Clinical judgment and diagnostic reasoning of nursing students in clinical simulation

• Autor(a) principal: Nunes,Janaina Gomes Perbone
• Data de Publicação: 2020
• Outros Autores: Amendoeira,José Joaquim Penedos, Cruz,Diná de Almeida Lopes Monteiro da, Lasater,Kathie, Morais,Sheila Coelho Ramalho Vasconcelos, Carvalho,Emilia Campos de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000600188
• topic: Clinical Judgment; Clinical Reasoning; Patient Simulation; Clinical Simulation; Education, Nursing

ABSTRACT Objectives: to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation. Methods: this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric - Brazilian Version and the Diagnostic Thinking Inventory. Results: clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the “noticing” aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047). Conclusions: the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.