Pursuing Improvement in Clinical Reasoning: Development of the Clinical Coaching Interactions Inventory

Area of Science:

• Nursing Education
• Clinical Reasoning
• Pedagogy

Background:

• Clinical coaching is a key nursing education strategy.
• Current coaching often fails to develop higher-order thinking and clinical reasoning in students.

Purpose of the Study:

• To develop and validate a quantitative tool to measure clinical coaching interactions.
• To assess the reliability and validity of the Clinical Coaching Interactions Inventory (CCII).

Main Methods:

• The CCII was developed using evidence from supervisor questioning, clinical judgment models, and evaluation tools.
• Content validity was established through expert review and student testing (S-CVI/Ave = .91).
• Reliability was confirmed using Kuder-Richardson Formula 20 (KR-20 = .70).

Main Results:

• The CCII demonstrated strong content validity (S-CVI/Ave = .91) and acceptable reliability (KR-20 = .70).
• The inventory detected variations in clinical coaching behaviors between university faculty and staff nurse preceptors.

Conclusions:

• The CCII provides a quantitative method for measuring clinical coaching, advancing beyond qualitative approaches.
• This tool can inform the development of effective prelicensure coaching strategies to enhance student clinical reasoning.