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Related Experiment Videos

Cognitive factors in student nurses' clinical problem solving.

Krystyna M Cholowski1, Lorna K S Chan

  • 1School of Nursing and Midwifery, Faculty of Health, University of Newcastle, Callaghan, NSW Australia. Krystyna.cholowski@newcastle.edu.au

Journal of Evaluation in Clinical Practice
|January 21, 2004
PubMed
Summary
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Student nurses

Area of Science:

  • Nursing Education
  • Clinical Problem-Solving
  • Cognitive Psychology

Background:

  • Nursing education often assumes the nursing process alone ensures problem-solving proficiency.
  • Recent research highlights the significance of prior knowledge quality in performance.
  • Motivational orientation and reasoning quality also influence cognitive task outcomes.

Purpose of the Study:

  • To investigate student nurses' clinical problem-solving abilities.
  • To examine the interplay of motivational orientation, prior knowledge, diagnostic reasoning, and diagnostic solutions.
  • To develop a model explaining clinical problem-solving in nursing.

Main Methods:

  • 135 second-year nursing students participated.
  • Validated questionnaires assessed motivational orientation.

Related Experiment Videos

  • Knowledge tests and clinical tasks measured prior knowledge, reasoning, and diagnostic quality.

    • Main Results:

    • Personal control beliefs, accessible prior knowledge, and strong diagnostic reasoning positively impact nursing diagnosis quality.
    • These factors are crucial for generating comprehensive nursing diagnoses.
    • The study identified key predictors of effective clinical problem-solving.

    Conclusions:

    • Effective clinical problem-solving in nursing is multifactorial.
    • Nursing education must integrate and address prior knowledge, motivational factors, and reasoning skills.
    • A holistic approach is essential for developing competent nursing problem-solvers.