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Second-year baccalaureate nursing Students' decision making in the clinical setting
Pamela Baxter1, Elizabeth Rideout
1McMaster University, School of Nursing, Hamilton, Ontario, Canada. baxterp@mcmaster.ca
The Journal of Nursing Education
|April 25, 2006
Summary
Second-year nursing students
Area of Science:
- Nursing Education
- Clinical Decision-Making
- Qualitative Research
Background:
- Baccalaureate nursing students require effective clinical decision-making skills.
- Early clinical experiences are crucial for developing these skills.
- Understanding student decision-making processes informs educational strategies.
Purpose of the Study:
- To explore the decision-making activities of second-year baccalaureate nursing students.
- To identify how students recognize the need for clinical decisions.
- To examine factors influencing student decision-making in clinical settings.
Main Methods:
- Qualitative, intrinsic case study design.
- Involved 12 second-year baccalaureate nursing students.
- Data collected through journals and interviews during their first inpatient clinical rotation.
Main Results:
- Student decision-making emerged during encounters with patients, nursing staff, and clinical tutors.
- Responses to clinical situations were both emotion-based and knowledge-based.
- Decisions were identified within each type of encounter.
Conclusions:
- Curriculum development should incorporate structured opportunities for decision-making practice.
- Clinical tutors play a vital role in guiding and supporting student decision-making.
- Understanding student perspectives enhances the effectiveness of nursing education.
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