Development of a Model to Evaluate Clinical Reasoning and Clinical Judgment Skills Among Nursing Students in Open Distance Learning
ally, Norlia Goolam
Rahim, Raijah A
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Health care services and delivery is increasingly complex and dynamic, requiring very specific thinking and workplace skills. Critical thinking in nursing is an essential component of professional accountability and quality nursing care and critical thinking is inherent in making sound clinical reasoning. When a nurse has the ability to operate on her clinical reasoning skills she will then be capable to make clinical judgment. The nursing profession demands nurses with critical thinking skills with reasoning and decision making skills in clinical practice. These skills have been emphasized in the nursing education for more than 50 years and it can be developed through exposure to actual clinical problems during undergraduate years. However, it is quite evident that these skills are lacking among nurses. At Open University Malaysia (OUM), the Bachelor of Nursing Sciences (BNS) programme is offered to qualified and trained nurses with diploma certificate. These nursing students spend 364 hours in clinical practice which include 96 hours under the supervision of the preceptors. Hence, OUM is dependent on the ability and experience of the preceptors to cultivate and nurture clinical reasoning and clinical judgment skills during which students do their clinical placement at the respective hospitals. To become efficient and professional nurses, they have to acquire skills to reason and make judgment in actual clinical environment. Performance of nurses is dependent upon continual learning and training which have to be evaluated during clinical practice. To produce nursing graduates who are well trained and equipped with these skills, it is therefore crucial to develop a model to evaluate student nurses’ clinical reasoning and clinical judgment skills. This paper describes the initial stages conducted to explore the indicators to be incorporated in the evaluation model at the Faculty of Nursing and Health Sciences OUM.
- ICTERC 2013