• Title/Summary/Keyword: Clinical reasoning

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A Basic Study on the Development of Functional Games for University Lectures - Focusing on clinical reasoning capabilities (대학 강의용 기능성게임 개발 기초연구 - 임상추론역량을 중심으로)

  • Seo, Hee-Kyung
    • Journal of Korea Game Society
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    • v.19 no.3
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    • pp.65-74
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    • 2019
  • This study presented specific alternatives for the use of digital storytelling elements as college education and provided basic data for future Serious games to be more popularized and used as reference materials in various academic circles by considering the criteria for the quality evaluation of game contents, which had been pointed out as limitations of functional games. In particular, the factors to be considered were mainly in developing functional games to learn the clinical reasoning process.

The Effects of Simulation-based Education on the Clinical Reasoning Competence, Clinical Competence, and Educational Satisfaction (시뮬레이션 교육이 간호학생의 임상추론역량과 임상수행능력 및 교육만족도에 미치는 효과)

  • Kang, Hee;Kang, Hee-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.107-114
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    • 2020
  • This study was conducted to examine the effects of simulation-based education on the clinical reasoning competence, clinical competence, and satisfaction with simulation experience (SSE). The research design was one group pretest-posttest. Study participants were 89 third-year nursing students from C University in G city, who were engaged the simulation-based education for eight weeks from August to October 2019. Learning scenario titles were blood transfusion reaction patient care with postoperative total hip replacement, hypoglycemia patient care with diabetes mellitus, and hyperkalemia patient care with liver cirrhosis. The data were analyzed by paired t-test using SPSS Win 23.0 program. After applying simulation-based education, nursing students' clinical reasoning competence (t=-17.082, p<.001) and clinical competence(t=-18.40, p<.001) improved significantly. SSE score was 4.65 out of 5 points. The results indicate that the simulation-based education in this study gave the students the experience of providing qualified and secure nursing care under conditions similar to those in the real clinical field. To improve the clinical reasoning competence and clinical competence of nursing students, various cases scenarios are developed and simulation-based education should be applied to more subjects in the nursing curriculum.

Evidence-Based Practice in Neurological Physical Therapy (1) -Applying EBP to Clinical Decision Making- (신경계물리치료에서의 근거중심실기(1) -임상의사결정과정에 EBP 적용하기-)

  • Lee, Moon-Kyu;Lim, Jae-Heon;Kim, Tae-Yoon
    • PNF and Movement
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    • v.14 no.3
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    • pp.157-176
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    • 2016
  • Purpose: The purpose of this study was to share an experience about processes and lessons learned to execute evidence-based practice (EBP) in neurological physical therapy. Methods: The most important thing in applying EBP to practice is to search, find, and appraise the existing evidence. Many evidence databases are available, such as CENTRAL, PEDro, PUBMED, and EMBASE. However, the knowledge represented in these databases is not always perfect. The practice model is a set of processes to resolve client problems. Therapists should make hypothesis-focused decisions through EBP. Integrating clinical reasoning and evidence is most important when it comes to the execution of EBP. Results: The process of EBP consisted of following: coming up with clinical questions, followed by searching for, appraising, evaluating, and integrating evidence. To integrate EBP into practice, it is necessary to consider clinical expertise, patient value and preferences, as well as research wth the best evidence. We provided an example of a clinical case with a stroke patient to show how this process and framework concerning clinical reasoning through evidences can be integrateds. During this process, we also utilized information technology to improve EBP ability. Conclusion: We should recognize what manner of information is needed to resolve eash patient's problem, and we should search for this information efficiently. Then, we should judge the value of the information obtained as it applies, to the clinical setting.

Effects of a Simulation based Clinical Reasoning Practice Program on Clinical Competence in Nursing Students (시뮬레이션기반 임상추론 실습교육 프로그램이 간호학생의 간호역량에 미치는 효과)

  • Hur, Hea Kung;Roh, Young Sook
    • Korean Journal of Adult Nursing
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    • v.25 no.5
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    • pp.574-584
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.

Relationship of Working Memory, Processing Speed, and Fluid Reasoning in Psychiatric Patients

  • Kim, Se-Jin;Park, Eun Hee
    • Psychiatry investigation
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    • v.15 no.12
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    • pp.1154-1161
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    • 2018
  • Objective The present study aimed to investigate relationship among cognitive factors (working memory and processing speed) and fluid reasoning (Gf) in psychiatric patients using a standardized clinical tool. Methods We included the responses of 115 heterogeneous patients who were diagnosed with the MINI-Plus 5.0 and WAIS-IV/WMS-IV was administered. For our analysis, structured equation modeling (SEM) was conducted to evaluate which cognitive variables are closely related to the Gf. Results The results showed that the visual working memory was the strongest predictor of the Gf compared to other cognitive factors. Conclusion Processing speed was capable of predicting the Gf, when visual working memory was controlled. The inter-relationship among the Gf and other cognitive factors and its clinical implications were further discussed.

Critical Thinking of Clinical Nurses (임상간호사의 비판적 사고)

  • Chang, Sung-Ok;Shin, Nah-Mee;Khim, Soon-Yong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.4
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    • pp.459-471
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    • 2009
  • Introduction: Critical thinking involves identifying problem(s), assessing resources, and generating possible solutions and allows clinical nurses to decide which solution is the most reasonable under the given circumstances, taking into consideration the "hat ifs" and how they will affect the end result. This research was conducted to further understanding and identification of subjective factors in critical thinking in clinical nurses. Methods: The research design was a Q-Methodological Approach. Q-population was formulated from a non-structured questionnaire and interviews from 17 experienced clinical nurses. Thirty selected Q-statements were sorted by 30 experienced clinical nurses. Results: Four factors for critical thinking were identified: (1) Deductive reasoning based on causal relation, (2) Construction of an effective model based on patients' responses, (3) Formulating categories based on priorities for effective interventions, and (4) Judging validity of the situational significance on clinical performances. Conclusion: Critical thinking is an attitude and reasoning process. From this study, the frame of reference for clinical nurses in formulating critical thinking within the context of clinical settings is identified and indicates the way nurses utilize thinking skills when they care for patients and areas that need further exploration as nurses and faculty develop education systems to advance clinical performance competency.

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A Study on the Research Methodology in Korean Medical Classics - Focused on Abductive Reasoning - (원전학(原典學) 연구방법론에 대한 고찰 - 귀추적 추론을 중심으로 -)

  • Baik, Yousang
    • Journal of Korean Medical classics
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    • v.32 no.2
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    • pp.1-16
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    • 2019
  • Objectives : In this paper, characteristics of research methodology used in the field of Korean Medical Classics and its application was studied, with a focus on abductive reasoning that takes place in such methodology. Methods : First, the properties of the Korean Medical knowledge system, production, circulation and consumption of Korean Medical knowledge, methodology of knowledge production, reasoning of hypothesis, Medical Classics research methodology and its examples were examined. Afterwards, the relationship between Medical Classics research and Korean Medical Doctors's competence was studied. Results : The knowledge system of Korean Medicine, formed by a knowledge production group changes continuously not unlike a living organism. Knowledge is produced through Sang (象) within human consciousness that lies in an existential relationship between the knowledge producer and subject, through means of abductive reasoning. Conclusions : Creative knowledge production through abductive reasoning in the field of Korean Medical Classics will hopefully contribute to production of highly useful knowledge in clinical settings, complement and make change in the current Korean Medical knowledge system. Various teaching methods based on this research methodology will contribute to strengthening Korean Medical Doctors's competence as well.

Relationship Between Clinical Reasoning Competence, Critical Thinking Propensity and Confidence in Performing Core Basic Nursing Skills of Nursing Students (간호대학생의 임상추론역량, 비판적 사고 성향과 핵심기본간호술 수행자신감의 관계)

  • Chae-Lin Kim;Won-Jin Lee;Bo-Reum Kim;Eun-Jin Kim;Ji-Su, Kim;Hye-Won Kim;Hee-Ju Kim;Seong-Yeong Park
    • Journal of Industrial Convergence
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    • v.21 no.4
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    • pp.81-89
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    • 2023
  • This study try to confirm the relationship between clinical reasoning competence, critical thinking propensity, and confidence in performing core basic nursing skills among nursing students. The subjects of the study were 157 third and fourth year nursing students at D University in Daejeon, and the survey was conducted through a self-questionnaire from Nov. 2 to Nov. 15, 2022. The collected materials were analyzed using the SPSS/WIN26.0 program. The results showed the correlation between clinical reasoning competence and critical thinking propensity (r=.417, p<.001), clinical reasoning competence and core basic nursing performance confidence (r=.659, p<.001), critical thinking propensity and core basic nursing performance confidence (r=.303, p<.001). Therefore, the results of this study can be used as a basis for developing various curriculums to increase the confidence of nursing college students in performing core basic nursing techniques.

Clinical Reasoning In Physical Therapy (물리치료에서의 임상추론)

  • Kim, Young-Min
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.2
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    • pp.41-49
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    • 2008
  • 임상추론은 환자를 평가하고 관리하는데 사용되는 임상가의 필수적인 생각 또는 동적인 인지과정이라고 할 수 있다. 임상추론은 환자의 문제를 인식하고 식별하며 더 나은 환자관리가 이루어지도록 환자의 상태에 대처하며 정보를 해석하고 분석하는 것으로서 이를 위해 임상가는 적절한 지식을 가지고 있어야 하며 임상추론 기술과 관련된 폭넓은 이해가 요구된다. 임상추론은 치료사, 환자, 그리고 환경간의 상호관계를 가진 복잡한 과정으로 임상추론과정에서 치료사와 환자간에는 충분한 협조가 이루어져야 한다. 임상추론에서의 해석적 모델로는 진단적 추론, 상호작용의 추론, 이야기적 추론, 협조적 추론, 예언적 추론, 윤리적 추론, 추론의 교육 등이 제시된다. 임상추론 과정에서 필수적인 주요 요소는 충분한 지식, 인지와 초인지 기술을 포함하며 이들 요소는 치료사와 환자간의 관계에서 발달되어야 한다. 이들 기술 중에 어떠한 실수라도 임상추론의 오류를 초래할 수 있다. 추론에서 오류의 원인으로는 암시된 정보의 잘못된 인지, 임상페턴에 대한 지식부족, 특정 상태에 대해 알려진 사실을 잘못 적용하는 경우를 들 수 있다. 오류는 임상추론 과정의 어떤 단계에서도 일어날 수 있으므로 효과적인 학습전략을 통하여 이들 오류를 예방할 수 있을 것이다.

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