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journal article Oct 12, 2015

The development and psychometric testing of a theory‐based instrument to evaluate nurses’ perception of clinical reasoning competence

Shwu‐Ru Liou Hsiu‐Chen Liu Hsiu‐Min Tsai Ying‐Huang Tsai Yu‐Ching Lin Chia‐Hao Chang Ching‐Yu Cheng
Journal of Advanced Nursing Vol. 72 No. 3 pp. 707-717 · Wiley
View at Publisher Save 10.1111/jan.12831
Abstract
AbstractAimThe purpose of the study was to develop and psychometrically test the Nurses Clinical Reasoning Scale.BackgroundClinical reasoning is an essential skill for providing safe and quality patient care. Identifying pre‐graduates’ and nurses’ needs and designing training courses to improve their clinical reasoning competence becomes a critical task. However, there is no instrument focusing on clinical reasoning in the nursing profession.DesignCross‐sectional design was used. This study included the development of the scale, a pilot study that preliminary tested the readability and reliability of the developed scale and a main study that implemented and tested the psychometric properties of the developed scale.MethodThe Nurses Clinical Reasoning Scale was developed based on the Clinical Reasoning Model. The scale includes 15 items using a Likert five‐point scale. Data were collected from 2013–2014. Two hundred and fifty‐one participants comprising clinical nurses and nursing pre‐graduates completed and returned the questionnaires in the main study. The instrument was tested for internal consistency and test–retest reliability. Its validity was tested with content, construct and known‐groups validity.ResultsOne factor emerged from the factor analysis. The known‐groups validity was confirmed. The Cronbach's alpha for the entire instrument was 0·9.ConclusionThe reliability and validity of the Nurses Clinical Reasoning Scale were supported. The scale is a useful tool and can be easily administered for the self‐assessment of clinical reasoning competence of clinical nurses and future baccalaureate nursing graduates. Study limitations and further recommendations are discussed.
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Metrics
83
Citations
44
References
Details
Published
Oct 12, 2015
Vol/Issue
72(3)
Pages
707-717
License
View
Authors
S
Shwu‐Ru Liou

Chang Gung University of Science and Technology Chiayi Taiwan

H
Hsiu‐Chen Liu

Chang Gung University of Science and Technology Chiayi Taiwan

H
Hsiu‐Min Tsai

Chang Gung University of Science and Technology Kwei‐shan Taoyuan Taiwan

Y
Ying‐Huang Tsai

Chiayi Chang Gung Memorial Hospital Chiayi Taiwan

Y
Yu‐Ching Lin

Chiayi Chang Gung Memorial Hospital Chiayi Taiwan

C
Chia‐Hao Chang

Chang Gung University of Science and Technology Chiayi Taiwan

C
Ching‐Yu Cheng

Chang Gung University of Science and Technology Chiayi Taiwan

Funding
Chang-Gung Medical Research Program Award: CMRPF6C0041
Cite This Article
Shwu‐Ru Liou, Hsiu‐Chen Liu, Hsiu‐Min Tsai, et al. (2015). The development and psychometric testing of a theory‐based instrument to evaluate nurses’ perception of clinical reasoning competence. Journal of Advanced Nursing, 72(3), 707-717. https://doi.org/10.1111/jan.12831
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