Exploration and prioritization of strategies to improve clinical reasoning skills among coronary care nurses: A qualitative study

Hosseinzadeh, Touba; Tabrizi, Kian Norouzi; Fallahi-Khoshknab, Masoud; Khankeh, Hamidreza; Shokooh, Forozan

doi:10.1111/nuf.12762

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…CR skills development is facilitated by efficient nursing education, effective nursing management, and professional development of nursing (Hosseinzadeh et al., 2022). Evidence shows that CR skills development has significant relationship with the quality of nursing education, professional expertise of nursing instructors, and quality educational environments (Alfayoumi, 2019; Forsberg et al., 2014; Herron et al., 2016; Hunter & Arthur, 2016; Oostra et al., 2019; Yauri & Nash, 2019).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the persian version of the nursing clinical reasoning scale

Hosseinzadeh,

Mirfarhadi,

Pouralizadeh

et al. 2023

Nursing Open

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AimThe aim of this study was to translate the Nursing Clinical Reasoning Scale (NCRS) into Persian and evaluate its psychometric properties.DesignThis study was a methodological and cross‐sectional study.MethodsThis methodological study was conducted in 2020 in a teaching hospital. After obtaining necessary permission from its developers, NCRS was translated into Persian through the method proposed by the World Health Organization. Then, its face, content, and construct validity and reliability were assessed. For construct validity assessment through exploratory and confirmatory factor analyses, 300 nurses (two 150‐nurse samples), who had randomly been selected, completed the instrument. Reliability also assessed through the internal consistency and the stability methods. Data were analysed using the SPSS (v. 20.0) and the AMOS (v. 5.0) software.ResultsThe content validity indices of NCRS and its items were 0.97 and more than 0.79, respectively. Exploratory factor analysis revealed an assessment and confirmation factor and an implementation and reflection factor for the scale which together explained 57.30% of the total variance. Confirmatory factor analysis also confirmed this two‐factor structure (χ2/df = 2.11, NNFI = 0.952, RMSEA = 0.053, CFI = 0.91, GFI = 0.94, IFI = 0.95, and NFI = 0.96). The Cronbach's alpha and the intraclass correlation coefficient values of the scale were 0.96 and 0.94, respectively.Public ContributionThe Persian NCRS can help nursing policy makers and mentors identify the need for developing nurses' and nursing students' CR skills and implement need‐based educational courses to improve these skills. Moreover, it helps determine whether the educational programmes are effective in improving nurses' CR skills and clinical competence.

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Section: Introductionmentioning

confidence: 99%

Psychometric properties of the persian version of the nursing clinical reasoning scale

Hosseinzadeh,

Mirfarhadi,

Pouralizadeh

et al. 2023

Nursing Open

Self Cite

View full text Add to dashboard Cite

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Transforming Teaching of Foundational Nursing Skills to Enhance Clinical Reasoning Development: A Proposed Simulation Based Learning Activity

ANDERSON,

HILL

2023

JALHE

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Over the past decade nurse educators have been called to transform nursing academia in order to better prepare our future nurses for the tremendous changes in the healthcare environment. The advancing medical technology, aging population, nursing shortages and recent COVID pandemic have provided unique challenges that require complex decision-making abilities. The National Council of State Boards of Nursing (NCSBN) has made significant changes in their licensure examination to accommodate the need to assess vital clinical judgment and decision-making skills in entry level graduate nurses. A model to measure clinical judgment was developed by NCSBN in 2019 to assist faculty in evaluating students beyond textbook nursing knowledge to actively perform and evaluate safe, effective clinical decisions. In order for students to fully grasp the clinical judgment process, faculty need to create active learning opportunities that provide patient context so students can cultivate clinical decision-making skills parallel to clinical knowledge. In nursing curricula, students learn fundamental skills in the first year of their education that provide them with a strong foundation to assess and care for thousands of patients. Transforming how these vital nursing skills are taught from solely performing the psychomotor learning domain to incorporating patient specific scenarios can foster development of clinical reasoning and sound clinical judgment in practice. This article outlines the transformation and redesign of teaching clinical skills to first semester nursing students to enhance clinical reasoning development and a proposed future study of assessing student outcomes using a simulation-based approach.

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Exploration and prioritization of strategies to improve clinical reasoning skills among coronary care nurses: A qualitative study

Cited by 2 publications

References 30 publications

Psychometric properties of the persian version of the nursing clinical reasoning scale

Psychometric properties of the persian version of the nursing clinical reasoning scale

Transforming Teaching of Foundational Nursing Skills to Enhance Clinical Reasoning Development: A Proposed Simulation Based Learning Activity

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