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Agnès Saint-Sulpice1, David Naudin2

  • 1Infirmière anesthésiste, cadre de santé, M.Sc, centre hospitalier intercommunal de Poissy-Saint-Germain-en-Laye, DUSI UFR Simone Veil, Montigny-le-Bretonneux, France.

Recherche En Soins Infirmiers
|February 13, 2026
PubMed
Summary

Supervising clinical reasoning in student nurse anesthetists is crucial for safe patient care. This study reveals current supervision methods and identifies areas for improvement in anesthesia training.

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Area of Science:

  • Anesthesiology
  • Medical Education
  • Nursing Education

Background:

  • Clinical reasoning errors significantly impact patient safety and decision-making in healthcare.
  • Supervision of clinical reasoning is vital during medical internships, yet understudied in nurse anesthetist programs.
  • The perioperative period involves continuous decision-making, highlighting the need for effective clinical reasoning training.

Purpose of the Study:

  • To explore and characterize the supervision of clinical reasoning among anesthesia professionals and student nurse anesthetists.
  • To understand the dynamics of clinical reasoning supervision in a real-world anesthesia setting.

Main Methods:

  • A multicenter qualitative study employing direct observations and individual interviews.
  • Involved five experienced nurse anesthetists and five student nurse anesthetists.
Keywords:
anesthesiaanesthésiebloc opératoireclinical reasoningenseignementoperating roomraisonnement cliniquestudent nurse.teachingétudiant infirmier.

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  • Data analysis focused on identifying themes related to learner/supervisor dynamics, teaching methods, and clinical reasoning specifics.

    • Main Results:

    • Supervision of clinical reasoning primarily occurs reactively, triggered by detected student difficulties.
    • No systematic methods for tracing or documenting the development of clinical reasoning were observed.
    • Students tend to articulate their reasoning spontaneously, particularly during unexpected clinical events.

    Conclusions:

    • Current supervision practices for clinical reasoning in student nurse anesthetists lack structured traceability.
    • Findings provide a foundation for developing novel tools to enhance learning documentation and supervision in anesthesia internships.
    • Improving supervision methods is essential for refining clinical decision-making skills in future nurse anesthetists.