PILOT STUDY: ADAPTATION AND VALIDATION OF A TOOL FOR ASSESSING CLINICAL REASONING IN NURSING STUDENTS

Authors

  • Mariana Bacheva South-West University “Neofit Rilski”, Bulgaria

Keywords:

clinical reasoning, pilot study, adaptation, validation, nursing students

Abstract

This study aims to adapt a clinical reasoning scale, initially designed for nurses, to cater to the specific needs of second and fourth-year nursing students. The primary objective is to create an effective tool for evaluating and enhancing the clinical reasoning abilities of these students as they prepare for their future roles in healthcare practice. The methodology involves three key steps. Firstly, the translation of the scale into Bulgarian was conducted, ensuring a suitable language context for the target group. Secondly, an expert panel, comprising healthcare professionals and educators, was formed to assess the accuracy of the translation and appropriateness of the scale. Lastly, a pilot study was carried out with randomly selected nursing students from the second and fourth academic years, using a questionnaire based on the adapted scale. Results: Insights from the pilot study provided valuable information about the adapted instrument. Findings indicated a positive reception among students regarding the clarity and comprehensibility of the questionnaire. Participants viewed the tool as highly clear and easy to understand, essential qualities ensuring result reliability and effective student response. Conclusion: In conclusion, the adapted clinical reasoning questionnaire for nurses proves to be a suitable instrument for evaluating the skills and competencies of nursing students. Its potential applicability in measuring desired aspects of clinical reasoning, as highlighted by the positive feedback from the pilot study, provides valuable insights into the competencies of nursing students in this crucial area. The prospective use of this adapted tool in future scientific research, educational programs, and assessments of professional development contributes to the sustainable improvement of the quality of preparation for future nursing professionals.

References

Alfaro-Lefevre, R. (2016). Critical Thinking, Clinical Reasoning and Clinical Judgment: A Practical approacht. 6- Ed. Elsevier Health Sciences; USA.

Banning, M. (2008). Clinical reasoning and its application to nursing: concepts and research studies. Nurse Educ Pract. 2008 May; 8 (3):177-83.

Connor, D.M., Durning, S.J., Rencic J.J. (2020). Clinical Reasoning as a Core Competency. Acad Med. 2020 Aug; 95(8):1166-1171.

Diamond-Fox, S., Bone, H. (2021). Advanced practice: critical thinking and clinical reasoning. Br J Nurs. 2021 May 13;30 (9):526-532

Facione, P.A. (2020). Critical Thinking: What It is and Why It Counts.

Fero, L.J., O'Donnell, J.M., Zullo, T.G., Dabbs, A.D., Kitutu, J., Samosky, J.T., Hoffman, LA. (2010). Critical thinking skills in nursing students: comparison of simulation-based performance with metrics. J Adv Nurs. 2010 Oct; 66(10):2182-93.

Finn, P. (2011) Critical Thinking: Knowledge and Skills for Evidence-Based Practice, Language, Speech, and Hearing Services in Schools (LSHSS), vol. 42, Issue 1

Giuffrida, S., Silano V., Ramacciati, N., Prandi, C., Baldon, A., Bianchi, M. (2023). Teaching strategies of clinical reasoning in advanced nursing clinical practice: A scoping review. Nurse Educ Pract. 2023 Feb; 67:103548.

Huang, H.M., Huang, C.Y., Lee-Hsieh, J., Cheng, S.F. (2018). Establishing the competences of clinical reasoning for nursing students in Taiwan: From the nurse educators' perspectives. Nurse Educ Today. 2018 Jul; 66:110-116.

Kraischsk, M. and Anthony, M. (2001). Benefits and outcomes of staff nurses‟ participation in decision-making. The Journal of Nursing Administration, 31(1), 16–23.

Lauri, S., Salantera, S., Chalmers, K., Ekman, S., Kim, H., Hesook, S., Kapelli, S. and MacLeod, M. (2001). An exploratory study of clinical decision-making in five countries. Image–Journal of Nursing Scholarship. 33(1), 83–90.

Lee, J., Lee, Y.J., Bae, J., Seo, M. (2016). Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study. Nurse Educ Today. 2016 Nov; 46:75-80.

Leoni‐Scheiber, C., Mayer, H., & Müller‐Staub, M. (2019). Measuring theeffects of guided clinical reasoning on the Advanced Nursing Processquality, on nurses’ knowledge and attitude: Study protocol. Nursing Open, 00, 1–12 (19) (PDF) Relationships between the Advanced Nursing Process quality and nurses' and patient' characteristics: A cross‐sectional study. Available from: https://www.researchgate.net/publication/337106494_Relationships_between_the_Advanced_Nursing_Process_quality_and_nurses'_and_patient'_characteristics_A_cross-sectional_study [accessed Nov 30 2023].

Lunney, M. (2010). Use of Critical Thinking in the Diagnostic Process. International Journal of Nursing Terminologies and ClassificationsVolume21, Issue2, April/June 2010, Pages 82-88

Manetti, W. (2019). Sound clinical judgment in nursing: A concept analysis. Nurs Forum. 2019 Jan; 54(1):102-110.

McCarthy, M. (2003). Detecting Acute Confusion in Older Adults: Comparing Clinical Reasoning of Nurses Working in Acute, Long-Term, and Community Health Care Environments. Research in Nursing and Health 26, 203–212

Mohammadi-Shahboulaghi, F., Khankeh, H., Hossein Zadeh, T. (2021). Clinical reasoning in nursing students: A concept analysis. Nurs Forum. 2021 Oct; 56(4):1008-1014.

Scheffer,, B. and Rubenfeld, M. (2000). A consensus statement on critical thinking in nursing. J Nurs Educ. 2000 Nov;39(8):352-9.

Simmons B. (2010). Clinical reasoning: concept analysis. J Adv Nurs. 2010 May;66(5):1151-8.

Simpson, E., Courtney, M. (2002). Criti¬cal thinking in nursing education: literature review. Int J Nurs Pract. 2002; 8(2):89-98.

Tanner, C. (2006). Thinking like a nurse: A research-based model of clinical judgement in nursing. Journal of Nursing Education, 45(6), 204-211

Zuriguel Pérez, E., Lluch Canut, M.T., Falcó Pegueroles, A., Puig Llobet, M., Moreno Arroyo, C., Roldán Merino, J. (2015). Critical thinking in nursing: Scoping review of the literature. Int J Nurs Pract. 2015 Dec;21(6):820-30.

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Published

2023-12-10

How to Cite

Bacheva, M. (2023). PILOT STUDY: ADAPTATION AND VALIDATION OF A TOOL FOR ASSESSING CLINICAL REASONING IN NURSING STUDENTS. KNOWLEDGE - International Journal , 61(4), 821–829. Retrieved from http://ikm.mk/ojs/index.php/kij/article/view/6497