A comprehensive pedagogical strategy to cultivate clinical reasoning and problem-solving skills in nursing education.
To evaluate the effectiveness of the StepUp Learning tool on problem-solving and clinical reasoning skills among first-year undergraduate nursing students. While various pedagogical strategies aim to foster higher-order cognitive skills such as problem-solving and clinical reasoning, these efforts o...
| Publicado en: | Nurse Education in Practice Vol. 92 |
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| Autores principales: | , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Elsevier B.V.
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192906867&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192906867 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14715953 NZT jtl: Nurse Education in Practice issn: 14715953 maglogo: N pubinfo: dt: Mar2026 vid: 92 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 192906867 192906867 192906867 10.1016/j.nepr.2026.104744 192906867 ppct: 1 formats: tig: atl: A comprehensive pedagogical strategy to cultivate clinical reasoning and problem-solving skills in nursing education. aug: au: Wong, Florence Mei Fung Lau, Leonia Hiu Wan Cheng, Kelvin Hai Kiu affil: Tung Wah College, School of Nursing. Room 1605, Tower 2, Kowloon Commerce Centre, 51 Kwai Cheong Road, Kwai Chung, Hong Kong sug: subj: Teaching Methods Clinical Reasoning Education Problem Solving Education Nursing Skills Education, Nursing, Baccalaureate Students, Nursing, Baccalaureate Psychosocial Factors Human Male Female Adult Critical Thinking Self-Efficacy Confidence Learning Experiential Learning Simulations Patient Simulation Computer-Assisted Instruction Quasi-Experimental Studies Parametric Statistics Nonparametric Statistics Self Report Feedback Scales Descriptive Statistics Analysis of Variance Analysis of Covariance Questionnaires Clinical Trials Adult: 19-44 years Male Female ab: To evaluate the effectiveness of the StepUp Learning tool on problem-solving and clinical reasoning skills among first-year undergraduate nursing students. While various pedagogical strategies aim to foster higher-order cognitive skills such as problem-solving and clinical reasoning, these efforts often lack a cohesive theoretical structure. Controlled, quasi-experimental design. Guided by Kolb's Experiential Learning Theory, 124 first-year students were assigned to intervention (n = 62) or control group (n = 62). Data normality and variance homogeneity were tested; parametric or non-parametric tests were used accordingly. The intervention involved interactive lectures, self-assessments via e-learning and short questions, videos with feedback, and high-fidelity patient simulation (HFPS). Outcomes were assessed at three time points using the self-reported Problem-Solving Inventory and Nurses' Clinical Reasoning Scale. The intervention group showed significant improvements in problem-solving, reflected in the Approach-Avoidance Style (t = 2.88, p = 0.006) and Problem-Solving Confidence (t = 4.24, p < 0.001), and clinical reasoning (t = -6.16, p < 0.001). Repeated measures ANOVA confirmed these gains over time, whereas the control group showed no significant changes. After adjusting for baseline, ANCOVA revealed higher post-HFPS clinical reasoning scores in the intervention group (F(1121) = 9.01, p = 0.003). Within-group analyses showed significant pre- to post-HFPS improvements in problem-solving and clinical reasoning (all p < 0.001) for the intervention group only. The StepUp Learning tool, grounded in Kolb's experiential learning cycle, effectively enhances problem-solving and clinical reasoning skills. The findings support the efficacy of a structured, multimodal educational framework that prepares nursing students for complex clinical practice. • Nursing education develops students' problem-solving and clinical reasoning abilities through various teaching pedagogies. • The StepUp Learning tool enhance these two skills with a structured, multimodal approach. • This tool can improve nursing students' clinical competencies through a stepwise, active learning process. • Findings support multimedia reinforcement and simulation-based learning to better prepare students for clinical challenges. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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