Do prelicensure nursing students' backgrounds impact what they notice and interpret about patients?

Kathie Lasater, Kathy Holloway, Samuel Lapkin, Michelle Kelly, Belinda McGrath, Ann Nielsen, Sydnee Stoyles, Nathan Dieckmann, Molly Campbell

Research output: Contribution to journalArticle

Abstract

Background: Academic educators are challenged to foster the development of clinical judgment in diverse learners. The impact of nursing students' backgrounds on clinical judgment has not previously been studied. Aims: 1. Determine what identifiable background variables influence what students notice and how they interpret what is noticed; 2. Identify some implications for pedagogical approaches that may foster clinical judgment development among diverse learners. Sample: Prelicensure/preregistration students, representing three international English-speaking programs in 3 countries, comprised the sample (N = 532). All were enrolled in the first course in which perioperative content was taught. Data collection: An online learning activity was designed to elicit responses to a simulated case study of an expert nurse role model caring for an older adult patient experiencing delirium several days post-operatively. Data analysis: Dyads of coders did three rounds of coding. Logistic and multinomial logistic regression models used background variables to look for patterns in student responses. Findings: The data strongly suggest that background variables impact clinical judgment, however, not in interpretable patterns. Conclusion: Nurse educators must acknowledge that prelicensure students' backgrounds impact their clinical judgment and assist them to learn to think like nurses.

Original languageEnglish (US)
Pages (from-to)37-43
Number of pages7
JournalNurse education today
Volume78
DOIs
StatePublished - Jul 1 2019

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Nursing Students
nursing
Students
nurse
student
Logistic Models
logistics
Nurses
educator
Delirium
Nurse's Role
role model
dyad
speaking
coding
data analysis
Learning
expert
regression
learning

Keywords

  • Clinical judgment
  • Learning activity
  • New graduate nurse
  • Simulation

ASJC Scopus subject areas

  • Nursing(all)
  • Education

Cite this

Do prelicensure nursing students' backgrounds impact what they notice and interpret about patients? / Lasater, Kathie; Holloway, Kathy; Lapkin, Samuel; Kelly, Michelle; McGrath, Belinda; Nielsen, Ann; Stoyles, Sydnee; Dieckmann, Nathan; Campbell, Molly.

In: Nurse education today, Vol. 78, 01.07.2019, p. 37-43.

Research output: Contribution to journalArticle

Lasater, Kathie ; Holloway, Kathy ; Lapkin, Samuel ; Kelly, Michelle ; McGrath, Belinda ; Nielsen, Ann ; Stoyles, Sydnee ; Dieckmann, Nathan ; Campbell, Molly. / Do prelicensure nursing students' backgrounds impact what they notice and interpret about patients?. In: Nurse education today. 2019 ; Vol. 78. pp. 37-43.
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