Effects of Clinical Reasoning Prompts on Nursing Students’ Clinical Judgment for a Patient Experiencing Respiratory Distress

Abstract

PURPOSE

To test the effects of clinical reasoning prompts on students’ clinical judgment of a written case study.

METHODS

An experimental pre- and posttest study with second semester nursing students (N = 163).

FINDINGS

The intervention was insufficient to significantly improve clinical judgment. Students identified that the prompts would help them “narrow… down the problem” and “slow… the decision-making process” to improve analysis. The most accurate patient problem was identified by 28% of students in pretest and 35% in posttest.

CONCLUSIONS

This study provides evidence of variations in nursing students’ clinical judgment and students’ desire to use decision-making algorithms.

NURSING IMPLICATIONS

Nurse educators should provide students with additional education and practice to identify and solve these types of problems.

Keywords

Clinical judgment clinical reasoning DNT model patient problem patient safety

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