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Clinical judgment and diagnostic reasoning of nursing students in clinical simulation

Juicio clínico y razonamiento diagnóstico de estudiantes de enfermería en simulación clínica

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.

Descriptors:
Clinical Judgment; Clinical Reasoning; Patient Simulation; Clinical Simulation; Education, Nursing

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
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