Assessment of Clinical Reasoning

7/25/2019 Assessment of Clinical Reasoning

1/19

ASSESSMENT OF CLINICAREASONING AMONG B.SC

NURSING STUDENTS

PROF. LATHA DAM


2/19

INTRODUCTION

Todays nurses are fa!n" #ery o$%&e' and (a&&en"!n

s!)ua)!ons !n an uner)a!n en#!ron$en) due )o* (an"!n" (ea&)(are se))!n"s

* (!"(er %a)!en) au!)y &e#e&s

* s(or)a"e of nurses +e&on"!n" )o a&& a)

* !nreased use of )e(no&o"y


3/19

INTRODUCTION- CONTD

* "rea)er e$%(as!s on os) on)a!n$

and

* e$er"ene of ne- !&&nesses.

As a resu&), nurses $us) +e a+&e )o u!/&y ana&y0e

s!)ua)!ons and $a/e +es) de!s!ons !n )!$e )o ensur

ua&!)y %a)!en) are.


4/19

NEED AND SIGNIFICANCE

C&!n!a& reason!n" !s an e'%e)ed %ar) of o$%e)e

nurs!n" %ra)!e.

Nurses -!)( effe)!#e &!n!a& reason!n" s/!&&s (a#

%os!)!#e !$%a) on %a)!en) ou)o$es. Con#erse&y,

-!)( %oor &!n!a& reason!n" s/!&&s of)en fa!& )o de)

!$%end!n" %a)!en) de)er!ora)!on resu&)!n" !n a 1fa

)o*resue2


5/19


T(e )o% )(ree reasons for ad#erse %a)!en) o

are3

fa!&ure )o %ro%er&y d!a"nose,

fa!&ure )o !ns)!)u)e a%%ro%r!a)e )rea)$en), and

!na%%ro%r!a)e $ana"e$en) of o$%&!a)!ons.

Ea( of )(ese !s re&a)ed )o %oor &!n!a& re

s/!&&s.


6/19


Edua)!on $us) +e"!n a) )(e under"radua)e &e#e& )

%ro$o)e reo"n!)!on and $ana"e$en) of )(e de)er

%a)!en), )(e use of esa&a)!on sys)e$s and effe)!#e

o$$un!a)!on 4+r!"(), -a&/er, and +!on, 56678.


7/19


Con)e$%orary &earn!n" and )ea(!n" a%%roa(es d

a&-ays fa!&!)a)e )(e de#e&o%$en) of a reu!s!)e &e#&!n!a& reason!n" s/!&&s. 9(!&e un!#ers!)!es are o$

)(e edua)!on of nurses -(o are adeua)e&y %re%ar

-or/ !n o$%&e' and (a&&en"!n" &!n!a& en#!ron$

(ea&)( ser#!es freuen)&y o$%&a!n )(a) "radua)es

-or/ ready.


8/19

CLINICAL REASONING

T(e %roess +y -(!( nurses 4and o)(er &!n!!ans8

ues, %roess )(e !nfor$a)!on, o$e )o an unders)a

of a %a)!en) %ro+&e$ or s!)ua)!on, %&an and !$%&e$

!n)er#en)!ons, e#a&ua)e ou)o$es, and ref&e) on an

fro$ )(e %roess. : Le#e))*;ones, T


9/19

CLINICAL REASONING

C&!n!a& reason!n" !s en)ra& )o &!n!a& Pra)!e. H

%rofess!ona&s of)en need )o $a/e de!s!ons +ased

%rofess!ona& /no-&ed"e and ;ud"$en) !n s!)ua)!on

-(ere )(ere are no r!"() ans-ers, and -(ere )e')+and resear( /no-&ed"e !s !nsuff!!en) or needs )o

ada%)ed )o )(e %ar)!u&ar &!en).


10/19

Hene assess$en) of &!n!a& reason!n" !s #ery !$%

so )(a) $easures an +e )a/en )o %ro$o)e &!n!a&

reason!n" a+!&!)y of nurs!n" s)uden)s.


11/19

OBJECTIVES


12/19

MATERIALS AND METHODS

Des!"n3 Desr!%)!#e sur#ey des!"n

Se))!n"3 S!#a"!r! Sree Narayana Med!a& M!ss!on C

of Nurs!n", =ar/a&a


13/19


S)udy %o%u&a)!on3 I= year B.S nurs!n" s)uden)s

Sa$%&!n" s)ra)e"y3 Con#en!ene sa$%&!n"

Sa$%&e s!0e3 >6


14/19


Ins)ru$en)3 Sr!%) Conordane Tes). I) !s +ased

sr!%) )(eory.


15/19

DATA COLLECTION

For$a& %er$!ss!on fro$ Pr!n!%a& of )(e o&&e"e a

!nfor$ed onsen) fro$ s)uden)s -ere o+)a!ned. S

%ersona& da)a -as o&&e)ed, fo&&o-ed +y )(e

ad$!n!s)ra)!on of sr!%) onordane )es) )o asses

&!n!a& reason!n" s/!&&s.


16/19

ANALYSIS

T(e da)a -ere ana&ysed and %resen)ed !n )(e for$

freueny, %eren)a"e and $ean


17/19

FINDINGS

A&& )(e s)uden)s -ere !n )(e a"e "rou% of


18/19

FINDINGS

T(e $ean sores o+)a!ned for &!n!a& reason!n" -as

None of )(e s)uden)s -ere (a#!n" "ood &!n!a& reaso

s/!&&.

S)uden)s (a#!n" $odera)e and %oor &!n!a& reason!n

. and 7>.>@ res%e)!#e&y.No s!"n!f!an) asso!a)!on -as found +e)-een &!n!a

reason!n" and #ar!a+&es su( as "ender and %re#!ou

aade$! %erfor$ane


19/19

CONCLUSION

The fndings o the study are shockand it is high time to take initiativpromote clinical reasoning skills o

nursing students

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Assessment of Clinical Reasoning