Clinical judgment and diagnostic reasoning of nursing students in clinical simulation

Janaina Gomes Perbone Nunes; José Joaquim Penedos Amendoeira; Diná de Almeida Lopes Monteiro da Cruz; Kathie Lasater; Sheila Coelho Ramalho Vasconcelos Morais; Emilia Campos de Carvalho

doi:10.1590/0034-7167-2018-0878

Clinical judgment and diagnostic reasoning of nursing students in clinical simulation

Janaina Gomes Perbone Nunes, José Joaquim Penedos Amendoeira, Diná de Almeida Lopes Monteiro da Cruz, Kathie Lasater, Sheila Coelho Ramalho Vasconcelos Morais, Emilia Campos de Carvalho

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

Abstract

OBJECTIVES: to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation. METHODS: this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric - Brazilian Version and the Diagnostic Thinking Inventory. RESULTS: clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the "noticing" aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047). CONCLUSIONS: the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.

Original language	English
Article number	e20180878
Journal	Revista Brasileira de Enfermagem
Volume	73
Issue number	6
DOIs	https://doi.org/10.1590/0034-7167-2018-0878
Publication status	Published - 2020
Externally published	Yes

Keywords

Clinical judgment
Clinical reasoning
Clinical simulation
Education, nursing
Patient simulation

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10.1590/0034-7167-2018-0878Licence: CC BY

Cite this

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title = "Clinical judgment and diagnostic reasoning of nursing students in clinical simulation",

abstract = "OBJECTIVES: to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation. METHODS: this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric - Brazilian Version and the Diagnostic Thinking Inventory. RESULTS: clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the {"}noticing{"} aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047). CONCLUSIONS: the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.",

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author = "Nunes, {Janaina Gomes Perbone} and Amendoeira, {Jos{\'e} Joaquim Penedos} and Cruz, {Din{\'a} de Almeida Lopes Monteiro da} and Kathie Lasater and Morais, {Sheila Coelho Ramalho Vasconcelos} and Carvalho, {Emilia Campos de}",

note = "Funding Information: This study was financed in part by Coordena{\c c}{\~a}o de Aperfei{\c c}oa-mento de Pessoal de N{\'i}vel Superior-Brazil (CAPES)-Finance Code 001 and by Conselho Nacional de Desenvolvimento Cient{\'i}fico e Tecnol{\'o}gico (CNPq)-Brazil-Process 305531 / 2013-1. Funding Information: This study was financed in part by Coordena{\c c}{\~a}o de Aperfei{\c c}oa-mento de Pessoal de N{\'i}vel Superior - Brazil (CAPES) - Finance Code 001 and by Conselho Nacional de Desenvolvimento Cient{\'i}fico e Tecnol{\'o}gico (CNPq) - Brazil - Process 305531 / 2013-1. Publisher Copyright: {\textcopyright} 2020, Associacao Brasilerira de Enfermagem. All rights reserved.",

year = "2020",

doi = "10.1590/0034-7167-2018-0878",

language = "English",

volume = "73",

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T1 - Clinical judgment and diagnostic reasoning of nursing students in clinical simulation

AU - Nunes, Janaina Gomes Perbone

AU - Amendoeira, José Joaquim Penedos

AU - Cruz, Diná de Almeida Lopes Monteiro da

AU - Lasater, Kathie

AU - Morais, Sheila Coelho Ramalho Vasconcelos

AU - Carvalho, Emilia Campos de

N1 - Funding Information: This study was financed in part by Coordenação de Aperfeiçoa-mento de Pessoal de Nível Superior-Brazil (CAPES)-Finance Code 001 and by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)-Brazil-Process 305531 / 2013-1. Funding Information: This study was financed in part by Coordenação de Aperfeiçoa-mento de Pessoal de Nível Superior - Brazil (CAPES) - Finance Code 001 and by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) - Brazil - Process 305531 / 2013-1. Publisher Copyright: © 2020, Associacao Brasilerira de Enfermagem. All rights reserved.

PY - 2020

Y1 - 2020

N2 - OBJECTIVES: to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation. METHODS: this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric - Brazilian Version and the Diagnostic Thinking Inventory. RESULTS: clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the "noticing" aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047). CONCLUSIONS: the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.

AB - OBJECTIVES: to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation. METHODS: this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric - Brazilian Version and the Diagnostic Thinking Inventory. RESULTS: clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the "noticing" aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047). CONCLUSIONS: the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.

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Clinical judgment and diagnostic reasoning of nursing students in clinical simulation

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