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Problem-oriented recording as a teaching-learning tool.

P H Mitchell, J Atwood

    Nursing Research
    |March 1, 1975
    PubMed
    Summary
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    Problem-oriented charting improved nursing students' ability to identify patient problems in clinical settings, though not in case studies. This method enhances critical thinking demonstration for better patient care.

    Area of Science:

    • Nursing Education
    • Clinical Documentation
    • Critical Thinking Skills

    Background:

    • Traditional charting methods may not fully develop critical thinking in nursing students.
    • Problem-oriented charting is hypothesized to enhance analytical skills in patient care.

    Purpose of the Study:

    • To compare the effectiveness of problem-oriented charting versus traditional charting in teaching critical thinking to nursing students.
    • To assess the impact of charting methods on the identification and organization of patient problems.

    Main Methods:

    • A comparative study involving two groups of beginning nursing students.
    • One group received training in problem-oriented charting; the other received traditional charting training.
    • Data collected included clinical recordings and case study analysis.

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    Main Results:

    • No significant difference in problem identification from case studies between the two groups.
    • The problem-oriented charting group identified significantly more patient problems in clinical settings.
    • The problem-oriented charting group achieved significantly higher quality-of-organization scores in clinical documentation.

    Conclusions:

    • Problem-oriented charting appears superior for demonstrating nursing students' ability to identify and address patient problems in real clinical scenarios.
    • The format of clinical documentation significantly influences the observable demonstration of critical thinking skills.
    • Findings suggest integrating problem-oriented charting to enhance nursing education and clinical reasoning development.