Moluk Pouralizadeh1, Hamidreza Khankeh2, Abbas Ebadi3, Asghar Dalvandi4. 1. PhD Candidate, Department of Nursing, School of Rehablitation, University of Social Welfare and Rehabilitation Science, Tehran, Iran. 2. Professor, Research Center of Emergency and Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Scientific Board Member of IPT E.V Leipzig, Germany, Department of Clinical Science and Education, Karolinska Institute. 3. Associate Professor, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. 4. Associate Professor, Department of Nursing, School of Rehabilitation, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
Abstract
INTRODUCTION: Clinical judgment is necessary for clinical decision making and enhancing it in nursing students improves health care quality. Since clinical judgment is an interactive phenomenon and dependent on context and culture, it can be affected by many different factors. AIM: To understand the experiences of Iranian nursing students and teachers about the factors influencing nursing students' clinical judgment. MATERIALS AND METHODS: A qualitative study was conducted using a directed content analysis approach. In this study, purposive sampling and semi-structured interviews were applied with seven nursing students, six faculty member teachers and four clinical instructors from Guilan University of Medical Sciences, Gilan, Iran. RESULTS: The factors influencing nursing students' clinical judgment consisted of five main categories including thoughtful behaviour, professional ethics, use of evidence based care, the context of learning environment and individual and professional features of clinical teachers. CONCLUSION: Relying on the results of this research, teachers can create an appropriate educational condition and a safe psychological atmosphere, use instructional strategies strengthening deep thought processes, applying professional ethics and scientific evidence and principles to establish clinical judgment in nursing students.
INTRODUCTION: Clinical judgment is necessary for clinical decision making and enhancing it in nursing students improves health care quality. Since clinical judgment is an interactive phenomenon and dependent on context and culture, it can be affected by many different factors. AIM: To understand the experiences of Iranian nursing students and teachers about the factors influencing nursing students' clinical judgment. MATERIALS AND METHODS: A qualitative study was conducted using a directed content analysis approach. In this study, purposive sampling and semi-structured interviews were applied with seven nursing students, six faculty member teachers and four clinical instructors from Guilan University of Medical Sciences, Gilan, Iran. RESULTS: The factors influencing nursing students' clinical judgment consisted of five main categories including thoughtful behaviour, professional ethics, use of evidence based care, the context of learning environment and individual and professional features of clinical teachers. CONCLUSION: Relying on the results of this research, teachers can create an appropriate educational condition and a safe psychological atmosphere, use instructional strategies strengthening deep thought processes, applying professional ethics and scientific evidence and principles to establish clinical judgment in nursing students.
Keywords:
Critical thinking; Nursing education; Qualitative study