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Using the case method to explore characteristics of the clinical reasoning process among ambulance nurse students and professionals

Wihlborg, Jonas LU ; Edgren, Gudrun LU ; Johansson, Anders LU ; Sivberg, Bengt LU and Gummesson, Christina LU (2019) In Nurse Education in Practice 35. p.48-54
Abstract

Clinical reasoning is proposed to represent cognitive processes, skills and decision-making aspects of nursing practice and is important for quality care. It has been suggested that the reasoning processes should be practiced during education to develop decision-making competence among nurses. The aim of the study was to explore and describe clinical reasoning processes at different times during specialist ambulance nurse education and among specialist ambulance nurses. Nurses were invited to participate: at initiation of specialist education (n = 19) and during the final weeks of specialist education (n = 17). We also invited nurses employed in ambulance service (n = 13). At each session a written case was presented for small group... (More)

Clinical reasoning is proposed to represent cognitive processes, skills and decision-making aspects of nursing practice and is important for quality care. It has been suggested that the reasoning processes should be practiced during education to develop decision-making competence among nurses. The aim of the study was to explore and describe clinical reasoning processes at different times during specialist ambulance nurse education and among specialist ambulance nurses. Nurses were invited to participate: at initiation of specialist education (n = 19) and during the final weeks of specialist education (n = 17). We also invited nurses employed in ambulance service (n = 13). At each session a written case was presented for small group discussions. Discussions were recorded and transcribed. A mapping sentence was used to analyse the meaning units of the text capturing different elements of clinical reasoning. For interpretation of data the results were then plotted in a three-dimensional diagram. Professional experiences and reflectivity seemed to influence both the content and the process of clinical reasoning. At initiation of specialist education, more analytical reasoning was used, while the specialist nurses mainly used a non-analytical approach. Specialist nurses incorporated a larger variety of content during their reasoning. Based on the findings here, the case-method might be useful for practicing various clinical reasoning skills and elaborating on decision-making processes.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Ambulance nurse, Case-method, Clinical reasoning, Facet theory, Nurse education
categories
Higher Education
in
Nurse Education in Practice
volume
35
pages
7 pages
publisher
Elsevier
external identifiers
  • scopus:85060956412
ISSN
1471-5953
DOI
10.1016/j.nepr.2019.01.001
language
English
LU publication?
yes
id
62a312f7-7b96-41cd-8db9-fbad5125ddaa
date added to LUP
2019-02-11 12:38:18
date last changed
2019-02-11 12:38:18
@article{62a312f7-7b96-41cd-8db9-fbad5125ddaa,
  abstract     = {<p>Clinical reasoning is proposed to represent cognitive processes, skills and decision-making aspects of nursing practice and is important for quality care. It has been suggested that the reasoning processes should be practiced during education to develop decision-making competence among nurses. The aim of the study was to explore and describe clinical reasoning processes at different times during specialist ambulance nurse education and among specialist ambulance nurses. Nurses were invited to participate: at initiation of specialist education (n = 19) and during the final weeks of specialist education (n = 17). We also invited nurses employed in ambulance service (n = 13). At each session a written case was presented for small group discussions. Discussions were recorded and transcribed. A mapping sentence was used to analyse the meaning units of the text capturing different elements of clinical reasoning. For interpretation of data the results were then plotted in a three-dimensional diagram. Professional experiences and reflectivity seemed to influence both the content and the process of clinical reasoning. At initiation of specialist education, more analytical reasoning was used, while the specialist nurses mainly used a non-analytical approach. Specialist nurses incorporated a larger variety of content during their reasoning. Based on the findings here, the case-method might be useful for practicing various clinical reasoning skills and elaborating on decision-making processes.</p>},
  author       = {Wihlborg, Jonas and Edgren, Gudrun and Johansson, Anders and Sivberg, Bengt and Gummesson, Christina},
  issn         = {1471-5953},
  keyword      = {Ambulance nurse,Case-method,Clinical reasoning,Facet theory,Nurse education},
  language     = {eng},
  pages        = {48--54},
  publisher    = {Elsevier},
  series       = {Nurse Education in Practice},
  title        = {Using the case method to explore characteristics of the clinical reasoning process among ambulance nurse students and professionals},
  url          = {http://dx.doi.org/10.1016/j.nepr.2019.01.001},
  volume       = {35},
  year         = {2019},
}