Cited 29 times in
Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study
DC Field | Value | Language |
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dc.contributor.author | 이주희 | - |
dc.date.accessioned | 2017-10-26T07:23:50Z | - |
dc.date.available | 2017-10-26T07:23:50Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 0260-6917 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/151973 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Churchill Livingstone | - |
dc.relation.isPartOf | NURSE EDUCATION TODAY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Chronic Disease/nursing* | - |
dc.subject.MESH | Clinical Competence* | - |
dc.subject.MESH | Clinical Decision-Making* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Nursing Staff, Hospital/psychology* | - |
dc.subject.MESH | Problem Solving | - |
dc.subject.MESH | Qualitative Research | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Republic of Korea | - |
dc.subject.MESH | Thinking* | - |
dc.title | Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study | - |
dc.type | Article | - |
dc.publisher.location | Scotland | - |
dc.contributor.college | College of Nursing | - |
dc.contributor.department | Dept. of Clinical Nursing | - |
dc.contributor.googleauthor | JuHee Lee | - |
dc.contributor.googleauthor | Young Joo Lee | - |
dc.contributor.googleauthor | JuYeon Bae | - |
dc.contributor.googleauthor | Minjeong Seo | - |
dc.identifier.doi | 10.1016/j.nedt.2016.08.017 | - |
dc.contributor.localId | A03172 | - |
dc.relation.journalcode | J02389 | - |
dc.identifier.eissn | 1532-2793 | - |
dc.identifier.pmid | 27611485 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0260691716301642?via%3Dihub | - |
dc.subject.keyword | Clinical reasoning | - |
dc.subject.keyword | Content analysis | - |
dc.subject.keyword | Registered nurses | - |
dc.subject.keyword | Think-aloud | - |
dc.contributor.alternativeName | Lee, Ju Hee | - |
dc.contributor.affiliatedAuthor | Lee, Ju Hee | - |
dc.citation.volume | 46 | - |
dc.citation.startPage | 75 | - |
dc.citation.endPage | 80 | - |
dc.identifier.bibliographicCitation | NURSE EDUCATION TODAY, Vol.46 : 75-80, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 46295 | - |
dc.type.rims | ART | - |
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