A quantitative study exploring undergraduate nursing students’ perception of their critical thinking and clinical decision making ability while using apps at the point of care

Abstract

The purpose of this study was to explore how a smartphone app influences undergraduate nursing students' perceptions of their critical thinking and clinical decision making ability at the point of care. Using a pretest-posttest approach, the findings suggest that there were no statistically significant differences in the participants' perception of their critical thinking and clinical decision making ability over time. Statistically significant findings on four questionnaire items pertaining to participants' perception in their ability to engage in evidence based practice over time suggests that experience with the app, led the participants to believe the app provided them with the information they needed in order to engage in evidence based practice. Consequently, they were less likely to seek information from other sources. Although having learning resources available in clinical practice environments might enhance critical thinking ability, perhaps counterintuitively, the findings in this study suggest that having access to a clinical mobile app did not positively influence the participants' perceived critical thinking ability. Nurse educators therefore, must teach students how to be active learners as well as role model the proper use of critical thinking skills. Students need to be reminded to use institutional policies and procedure manuals as well as other appropriate sources of information. Last, students need to see registered nurses use critical thinking and clinical decision making dispositions by asking comprehensive questions, exploring assumptions and inferences, and incorporating varying resources into their decisions.

The Factors Influencing Nurses’ Clinical Decision-Making in Emergency Department

“…16 Validity of the CDMNS was supported in nursing literature. 16 , 17 The internal consistency of the CDMNS on a sample of nurses was 0.83, 18 and it has since been utilized in over 90 research studies. 19 The Cronbach’s alpha for the Clinical Decision-Making in Nursing Scale was .89 in the current study.…”

The impact of mobile technologies on new graduate nurses’ perceived self-efficacy and clinical decision making: A report from a longitudinal study in Western Canada

“…In another comparative study, researchers found undergraduate nursing students who used mobile technologies at the point of care were more likely to use strategic and deliberative thinking skills, and rely less on algorithmic thinking than students who did not use mobile technologies. [28] However, there is conflicting evidence pertaining to the impact of using mobile technologies on clinical decision making and reasoning. As well, no studies were found that explored the impact of using mobile technologies over time as students transition into their new graduate role.…”