Clinical reasoning skill of nurses working in teaching medical centers in dealing with practical scenarios of King’s model concepts

Abstract

Background The present study was conducted to determine clinical reasoning of nurses working in teaching medical centers in dealing with practical scenarios of King’s concepts. Methods The study population in this cross-sectional descriptive-analytical study comprised 133 nurses. Data were collected using scenarios based on the King’s model. Data were analyzed in SPSS-16. Findings Mean age of the participating nurses was 27.71 ± 8.1 years.The clinical reasoning score was less than average in most participating nurses, and had a significant relationship with education(P < 0.05), service ward(P < 0.001)and organizational position(P < 0.05). In the multivariate analysis of factors relating to clinical reasoning, higher education level (B = 9.5, P = 0.018) and organizational position (B = 4.3, P = 0.017) were predictors of clinical reasoning score. Discussion Existing nursing models such as King’s, which is closely related to clinical reasoning, can be used more in educational and clinical systems, and as a clinical guide for promoting the clinical reasoning of nurses and students.