Registered nurses' clinical reasoning skills and reasoning process

A think-aloud study

Juhee Lee, Young Joo Lee, Ju Yeon Bae, Minjeong Seo

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background As complex chronic diseases are increasing, nurses' prompt and accurate clinical reasoning skills are essential. However, little is known about the reasoning skills of registered nurses. Objective This study aimed to determine how registered nurses use their clinical reasoning skills and to identify how the reasoning process proceeds in the complex clinical situation of hospital setting. Design A qualitative exploratory design was used with a think-aloud method. Methods A total of 13 registered nurses (mean years of experience = 11.4) participated in the study, solving an ill-structured clinical problem based on complex chronic patients cases in a hospital setting. Data were analyzed using deductive content analysis. Results Findings showed that the registered nurses used a variety of clinical reasoning skills. The most commonly used skill was ‘checking accuracy and reliability.’ The reasoning process of registered nurses covered assessment, analysis, diagnosis, planning/implementation, and evaluation phase. Conclusions It is critical that registered nurses apply appropriate clinical reasoning skills in complex clinical practice. The main focus of registered nurses' reasoning in this study was assessing a patient's health problem, and their reasoning process was cyclic, rather than linear. There is a need for educational strategy development to enhance registered nurses' competency in determining appropriate interventions in a timely and accurate fashion.

Original languageEnglish
Pages (from-to)75-80
Number of pages6
JournalNurse Education Today
Volume46
DOIs
Publication statusPublished - 2016 Nov 1

Fingerprint

Clinical Competence
nurse
Nurses
development strategy
content analysis
Chronic Disease
Disease
planning
Health

All Science Journal Classification (ASJC) codes

  • Nursing(all)
  • Education

Cite this

Lee, Juhee ; Lee, Young Joo ; Bae, Ju Yeon ; Seo, Minjeong. / Registered nurses' clinical reasoning skills and reasoning process : A think-aloud study. In: Nurse Education Today. 2016 ; Vol. 46. pp. 75-80.
@article{06d66ef0d68d409e86133e4b89707e03,
title = "Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study",
abstract = "Background As complex chronic diseases are increasing, nurses' prompt and accurate clinical reasoning skills are essential. However, little is known about the reasoning skills of registered nurses. Objective This study aimed to determine how registered nurses use their clinical reasoning skills and to identify how the reasoning process proceeds in the complex clinical situation of hospital setting. Design A qualitative exploratory design was used with a think-aloud method. Methods A total of 13 registered nurses (mean years of experience = 11.4) participated in the study, solving an ill-structured clinical problem based on complex chronic patients cases in a hospital setting. Data were analyzed using deductive content analysis. Results Findings showed that the registered nurses used a variety of clinical reasoning skills. The most commonly used skill was ‘checking accuracy and reliability.’ The reasoning process of registered nurses covered assessment, analysis, diagnosis, planning/implementation, and evaluation phase. Conclusions It is critical that registered nurses apply appropriate clinical reasoning skills in complex clinical practice. The main focus of registered nurses' reasoning in this study was assessing a patient's health problem, and their reasoning process was cyclic, rather than linear. There is a need for educational strategy development to enhance registered nurses' competency in determining appropriate interventions in a timely and accurate fashion.",
author = "Juhee Lee and Lee, {Young Joo} and Bae, {Ju Yeon} and Minjeong Seo",
year = "2016",
month = "11",
day = "1",
doi = "10.1016/j.nedt.2016.08.017",
language = "English",
volume = "46",
pages = "75--80",
journal = "Nurse Education Today",
issn = "0260-6917",
publisher = "Churchill Livingstone",

}

Registered nurses' clinical reasoning skills and reasoning process : A think-aloud study. / Lee, Juhee; Lee, Young Joo; Bae, Ju Yeon; Seo, Minjeong.

In: Nurse Education Today, Vol. 46, 01.11.2016, p. 75-80.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Registered nurses' clinical reasoning skills and reasoning process

T2 - A think-aloud study

AU - Lee, Juhee

AU - Lee, Young Joo

AU - Bae, Ju Yeon

AU - Seo, Minjeong

PY - 2016/11/1

Y1 - 2016/11/1

N2 - Background As complex chronic diseases are increasing, nurses' prompt and accurate clinical reasoning skills are essential. However, little is known about the reasoning skills of registered nurses. Objective This study aimed to determine how registered nurses use their clinical reasoning skills and to identify how the reasoning process proceeds in the complex clinical situation of hospital setting. Design A qualitative exploratory design was used with a think-aloud method. Methods A total of 13 registered nurses (mean years of experience = 11.4) participated in the study, solving an ill-structured clinical problem based on complex chronic patients cases in a hospital setting. Data were analyzed using deductive content analysis. Results Findings showed that the registered nurses used a variety of clinical reasoning skills. The most commonly used skill was ‘checking accuracy and reliability.’ The reasoning process of registered nurses covered assessment, analysis, diagnosis, planning/implementation, and evaluation phase. Conclusions It is critical that registered nurses apply appropriate clinical reasoning skills in complex clinical practice. The main focus of registered nurses' reasoning in this study was assessing a patient's health problem, and their reasoning process was cyclic, rather than linear. There is a need for educational strategy development to enhance registered nurses' competency in determining appropriate interventions in a timely and accurate fashion.

AB - Background As complex chronic diseases are increasing, nurses' prompt and accurate clinical reasoning skills are essential. However, little is known about the reasoning skills of registered nurses. Objective This study aimed to determine how registered nurses use their clinical reasoning skills and to identify how the reasoning process proceeds in the complex clinical situation of hospital setting. Design A qualitative exploratory design was used with a think-aloud method. Methods A total of 13 registered nurses (mean years of experience = 11.4) participated in the study, solving an ill-structured clinical problem based on complex chronic patients cases in a hospital setting. Data were analyzed using deductive content analysis. Results Findings showed that the registered nurses used a variety of clinical reasoning skills. The most commonly used skill was ‘checking accuracy and reliability.’ The reasoning process of registered nurses covered assessment, analysis, diagnosis, planning/implementation, and evaluation phase. Conclusions It is critical that registered nurses apply appropriate clinical reasoning skills in complex clinical practice. The main focus of registered nurses' reasoning in this study was assessing a patient's health problem, and their reasoning process was cyclic, rather than linear. There is a need for educational strategy development to enhance registered nurses' competency in determining appropriate interventions in a timely and accurate fashion.

UR - http://www.scopus.com/inward/record.url?scp=84985910981&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84985910981&partnerID=8YFLogxK

U2 - 10.1016/j.nedt.2016.08.017

DO - 10.1016/j.nedt.2016.08.017

M3 - Article

VL - 46

SP - 75

EP - 80

JO - Nurse Education Today

JF - Nurse Education Today

SN - 0260-6917

ER -