The Impact of Case-Based Education on the Development of Nursing Students' Clinical Reasoning Skills in Managing Critical Illnesses: A Pilot Randomized Controlled Trial.

Background: Nursing students require the development of clinical reasoning (CR) skills to deliver safe and effective care. Aim: This study aimed to determine the effect of case-based education on the development of CR skills among nursing students in managing critical illnesses. Methods: The study w...

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Publicado en:Journal of Education & Research in Nursing / Hemşirelikte Eğitim ve Araştırma Dergisi Vol. 21; no. 2; pp. 144 - 156
Autores principales: Birge, Ayşegül Öztürk, Kutlutürkan, Sevinç
Formato: case study forms research tables/charts randomized controlled trial Journal Article
Publicado: Hemsirelikte Egitim ve Arastirma Dergisi Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
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      pub: Hemsirelikte Egitim ve Arastirma Dergisi
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        atl: The Impact of Case-Based Education on the Development of Nursing Students' Clinical Reasoning Skills in Managing Critical Illnesses: A Pilot Randomized Controlled Trial.
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          Birge, Ayşegül Öztürk
          Kutlutürkan, Sevinç
        affil: Ankara University Faculty of Nursing, Ankara, Türkiye
      sug:
        subj:
          Problem-Based Learning Evaluation
          Students, Nursing
          Clinical Reasoning Education
          Critical Illness
          Clinical Competence
          Human
          Randomized Controlled Trials
          Pilot Studies
          Questionnaires
          Fisher's Exact Test
          Paired T-Tests
          Causal Modeling
          Pretest-Posttest Control Group Design
          Random Assignment
          Data Analysis Software
          Mann-Whitney U Test
          Nonparametric Statistics
          Female
          Male
          Aged
          Facial Paralysis Etiology
          Hemiplegia Etiology
          Aged: 65+ years
          Female
          Male
      ab: Background: Nursing students require the development of clinical reasoning (CR) skills to deliver safe and effective care. Aim: This study aimed to determine the effect of case-based education on the development of CR skills among nursing students in managing critical illnesses. Methods: The study was conducted from January 20 to June 30, 2021, utilizing a pilot randomized controlled trial design. Twenty-two volunteer students were assigned to either the experimental or control groups through simple randomization. Data were collected using a Student Information Form, the Clinical Reasoning Case Form (CRCF), the Student Satisfaction with Education Questionnaire, and a Form for Views on Education. The data were analyzed using frequency values, Fisher's exact test, paired/independent samples t-test, Cohen's d coefficient for effect size, intention-to-treat (ITT) analysis, and covariance analysis. Results: The intervention and control groups were similar in terms of descriptive characteristics (P>0.05), and no significant difference was found between the groups in the pretest scores of the CRCF (P=0.351). In the intervention group, the posttest CR scores significantly increased following the education (P=0.015) with a large effect size [d=0.88 (-1.72-0.02)]. ITT analysis was conducted as one student from the control group did not complete the posttest. The results of the per-protocol and ITT analyses were similar. According to covariance analysis, the pretest scores did not affect posttest scores (P=0.155, η2=0.109). This study was registered on ClinicalTrials.gov with the number NCT05504824. Conclusion: Case-based education was found to be effective in enhancing the CR skills of nursing students in critical illnesses.
      pubtype: Academic Journal
      doctype:
        case study
        forms
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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