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Registered nurses' clinical reasoning skills and reasoning process: A think-aloud study

DC Field Value Language
dc.contributor.author이주희-
dc.date.accessioned2017-10-26T07:23:50Z-
dc.date.available2017-10-26T07:23:50Z-
dc.date.issued2016-
dc.identifier.issn0260-6917-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151973-
dc.description.abstractBACKGROUND: 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.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherChurchill Livingstone-
dc.relation.isPartOfNURSE EDUCATION TODAY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHChronic Disease/nursing*-
dc.subject.MESHClinical Competence*-
dc.subject.MESHClinical Decision-Making*-
dc.subject.MESHHumans-
dc.subject.MESHNursing Staff, Hospital/psychology*-
dc.subject.MESHProblem Solving-
dc.subject.MESHQualitative Research-
dc.subject.MESHReproducibility of Results-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHThinking*-
dc.titleRegistered nurses' clinical reasoning skills and reasoning process: A think-aloud study-
dc.typeArticle-
dc.publisher.locationScotland-
dc.contributor.collegeCollege of Nursing-
dc.contributor.departmentDept. of Clinical Nursing-
dc.contributor.googleauthorJuHee Lee-
dc.contributor.googleauthorYoung Joo Lee-
dc.contributor.googleauthorJuYeon Bae-
dc.contributor.googleauthorMinjeong Seo-
dc.identifier.doi10.1016/j.nedt.2016.08.017-
dc.contributor.localIdA03172-
dc.relation.journalcodeJ02389-
dc.identifier.eissn1532-2793-
dc.identifier.pmid27611485-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0260691716301642?via%3Dihub-
dc.subject.keywordClinical reasoning-
dc.subject.keywordContent analysis-
dc.subject.keywordRegistered nurses-
dc.subject.keywordThink-aloud-
dc.contributor.alternativeNameLee, Ju Hee-
dc.contributor.affiliatedAuthorLee, Ju Hee-
dc.citation.volume46-
dc.citation.startPage75-
dc.citation.endPage80-
dc.identifier.bibliographicCitationNURSE EDUCATION TODAY, Vol.46 : 75-80, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid46295-
dc.type.rimsART-
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers

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