Measuring the effects of guided clinical reasoning on the Advanced Nursing Process quality, on nurses’ knowledge and attitude: Study protocol

Abstract

Aim This article is a report of a study protocol designed to examine the effects of guided clinical reasoning on the quality of the Advanced Nursing Process—the evidence‐based version of the traditional nursing process. It aims to describe the theoretical framework—Kirkpatrick's evaluation model, the key concepts and the instruments for the planned study. Design A complex experimental intervention study using data and method triangulation is proposed. Methods Registered Nurses ( N = 92), nursing records ( N = 180) and 24 patients will be included. Nurses’ knowledge and attitude will be evaluated by questionnaires/tests, their clinical performance by observations. Patients’ perspective will be addressed by qualitative interviews and patient records by using the instrument Quality of Diagnoses, Interventions and Outcomes revised (Q‐DIO R). Discussion Kirkpatrick's model (including quantitative and qualitative methods) is providing evaluations from different perspectives on the quality of the Advanced Nursing Process and on intervention effects.

Relationships between the Advanced Nursing Process quality and nurses' and patient' characteristics: A cross‐sectional study

“…The overall objective was to measure the effects of an educational intervention on nurses' knowledge, attitude and the Advanced Nursing Process quality by performing an experimental intervention study (Leoni‐Scheiber, Mayer, & Müller‐Staub, ). The aim of this paper is to report baseline findings and relationships between nurses' knowledge and attitude towards the Advanced Nursing Process; the quality of NDs, interventions and outcomes; and patient characteristics (gender, age, LOS).…”

Psychometric properties of a clinical reasoning assessment rubric for nursing education

“…In the case of item 10, the question and scoring criteria were phrased differently between the original and the translation; therefore, the item description was revised to improve the interpretation. In addition, nurses’ evidence-based diagnostic competency was found to lead to positive outcomes for patients [ 11 , 31 ]. Therefore, the items evaluating accurate diagnosis, skills and strategies were maintained in the K-CRAR.…”

“…Clinical reasoning is affected by constructivism [ 2 ]. It is defined as a dynamic thinking process to integrate patient data, assess the significance of these data and choose alternative actions [ 10 , 11 ]. Levett-Jones and colleagues [ 2 ] developed the eight cyclic phases of the clinical reasoning model.…”

“…Due to the uncertainties of patients’ complex health problems, healthcare providers consider a large amount of data when solving patient problems. They need to make decisions using clinical reasoning [ 11 ]. Their clinical actions, or judgements, are part of the trajectory of patient outcomes.…”

Assessment of Health Indicators in Individuals with Intestinal Stoma using the Nursing Outcomes Classification: A Cross-Sectional Study

“…The availability of standardised languages provides nurses with benefits related to improved communication, assistance in the delivery of patient care, increased visibility of the nursing profession through nursing interventions, nursing practice outcomes, and education of future nurses. The Nursing Outcomes Classification (NOC) is a standardised nursing language that has been translated into nine languages and has been used to explore and describe nursing practice in a variety of nursing practice specialisms, patient groups, and healthcare settings ( 11 , 12 ). Recent works highlight that stoma therapy nurse demand the use of unified standardized indicators that provide sufficient data to measure, quantify and assess the level and quality of care provided ( 4 ).…”