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Clinical Nursing Reasoning In Nursing Practice: A Cognitive Learning Model Based On A Think Aloud Methodology, Johanne Goudreau, Louise Boyer, Dimitri Létourneau

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background. The current context of increasingly complex nursing care requires a high level of clinical reasoning in nursing practice. Still, teaching clinical reasoning in nursing remains a challenge for educators in the field. Although several studies have been conducted to try to understand clinical reasoning in nursing, neither its developmental stages nor the corresponding critical milestones have been uncovered. Therefore, nursing educators cannot rely on a cognitive learning model (a description of how people learn and develop a specific competency) to facilitate the learning of this crucial competency.

Objectives. This study was conducted to develop a cognitive learning model of …

Students' Perceptions Of Clinical Reasoning Development, Rebecca S. Jensen

Rebecca S Jensen

Scores on a survey measuring students’ perceptions of clinical reasoning skills were compared across a curriculum and across programs to determine if differences existed. Scores increased significantly from beginning to end of the curriculum; differences between programs, associate (AS) and baccalaureate (BS), were realized; and the survey discriminated among students in three different programs: AS, BS, and registered nurse to BS.

The Effect Of Curricular Sequencing Of Human Patient Simulation Learning Experiences On Students’ Self-Perceptions Of Clinical Reasoning Abilities, Rebecca Jensen

Rebecca S Jensen

It is unknown whether timing of human patient simulation (HPS) in a semester, demographic (age, gender, and ethnicity), and situational (type of program and previous baccalaureate degree and experience in healthcare) variables affects students‘ perceptions of their clinical reasoning abilities. Nursing students were divided into two groups, mid and end of semester HPS experiences. Students‘ perceptions of clinical reasoning abilities were measured at Baseline (beginning of semester) and Time 2 (end of semester), along with demographic and situational variables. Dependent variable was Difference scores where Baseline scores were subtracted from Time 2 scores to reveal changes in students‘ perceptions of …

Nursing Student's Clinical Reasoning During Simulation, Rebecca S. Jensen

Rebecca S Jensen

Statement of problem While debriefing is considered essential for student understanding of the concepts embedded in a simulation, the measurement of clinical reasoning before and after debriefing has been minimally published. Students typically rate their performance as better than ratings by faculty, and the largest disparity is between self and faculty ratings for poorer performing students (Davis et al., 2006). Debriefing may be a method of attenuating students’ self-assessment by explicating their actions and reasoning during the simulation (Dreifuerst, 2012).

Hypotheses

1. There will be no difference in student self-ratings and lab personnel ratings of student performance during simulation using the …

Clinical Reasoning During Simulation: Comparison Of Student And Faculty Ratings, Rebecca Jensen

Rebecca S Jensen

A recently developed tool, the Lasater Clinical Judgment Rubric (LCJR) was used to evaluate nursing students' clinical reasoning during simulated pateint care scenarios. For two semesters, students and nursing faculty completed the clinical reasoning tool after participating in and observing students' reactions to simulated emergent patient simulations. Sores were compared between nursing students and faculty and between programs, associate (AS) and baccalaureate of science (BS). Students' scores differed statistically based on program, BS means greater than AS, but student and faculty ratings were rarely significantly different. Additional research across multiple programs for a larger sample size and additional testing of …