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Clinical decision making in undergraduate nursing students: A mixed methods multisite study.
Beth Cusatis Phillips1, Karen Morin2, Theresa M Terry Valiga1
1Duke University School of Nursing, United States of America.
Nursing students demonstrate flexible clinical decision-making skills, often relying on experience, guidance from others, and situational context. This study explores how they develop these crucial abilities.
Area of Science:
- Nursing Education
- Clinical Cognition
Background:
- Understanding how nursing students develop clinical decision-making skills is limited.
- The nature of student clinical decisions (intuitive vs. analytical) is not well-defined.
Purpose of the Study:
- To investigate the learning process and characteristics of clinical decisions made by nursing students.
- To apply Hammond's Cognitive Continuum Theory to nursing student decision-making.
Main Methods:
- A mixed-methods study involving 168 students.
- Utilized the NDMI-Revised 2014 assessment followed by focus groups.
Main Results:
- 127 participants (75%) exhibited quasi-rational decision-making, showing situational flexibility.
- Six key themes emerged describing how students approach clinical decisions.
Conclusions:
- Nursing students are flexible decision-makers.
- They leverage diverse resources including peer/expert advice, experience, and situational factors.
- Systematic cognitive processing also plays a role in their decision-making.
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