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Effects of Clinical Reasoning Prompts on Nursing Students' Clinical Judgment for a Patient Experiencing Respiratory
Mary Gay Tesoro1, Anne Marie Simmons2, Alba Lucia Bottura Leite de Barros3
1Assistant Professor of Nursing, Lehman College, City University of New York, New York, New York.
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.
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