Clinical Reasoning, Critical Illness
Conditions
Brief summary
Aim: This study was conducted to determine the effect of case-based education on the development of clinical reasoning skills of nursing students in critical illnesses. Methods: The study was conducted between January 20 and June 30, 2021 using a pilot randomized controlled trial design. In the study, 22 volunteer students were assigned to the experimental and control groups by simple randomization. The experimental group was given case-based education to improve their clinical reasoning skills, and the control group continued the standard education process. Data were collected using a Student Information Form, the Clinical Reasoning Case Form (CRCF), the Student Satisfaction with Education Questionnaire, and a Form for Views on the Education. In the evaluation of data, frequency values, Fisher exact test, Mann-Whitney U, and Wilcoxon tests, Cohen's d coefficient for effect size, ITT analysis, and covariance analysis were used.
Detailed description
Aim of the study This study was conducted to determine the effect of case-based education on the development of nursing students' clinical reasoning skills in critical illnesses. Research hypotheses H01: There is no difference between the experimental group and the control group in terms of their CRCF scores. H02: Case-based education on clinical reasoning has no positive effect on student satisfaction.
Interventions
OTHERCase-based education
The education phase This stage included the explanation of the CR process, the analysis of CR cases, the drafting of new cases suitable for the CR process by students, and the analysis process. The education program was carried out on a web platform (Zoom) consistent with the changes in the COVID-19 pandemic process. The CR cases to be used in case-based education were sent to the students via e-mail before the group interview to make sure students came prepared for the group discussion. In case-based education, after the students read the case, they were asked some questions to determine their decisions and reasoning.
Sponsors
Ankara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Having completed the Medical Nursing and Surgical Nursing courses, * Volunteering to participate in the study, * Participate in Case-Based Education
Exclusion criteria
* Not being willing to participate in the study, * Abandoning the Case-Based Education practice * Not taking one or two of the Medical Nursing and Surgical Nursing courses at all, or to have taken them but unsuccessfully
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Student Information Form | The measurement was collected one week before education. | This form consists of 9 questions, including students' nicknames, age, gender, duration of clinical experience, level of school success, and views on the nursing process |
| Clinical Reasoning Case Form (CRCF) | The first measurement was collected one week before education. The second measurement was collected 3 weeks after education. | There were 10 clinical cases on the CRCF prepared for the objectives of these three steps in students' clinical reasoning process. The cases involved critical illness, and early warning findings that show worsening in critical illness and are used to determine priority nursing diagnosis. Five people, who were experts in the field of medical nursing and had clinical experience, were consulted between February 15 and 28, 2021 to confirm the clinical accuracy and reality of CR cases and their content and comprehensibility. The content validity index of expert opinions evaluated with the Davis technique was determined as 1. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Student Satisfaction with Education Questionnaire | The measurement was collected 3 weeks after education. | A questionnaire adapted from the study of Lee et al. (2010) was used to evaluate students' satisfaction with the education given. A 6-point Likert-type scale (1= strongly disagree, 6= strongly agree) was used to evaluate the ten items of the questionnaire. The 10th item on the questionnaire is reverse coded. High scores on the questionnaire indicate a high level of satisfaction. |
| Form for Views on the Education | The measurement was collected 3 weeks after education. | The effectiveness of the education model was evaluated by the researchers with a SWOT analysis (strengths, weaknesses, opportunities, and threats) based on data collected from students in the experimental group without obtaining nicknames or personal information after the completion of the education via an online questionnaire that consisted of 4 questions about the strengths, weaknesses, perceived threats, and opportunities of the education model. |
Countries
Turkey (Türkiye)
Outcome results
None listed