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The psychometric properties of clinical reasoning skills checklist in nursing
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Touba Hossein Zadeh1    , Kian Norouzi Tabrizi2 , Hamid Khankeh3 , reza Khankeh Hamid4 , Forozan Shokooh5 |
1- Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Science ,Rasht, Iran & Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Science ,Rasht, Iran , Tbhosseinzadeh1360@gmail.com
2- Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran & Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
3- Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran & Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4- Professor, Department of Health in Disasters & Emergencies, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. & Professor, Department of Health in Disasters & Emergencies, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
5- Assistant Professor, Department of Basic Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran & Assistant Professor, Department of Basic Sciences, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran |
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Abstract: (1996 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. Valid and reliable instruments are necessary to assess and improve these skills. This study aimed to develop and psychometric properties of clinical reasoning skills in nursing.
Materials and Methods: This methodological study was conducted in 2020 in a teaching hospital in the North of Iran. In the first stage, the researchers designed a clinical reasoning skills checklist using a comprehensive literature review. Its face, content, and construct (convergent) validity were assessed with 220 nurses. Reliability was also assessed through the kappa coefficients of agreement. Data were analyzed using the SPSS (v. 20.0) software.
Results: Based on the results of the first and second stages of the study, the final checklist with 22 items was presented in 4 domains: Awareness of signs and Identification of the situation, Data organization and Confirmation of problems, Establish goals and Implementation of actions, Evaluation and Reflection on the process. The content validity of clinical reasoning skills was CVI=0.81 and S-CVI=0.97. Moreover, the reliability of the checklist was confirmed as 0.79 by the Kappa coefficient, which indicated a high level of agreement between the evaluators.
Conclusion: The research findings show the checklist’s face validity, content validity, construct validity, and appropriate reliability. The designed checklist can help nursing policy makers and mentors identify the need to develop 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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Full-Text [PDF 554 kb]
(42 Downloads)
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Type of Study: Original Research |
Subject:
Medical ٍEducation
Received: 2023/08/14 | Accepted: 2024/10/8 | Published: 2025/12/30
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Ethics code: IR.USWR.REC.1399.073
Hossein Zadeh T, Norouzi Tabrizi K, Khankeh H, Khankeh Hamid R, Shokooh F. The psychometric properties of clinical reasoning skills checklist in nursing. SJKU 2025; 30 (3) :62-75 URL: http://sjku.muk.ac.ir/article-1-8039-en.html
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