Volume 21, Issue 2 (6-2024)
J Res Dev Nurs Midw 2024, 21(2): 33-36 |
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Ethics code: IR.TBZMED.REC.1399.1034
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Baradarani T, Roshangar F, Jabbarzadeh Tabrizi F, Sarbakhsh P, Parvan K. Diagnostic thinking and its association with clinical competence among Iranian nurses in emergency departments. J Res Dev Nurs Midw 2024; 21 (2) :33-36
URL: http://nmj.goums.ac.ir/article-1-1672-en.html
URL: http://nmj.goums.ac.ir/article-1-1672-en.html
Tannaz Baradarani1 
, Fariborz Roshangar 2, Faranak Jabbarzadeh Tabrizi1 , Parvin Sarbakhsh3 , Kobra Parvan4
, Fariborz Roshangar 2, Faranak Jabbarzadeh Tabrizi1 , Parvin Sarbakhsh3 , Kobra Parvan4
1- Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran ,fariborzroshangar@gmail.com
3- Department of Statistics and Epidemiology, Faculty of Health Science, Tabriz University of Medical Sciences, Tabriz, Iran
4- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran ,
3- Department of Statistics and Epidemiology, Faculty of Health Science, Tabriz University of Medical Sciences, Tabriz, Iran
4- Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract: (500 Views)
Background: Diagnostic thinking and clinical competence are the two main domains of efficient nursing care. This study assessed the association between diagnostic thinking and clinical competence among emergency nurses.
Methods: The present correlation study was conducted in 2020 on 113 nurses working in emergency departments in a northwestern province of Iran over two consecutive years. A stratified random sampling method was used for recruiting nurses. Data was gathered via a demographic questionnaire, the Diagnostic Thinking Inventory, and the Nurse Competence Scale and analyzed using the SPSS 18 software. Pearson's correlation assessed the association between the nurses' diagnostic thinking and clinical competence at a significance level of 0.05.
Results: According to the findings, the nurses’ diagnostic thinking abilities were poor (154.15 ±15.73, range of 150-155), while their clinical competence was good (61.62±18.97, range of 51-75). Significant correlations emerged between thinking flexibility, work role (r=0.22, p=0.017), and memory structure. In addition, thinking flexibility was significantly associated with work role (r=0.22, P=0.017), and memory structure was correlated with teaching-coaching function (r=0.22, P=0.015), diagnostic functions (r=0.25, P=0.006), management of situations (r=0.45, P=0.0001), therapeutic interventions (r=0.42, P=0.0001), regimens (r=0.18, P=0.056), and work role (r=0.4, P=0.0001).
Conclusion: Amplifying thinking procedures and using diagnostic thinking patterns enhance emergency nurses' practice, performance, and clinical competence and promote nursing care. Lecturers and planners must employ modern educational methods to increase nurses' thinking skills and clinical competence.
Methods: The present correlation study was conducted in 2020 on 113 nurses working in emergency departments in a northwestern province of Iran over two consecutive years. A stratified random sampling method was used for recruiting nurses. Data was gathered via a demographic questionnaire, the Diagnostic Thinking Inventory, and the Nurse Competence Scale and analyzed using the SPSS 18 software. Pearson's correlation assessed the association between the nurses' diagnostic thinking and clinical competence at a significance level of 0.05.
Results: According to the findings, the nurses’ diagnostic thinking abilities were poor (154.15 ±15.73, range of 150-155), while their clinical competence was good (61.62±18.97, range of 51-75). Significant correlations emerged between thinking flexibility, work role (r=0.22, p=0.017), and memory structure. In addition, thinking flexibility was significantly associated with work role (r=0.22, P=0.017), and memory structure was correlated with teaching-coaching function (r=0.22, P=0.015), diagnostic functions (r=0.25, P=0.006), management of situations (r=0.45, P=0.0001), therapeutic interventions (r=0.42, P=0.0001), regimens (r=0.18, P=0.056), and work role (r=0.4, P=0.0001).
Conclusion: Amplifying thinking procedures and using diagnostic thinking patterns enhance emergency nurses' practice, performance, and clinical competence and promote nursing care. Lecturers and planners must employ modern educational methods to increase nurses' thinking skills and clinical competence.
perspective: Original Article |
Subject:
Nursing
References
1. Rosser E, Westcott L, Ali PA, Bosanquet J, Castro‐Sanchez E, Dewing J, et al. The need for visible nursing leadership during COVID‐19. J Nurs Scholarsh. 2020;52(5):459-61. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. Potter PA, Perry AG, Stockert PA, Hall A. Fundamentals of nursing-e-book. Canada:Elsevier health sciences;2021. [View at Publisher] [Google Scholar]
3. Bos‐van den Hoek DW, Thodé M, Jongerden IP, Van Laarhoven HW, Smets EM, Tange D, et al. The role of hospital nurses in shared decision‐making about life‐prolonging treatment: A qualitative interview study. J Adv Nurs. 2021;77(1):296-307. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. James AH, Bennett CL. Effective nurse leadership in times of crisis. Nurs Manag (Harrow). 2020;27(4):32-40. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Berg C, Philipp R, Taff SD. Scoping review of critical thinking literature in healthcare education. Occup Ther Health Care. 2023;37(1):18-39. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. McPhillips H, Wood AF, Harper-McDonald B. Critical thinking and diagnostic reasoning when advanced practitioners assess and treat skin conditions. Br J Nurs. 2021;30(22):1278-86. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Ramaswamy T, Sparling JL, Chang MG, Bittner EA. Ten misconceptions regarding decision-making in critical care. World J Crit Care Med. 2024;13(2):89644. [View at Publisher] [DOI] [PMID] [Google Scholar]
8. Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. [View at Publisher] [DOI] [PMID] [Google Scholar]
9. Al-Azri NH. How to think like an emergency care provider: a conceptual mental model for decision making in emergency care. Int J Emerg Med. 2020;13(1):17. [View at Publisher] [DOI] [PMID] [Google Scholar]
10. Noguchi Y, Matsui K, Imura H, Kiyota M, Fukui T. Quantitative evaluation of the diagnostic thinking process in medical students. J Gen Intern Med. 2002;17(11):839-44. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Chang MJ, Chang YJ, Kuo SH, Yang YH, Chou FH. Relationships between critical thinking ability and nursing competence in clinical nurses. J Clin Nurs. 2011;20(21‐22):3224-32. [View at Publisher] [DOI] [PMID] [Google Scholar]
12. Owlia F, Keshmiri F, Kazemipoor M, Rashidi Maybodi F. Assessment of clinical reasoning and diagnostic thinking among dental students. Int J Dent. 2022;2022:1085326. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Lee CY, Jenq CC, Chandratilake M, Chen J, Chen MM, Nishigori H, et al. A scoping review of clinical reasoning research with Asian healthcare professionals. Adv Health Sci Educ Theory Pract. 2021;26(5):1555-79. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. Almisnid KM. Assessment of Clinical Competence: Implementation of the Objective Structured Clinical Examination (OSCE) in Saudi Medical Schools: University of Leeds; 2023. [View at Publisher] [Google Scholar]
15. Kielo-Viljamaa E, Stolt M, Suhonen R, Eds. Wound Care Education in Nursing: A European Perspective. Switzerland:Springer;2024. p.17-27. [View at Publisher] [DOI] [Google Scholar]
16. Rousse BS, Dreyfus SE. Teaching and Learning for Adult Skill Acquisition: Applying the Dreyfus and Dreyfus Model in Different Fields. Charlotte, NC, USA. 2021;215. [View at paplisher] [Google Scholar]
17. Øvrebø LJ, Dyrstad DN, Hansen BS. Assessment methods and tools to evaluate postgraduate critical care nursing students' competence in clinical placement. An integrative review. Nurse Educ Pract. 2022;58:103258. [View at Publisher] [DOI] [PMID] [Google Scholar]
18. O'Sullivan TL, Dow D, Turner MC, Lemyre L, Corneil W, Krewski D, et al. Disaster and emergency management: Canadian nurses' perceptions of preparedness on hospital front lines. Prehosp Disaster Med. 2008;23(3):s11-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
19. Cheraghi MA, Nikbakhat Nasabadi AR, Mohammad Nejad E, Salari A, Ehsani Kouhi Kheyli SR. Medication errors among nurses in intensive care units (ICU). J Mazandaran Univ Med Sci. 2011;20(1):115-9. [View at Publisher] [Google Scholar]
20. Mahreini M, Moatary M, Akaberian S, Mirzaie K. Determining nurses' clinical competence in hospitals of Bushehr University of Medical Sciences by self assessment method. Iran South Med J. 2008;11(1):69-75. [View at Publisher] [Google Scholar]
21. Kicklighter T, Barnum M, Geisler PR, Martin M. Validation of the quantitative diagnostic thinking inventory for athletic training: a pilot study. Athletic Training Education Journal. 2016;11(1):58-67. [View at Publisher] [DOI] [Google Scholar]
22. Rahayu GR, McAleer S. Clinical reasoning of Indonesian medical students as measured by diagnostic thinking inventory. South East Asian journal of medical education. 2008;2(1):42-7. [View at Publisher] [DOI] [Google Scholar]
23. Moss E. Examining the relationship between self-reported competence and caring efficacy in registered nurses 2018. [Dissertation] [View at Publisher] [Google Scholar]
24. Hassankhani H, Hasanzadeh F, Powers KA, Zadeh AD, Rajaie R. Clinical skills performed by Iranian emergency nurses: Perceived competency levels and attitudes toward expanding professional roles. J Emerg Nurs. 2018;44(2):156-63. [View at Publisher] [DOI] [PMID] [Google Scholar]
25. Keshmiri F, Owlia F, Kazemipoor M, Meybodi FR. Assessment of clinical reasoning and diagnostic thinking among dental students. 2021. [Preprint] [View at Publisher] [DOI] [Google Scholar]
26. Akbari R, Arabshahi S, Monajemi A. Evaluation of the Effect of Scenario writing on the Clinical Reasoning Ability of Medical Trainees in the Internal Rotation Using KF and DTI Methods. Medical Education Journal (mededj). 2022;10(2):91-104. [View at Publisher] [DOI] [Google Scholar]
27. Van Nguyen T, Liu HE. Factors associated with the critical thinking ability of professional nurses: A cross‐sectional study. Nurs Open. 2021;8(4):1970-80. [View at Publisher] [DOI] [PMID] [Google Scholar]
28. Jalalian F, Hosseininejad SM, Montazer SH, Hesamzadeh A. Emergency Department Nurses' clinical competence and its related factors: A cross-sectional study. Asia Pacific Journal of Health Management. 2023;18(3):49-54. [View at Publisher] [DOI] [Google Scholar]
29. Salameh B, Amarneh DBS, Abdallah J, Ayed A, Hammad BM. Evaluation of clinical competence and job satisfaction and their related factors among emergency nurses in Palestinian hospitals. SAGE Open Nurs. 2023;9:23779608231208581. [View at Publisher] [DOI] [PMID] [Google Scholar]
30. Vand Tamadoni B, Shahbazi S, Seyedrasooli A, Gilani N, Gholizadeh L. A survey of clinical competence of new nurses working in emergency department in Iran: A descriptive, cross‐sectional study. Nurs Open. 2020;7(6):1896-901. [View at Publisher] [DOI] [PMID] [Google Scholar]
31. Adib HM, Eshraghi AN. Assessing nurses' clinical competence from their own viewpoint and the viewpoint of head nurses: A descriptive study. Iran Journal of Nursing (IJN). 2018;31(111):52-64. [View at Publisher] [DOI] [Google Scholar]
32. AlRashedi HN, Alshammari B, AlOtaibi M, AlRashedi F, Alanazi N, AlOtaiby E, et al. Self-rated emergency core nursing competencies among emergency nurses in Qassim, Saudi Arabia. Cureus. 2022;14(12):e32416. [View at Publisher] [DOI] [PMID] [Google Scholar]
33. Zeydi AE, Ghazanfari MJ, Azizi E, Darvishi-Khezri H, Mortazavi H, Osuji J, et al. Clinical competence of Iranian nurses: A systematic review and meta-analysis. J Educ Health Promot. 2022;11(1):102. [View at Publisher] [DOI] [PMID] [Google Scholar]
34. Nabizadeh-Gharghozar Z, Alavi NM, Ajorpaz NM. Clinical competence in nursing: a hybrid concept analysis. Nurse Educ Today. 2021;97:104728. [View at Publisher] [DOI] [PMID] [Google Scholar]
35. Chen Q, Liu D, Zhou C, Tang S. Relationship between critical thinking disposition and research competence among clinical nurses: A cross‐sectional study. Journal of Clinical Nursing. 2020;29(7-8):1332-40. [View at Publisher] [DOI] [PMID] [Google Scholar]
36. Orujlu S, Hemmati Maslakpak M. Assessing the relationship between critical thinking and self-efficacy of nursing student. Journal of Nursing Education. 2017;5(6):11-7. [View at Publisher] [DOI] [Google Scholar]
37. Yu M, Tong H, Li S, Wu XV, Hong J, Wang W. Clinical competence and its association with self-efficacy and clinical learning environments among Chinese undergraduate nursing students. Nurs Educ Pract. 2021;53:103055. [View at Publisher] [DOI] [PMID] [Google Scholar]
38. Salehi S, Bahrami M, Hosseini S, Akhondzadeh K. Critical thinking and clinical decision making in nurse. Iranian Journal of Nursing and Midwifery Research. 2008;12(1):13-6. [View at Publisher] [Google Scholar]
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