The development and psychometric testing of a theory‐based instrument to evaluate nurses’ perception of clinical reasoning competence

Abstract

The reliability and validity of the Nurses Clinical Reasoning Scale were supported. The scale is a useful tool and can be easily administered for the self-assessment of clinical reasoning competence of clinical nurses and future baccalaureate nursing graduates. Study limitations and further recommendations are discussed.

Comparative value of a simulation by gaming and a traditional teaching method to improve clinical reasoning skills necessary to detect patient deterioration: a randomized study in nursing students

“…Nevertheless, the mean student SCT score (57.8 to 58.9) and the mean expert SCT score (83.3) in our study are similar to those previously described in the literature, which suggests that our use of SCTs was correct [43]. In addition, self-assessment was equally used to assess the various steps of the nursing clinical reasoning process but this part is less validated, as it rests on student's perception only [20,24,39,47].…”

“…SCT is an objective and quantitative assessment method which reduces interpretation bias. Secondly, self-assessment of the different steps of clinical reasoning was obtained with the use of a modified tool [20,39]. This tool explores the process by which nurses collect information, process the information, identify problems/issues, establish goals, take action, and evaluate outcomes.…”

“…A self-assessment of the perceived change of the clinical reasoning process was recorded after the session to assess the various steps of nursing clinical reasoning as defined by Levett-Jones et al [24]. The questionnaire initially described by Koivisto et al was modified by adding 2 specific questions on clinical deterioration described by Liou et al [20,39]. The modified questionnaire was translated into French by the research group (A.B.…”

“…and D.B.). Each question assesses a specific step of the clinical reasoning process ("I learned [20,24,39]. Moreover, the students' perceived satisfaction, their motivation toward learning the specific topic and the effectiveness of the instructional design were assessed by a questionnaire at the end of the session with a Likert scale (1 to 10) corresponding to level 1 and 3 of the Kirkpatrick training evaluation model [40].…”

Purposeful Simulation Role Assignment

“…A nurse may complete multiple phases at one time or go back and forth between the stages before making a decision. This model encourages higher order thinking while nurses engage in each step (Levett-Jones et al, 2010;Liou et al, 2015).…”