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The psychometric properties of clinical reasoning skills checklist in nursing
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Hamid Khankeh    |
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Abstract: (523 Views) |
Background and Aim: One of the main goals of nursing education is the improvement of nurses’ clinical reasoning (CR) skills for effective decision making in complex situations. Therefore, Valid and reliable instruments are necessary to assess and improve these skills. The aim of this study was to psychometric properties of clinical reasoning skills in nursing.
Materials and methods: This methodological study was conducted in 2020 in a teaching hospital. In the first stage, the researchers designed clinical reasoning skills checklist using a comprehensive literature review. Its face, content, and construct (convergent) validity were assessed with 220 nurses. Reliability assessed through the kappa coefficients of agreement. Data were analyzed using the SPSS (v. 20.0) software.
Results: Based on the results, the final checklist with 22 items was presented in 4 domains: Awareness of signs and Identification the situation, Data organization and Confirmation of problems, Establish goals and Implementation of actions, Evaluation and Reflection on the process. The content validity Index was 0.81 and Scale Content Validity Index was 0.97. Moreover, the reliability of the checklist was confirmed as 0.79 by the Kappa coefficient, which indicated the high level of agreement between the evaluators.
Conclusion: The findings show the check list’s face validity, content validity, Construct validity and appropriate reliability .The designed check list can help nursing policy makers and mentors identify the need for developing nurses’ clinical reasoning skills and implement need-based educational courses to improve these skills. |
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| Keywords: Clinical reasoning, Nurses, Psychometrics, Checklist |
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Type of Study: Original Research |
Subject:
Medical ٍEducation
Received: 2023/08/14 | Accepted: 2024/10/8
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