An Integrative Review of Clinical Reasoning Teaching Strategies and Outcome Evaluation in Nursing Education

This study explored teaching strategies used to promote clinical reasoning in nursing education and identify outcomes used to evaluate effectiveness. The integrative review framework by Whittemore and Knafl (2005) was used in this study. Strategies included simulation (n = 10); active learning strat...

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Published inNursing education perspectives Vol. 40; no. 1; p. 11
Main Authors Brown Tyo, Mirinda, McCurry, Mary K
Format Journal Article
LanguageEnglish
Published United States 01.01.2019
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Abstract This study explored teaching strategies used to promote clinical reasoning in nursing education and identify outcomes used to evaluate effectiveness. The integrative review framework by Whittemore and Knafl (2005) was used in this study. Strategies included simulation (n = 10); active learning strategies such as case studies, reflection, journaling, and collaborative learning (n = 13); teaching strategies such as think aloud or case studies with simulation (n = 12); and experiential or clinical experiences (n = 2). Although most studies used exams, worksheets (n = 19), or observations by clinical instructors (n = 2) to measure effectiveness, some studies (n = 8) also used surveys to measure student satisfaction, engagement, or perception; three studies measured the student's ability to use the instrument. Improving clinical thinking requires development of innovative, effective teaching strategies. Instruments that can accurately evaluate teaching and learning strategies are needed to advance this educational initiative and improve quality of care.
AbstractList This study explored teaching strategies used to promote clinical reasoning in nursing education and identify outcomes used to evaluate effectiveness. The integrative review framework by Whittemore and Knafl (2005) was used in this study. Strategies included simulation (n = 10); active learning strategies such as case studies, reflection, journaling, and collaborative learning (n = 13); teaching strategies such as think aloud or case studies with simulation (n = 12); and experiential or clinical experiences (n = 2). Although most studies used exams, worksheets (n = 19), or observations by clinical instructors (n = 2) to measure effectiveness, some studies (n = 8) also used surveys to measure student satisfaction, engagement, or perception; three studies measured the student's ability to use the instrument. Improving clinical thinking requires development of innovative, effective teaching strategies. Instruments that can accurately evaluate teaching and learning strategies are needed to advance this educational initiative and improve quality of care.
Author Brown Tyo, Mirinda
McCurry, Mary K
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  organization: About the Authors Mirinda Brown Tyo, MSN, TCRN, is a PhD student, University of Massachusetts Dartmouth College of Nursing, Dartmouth, Massachusetts. Mary K. McCurry, PhD, RNC, ANP, ACNP, is an associate professor and adult gerontology PCNP track coordinator, University of Massachusetts Dartmouth College of Nursing. For more information, contact Mirinda Brown Tyo at mtyo@umassd.edu or mirinda.tyo@icloud.com
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