58%). Reasoning ability scores were 49% for fever, 57% for abdominal pain, and 61% for weight loss. A comparison between 2020 and 2022 revealed a significant improvement in the objective structured clinical examination scores and differential diagnoses (P < .01). Shortcomings included brief chief complaint duration, lack of detailed presentation, and insufficient description of negative information. Differential diagnosis and diagnostic justification were inadequate for acute and chronic conditions, and disease location clarity within the organ system was lacking. On average, students presented two correct diagnoses. Fourth-year medical students exhibited inadequate reasoning abilities, particularly in fever and abdominal pain scenarios, with deficiencies in hypothesis generation and differential diagnosis. Group history-taking with individual reasoning assessment identified students' shortcomings and provided faculty feedback to improve their teaching strategies.

Analysing Instrumented Justification: Unveiling Student’s Tool Use and Conceptual Understanding in the Prediction and Justification of Dynamic Behaviours

The study advances the instrumental approach to mathematics education (Drijvers et al., 2013; Trouche, 2003), aiming to elucidate the interplay between students’ reasoning competency, conceptual knowledge and tool utilisation in dynamic digital geometry and algebra environments. The dynamic properties of these environments pose a nuanced predicament, as the outsourcing of translation between visual and algebraic representations raises concerns regarding students’ conceptual development and reasoning competency. To mitigate this issue, a prediction task is proposed, focusing on the dynamic behaviour of variable points in GeoGebra. I introduce a comprehensive framework adapting Toulmin’s argumentation model into the instrumental approach, emphasising processes of justification. This is complemented by the application of components of Vergnaud’s (1998) scheme concerning generative and epistemic ways to approach how students’ conceptual knowledge has played a part in these processes. Through a case study of a student pair solving a prediction task, I explore the links between instrumented justification, students’ mathematical reasoning competency and conceptual understanding, and how students’ use of GeoGebra tools is intertwined with their justification processes. The analysis reveals the intricate interplay between data production and interpretation, and it is grounded in inference drawn regarding students’ implied theorems about concepts, dynamic behaviour and progression in terms of techniques. The results indicate that the progression of technique is driven by the experience of the inefficiency of techniques and artefacts related to the goal of justification. Essentially, the framework links students’ reasoning competency to their use of tools and conceptual knowledge, as well as demonstrates that predicting dynamic behaviour can enhance knowledge-based justification.

간호대학생의 비판적 사고성향과 공감능력이 임상추론역량에 미치는 영향

Objectives This study is to assess the level of clinical reasoning skills of nursing students who are in the initial stages of learning clinical reasoning abilities, and to analyze the impact on these skills using quantitative and qual-itative research methods.&#x0D; Methods A mixed methods research approach was utilized. Quantitative data were collected using self-administered questionnaires from 163 nursing college students in Kimhae City. Qualitative data were collected through focus group interviews with 12 participants. The data were analyzed using a convergent design model.&#x0D; Results The quantitative analysis revealed that grades (β=.215, p=.003), major satisfaction (β=.163, p=.021), and critical thinking disposition (β=.593, p=&lt;.001) significantly influenced clinical reasoning competency, explaining 47.0% of the variance (F=18.826, p=&lt;.001, Adj R2=.470). The qualitative analysis indicated that students faced dif-ficulties due to lack of nursing knowledge and inadequate understanding of patient situations.&#x0D; Conclusions Educational programs aimed at enhancing clinical reasoning competency should include various methods such as presenting scenarios related to patient situations and teaching students how to search for rele-vant information, to facilitate students' understanding.