What is it about?
Clinical reasoning ability ensures patients receive proper and safety care. Understanding nurses' clinical reasoning ability is therefore important. This article reports a validated scale that can be used to measure clinical reasoning competence.
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Why is it important?
The Nurses Clinical Reasoning Scale is a 15-item, theory-based and easy to administer scale. Its reliability and validity were supported by Cronbach's alpha, factor analysis, content validity, and known-groups comparisons.
Perspectives
Despite the importance of clinical reasoning ability, there is a lack of instrument to measure nurses' clinical reasoning competence. We therefore developed the scale items by following steps of clinical reasoning described in the Clinical Reasoning Model and tested the scale's psychometric properties. This easy-to-administer scale can be used by nursing educators and administrators to understand pregraduate nursing students' and nurses' level of clinical reasoning competence and deficiencies in any steps of clinical reasoning. Based on this understanding, training programs can be developed to increase pregraduates and nurses' clinical reasoning competence and further enhance provision of safe patient care.
Professor Ching-Yu Cheng
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This page is a summary of: The development and psychometric testing of a theory-based instrument to evaluate nurses’ perception of clinical reasoning competence, Journal of Advanced Nursing, October 2015, Wiley,
DOI: 10.1111/jan.12831.
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