Browse > Article
http://dx.doi.org/10.5762/KAIS.2015.16.3.1874

A Study on Clinical Reasoning Ability and Academic Achievements in Nursing Students  

Kim, Jeong Ah (Department of nursing, Semyung University)
Ko, Ja-Kyung (Research Center for Nursing and Education)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.16, no.3, 2015 , pp. 1874-1883 More about this Journal
Abstract
The purpose of this study was to verify clinical reasoning of nursing students as well as clarify the relevance between clinical reasoning and academic achievement. 87 students broke into 30 groups of two or three. The students performed post operative care for adult patients in the simulation practicum course of their final semester. Data were collected by evaluating the video-recorded nursing practicum using the clinical reasoning rubric. Clinical reasoning of 61(70.1%) students was limited to the beginning level and that of 6(6.9%) students of the highest scoring was at the third level among the four levels of ability. There was no significant correlation between clinical reasoning and the final cumulative GPA, while there was low level of significant correlation between clinical reasoning and GPA of adult health nursing course or adult health nursing practicum course. Therefore, it is necessary to improve the nursing curriculum to enhance nursing students' clinical reasoning.
Keywords
academic achievement; clinical reasoning; nursing students;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Korean Accreditation Board of Nursing Education (KABON). Nursing core competencies. Retrieved December 20, 2012, from http://www.kabon.or.kr
2 J. K. Ko, M. S. Chung, M. A. Choe, Y. I. Park, K. S. Bang, J. A. Kim, M. S. Yoo, H. Y. Jang, "Modeling of nursing competencies for competency-based curriculum development." The Journal of Korean Academic Society of Nursing Education. 19(1) pp.87-96. 2013. DOI: http://dx.doi.org/10.5977/jkasne.2013.19.1.87   DOI   ScienceOn
3 International Council of Nursing. "An implementation models for the ICN framework of competencies for the generalist nurse." Standards and Competencies series(2nd ed.) Geneva; ICN. pp1-30, 2003.
4 G. E. Armstrong, T. S. Spencer, & C. B. Lenburg, "Using quality and safety education for nurses to enhance competency outcome performance assessment: A synergistic approach that promotes patient safety and quality outcomes." Journal of Nursing Education. 48(12), pp. 686-693, 2009. DOI: http://dx.doi.org/10.3928/01484834-20091113-02   DOI
5 P. McLagan, "Great ideas revisited: Job competency models." Training & Development. 50(1), pp.40-47, 1996.
6 S. J. Im, "Strategies for effective teaching in clinical clerkship." Hanyang Medcial Reviews. 32(1), pp.51-58. 2012. DOI: http://dx.doi.org/10.7599/hmr.2012.32.1.51   DOI
7 C. A. Tanner, "Thinking like a nurse: A research-based model of clinical judgment in nursing." Journal of Nursing Education.. 45(6), pp.204-211, 2006.
8 H M. Jenkins, "A research tool for measuring perceptions of clinical decision making." of Professional Nursing. 1(4), pp.221-229, 1985. DOI: http://dx.doi.org/10.1016/S8755-7223(85)80159-9   DOI
9 B. Simmons, D. Lanuza, M. Fonteyn, F. Hicks, K. Holm, "Clinical reasoning in experienced nurses." Western Journal of Nursing Research. 25(6), pp.701-724, 2003. DOI: http://dx.doi.org/10.1177/0193945903253092   DOI
10 K. Lasater, "Clinical judgment development: Using simulation to create an assessment rubric." Journal of Nursing Education. 46, p.496-503, 2007.
11 S. Lauri, S. Salantera, "Decision making models in different field of nursing." Research in nursing & Health. 21, pp.443-452, 1998. DOI: http://dx.doi.org/10.1002/(SICI)1098-240X(199810) 21:5<443::AID-NUR7>3.0.CO;2-N   DOI
12 H. J. Choi, "Public health nurses' decision making models and their knowledge structure." Journal of Korean Academy of Nursing. 31(2). pp.328-339. 2000.
13 H. K. Hur, Y. S. Roh. "Effects of a simulation based clinical reasoning practice program on clinical competence in nursing students." Korean Journal of Adult Nursing. 25(5), pp.574-584. 2013. DOI: http://dx.doi.org/10.7475/kjan.2013.25.5.574   DOI   ScienceOn
14 K. J. Kang, E. M. Kim, S. A. Ryu, "Factors Influencing Clinical Competence for General Hospital Nurses." The Korea Contents Society. 11(1), pp.284-293, 2011. DOI: http://dx.doi.org/10.5392/JKCA.2011.11.1.284
15 Y. Lee, M. Gang, M. S. Jung, "Impact of professional autonomy and nursing work environment on clinical decision making of clinical nurses." Korean Journal of Occupational Health Nursing. 22(4) pp.285-294. 2013. DOI: http://dx.doi.org/10.5807/kjohn.2013.22.4.285   DOI
16 I. K. Kwon, S. M. Park. "Effects of critical reflective inquiry on new graduate nurses' clinical decision-making." Journal of Korean Clinical Nursing Research. 13(2), pp.39-50, 2007.
17 H. Goodrich, "Understanding rubrics." Educational Leadership. 54(4), p.14-17, 1996.
18 J. K. Ko, The principle and practices in health education. Seoul: Bomungak. 2005. pp1-230.
19 S. H. Bum, J. H. Chae, "Rubric Development for Performance Evaluation of Middle School Home Economics -Focusing on Experiment and Practice Methods." Korean Home Economics Education Association. 20(3), pp.85-105, 2008.
20 A. K. Yang, H. J. Cho, "An analysis on the influence of self-regulated learning upon academic achievement." The Journal of Korean Educational Forum. 8(3), pp.61-82, 2010.
21 D. M. Zimmaro, Developing Grading Rubrics. Last Retrived January 13, 2004 from http://slo.sbcc.edu/wp-content/uploads/developing_grading_rubrics.pdf
22 K. K. Shim, Judgement rubric in Korean nursing students[thesis]. Seoul: Kyung Hee University. pp.1-64. 2012.
23 W. K. Noh, "A studdy for the development and effects of learning strategy rubrics: Focused on college students's learning strategy educational program." Journal of Educational Technology. 24(4), pp.259-294. 2008.   DOI
24 K. A. Adamson, P. Gubrud, S. Sideras, K. Lasater, "Assessing the reliability, validity, and use of the Lasater clinical judgment rubric: Three approaches." Journal of Nursing education. 51: pp.66-73, 2012. DOI: http://dx.doi.org/10.3928/01484834-20111130-03   DOI
25 R. D. Wimmer, J. R. Dominick, Mass Media Research: An Introduction, 9th ed. Yoo J. C, Kim D. K translator. Belmont, CA: Wadsworth Cengage Learning. pp105-180, 2010.
26 B. Mariani, M. A. Cantrell, C. Meakim, P. Prieto, K. T. Dreifuerst, "Structured debriefing and students' clinical judgment abilities in simulation." Clinical Simulation in Nursing 9(5), pp.147-155, 2013. DOI: http://dx.doi.org/10.1016/j.ecns.2011.11.009   DOI
27 H. Shin, C. G. Park, K. Shim, "The Korean version of the Lasater clinical judgment rubric: A validation study." Nurse Education Today. 2014. Forthcoming.
28 H. J. Jang, Y. K. Kwag, "Affecting factors on clinical competence of nursing students." Journal of the Korea Academia-Industrial Cooperation Society. 14(9), pp.4380-4387, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.9.4380   DOI   ScienceOn
29 H. S. Shin, Educational needs assessment and perceptions of core nursing competencies[thesis]. Suwon: Aju University. pp.1-68, 2010.
30 P. Boxter, G. Norman, "Self-assessment or self deception? A lack of association between nursing students' self-assessment and performance." Journal of Advanced Nursing. 67(11), pp.2406-2413. (22 ref). 2011. DOI: http://dx.doi.org/10.1111/j.1365-2648.2011.05658.x   DOI   ScienceOn