Improving Clinical Reasoning Skills by Implementing the OPT Model

<p> Clinical reasoning is the cognitive process and strategies used to understand the significant patient data to identify and diagnose actual or potential problems in order to make competent clinical decisions that will affect patient outcomes (Fonteyn & Ritter, 2000). The purpose of...

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Main Author:	Junkin, Victoria
Language:	EN
Published:	The University of Alabama 2018
Subjects:	Education\|Nursing\|Health education
Online Access:	http://pqdtopen.proquest.com/#viewpdf?dispub=10830485

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spelling	ndltd-PROQUEST-oai-pqdtoai.proquest.com-108304852018-10-18T16:13:42Z Improving Clinical Reasoning Skills by Implementing the OPT Model Junkin, Victoria Education\|Nursing\|Health education <p> Clinical reasoning is the cognitive process and strategies used to understand the significant patient data to identify and diagnose actual or potential problems in order to make competent clinical decisions that will affect patient outcomes (Fonteyn & Ritter, 2000). The purpose of the study was to determine if implementing the Outcome-Present State Test Model of Clinical Reasoning with guided reflection activities was an effective method to improve clinical reasoning skills in senior nursing students at a large southeastern university. The overall research questions involve comparing participants Health Sciences Reasoning Test scores before and after implementation of the OPT Model as clinical paperwork, secondly the experimental group was given a guided reflection activity to complete in conjunction with use of the OPT Model during clinical experience. </p><p> Kolb’s Experiential Learning Theory is the theoretical framework used throughout this study. Nursing education has historically blended didactic learning with clinical experiences to transfer knowledge. The OPT offers a frame to organize thoughts and guides the learner to decide what data is important to each patient situation. </p><p> This study reports the findings for 62 senior nursing students that completed the HSRT prior to implementation of the OPT Model and a guided reflection activity. Clinical instructor’s scored participants using the Lasater’s Clinical Judgment Rubric each week. There were no statistically significant differences between the experimental group and the control group. The only statistically significant difference that was identified was in the Lasater’s Clinical Judgment Rubric scores between week one and week 2, and week 3 and week 4.</p><p> The University of Alabama 2018-10-12 00:00:00.0 thesis http://pqdtopen.proquest.com/#viewpdf?dispub=10830485 EN
collection	NDLTD
language	EN
sources	NDLTD
topic	Education\|Nursing\|Health education
spellingShingle	Education\|Nursing\|Health education Junkin, Victoria Improving Clinical Reasoning Skills by Implementing the OPT Model
description	<p> Clinical reasoning is the cognitive process and strategies used to understand the significant patient data to identify and diagnose actual or potential problems in order to make competent clinical decisions that will affect patient outcomes (Fonteyn & Ritter, 2000). The purpose of the study was to determine if implementing the Outcome-Present State Test Model of Clinical Reasoning with guided reflection activities was an effective method to improve clinical reasoning skills in senior nursing students at a large southeastern university. The overall research questions involve comparing participants Health Sciences Reasoning Test scores before and after implementation of the OPT Model as clinical paperwork, secondly the experimental group was given a guided reflection activity to complete in conjunction with use of the OPT Model during clinical experience. </p><p> Kolb’s Experiential Learning Theory is the theoretical framework used throughout this study. Nursing education has historically blended didactic learning with clinical experiences to transfer knowledge. The OPT offers a frame to organize thoughts and guides the learner to decide what data is important to each patient situation. </p><p> This study reports the findings for 62 senior nursing students that completed the HSRT prior to implementation of the OPT Model and a guided reflection activity. Clinical instructor’s scored participants using the Lasater’s Clinical Judgment Rubric each week. There were no statistically significant differences between the experimental group and the control group. The only statistically significant difference that was identified was in the Lasater’s Clinical Judgment Rubric scores between week one and week 2, and week 3 and week 4.</p><p>
author	Junkin, Victoria
author_facet	Junkin, Victoria
author_sort	Junkin, Victoria
title	Improving Clinical Reasoning Skills by Implementing the OPT Model
title_short	Improving Clinical Reasoning Skills by Implementing the OPT Model
title_full	Improving Clinical Reasoning Skills by Implementing the OPT Model
title_fullStr	Improving Clinical Reasoning Skills by Implementing the OPT Model
title_full_unstemmed	Improving Clinical Reasoning Skills by Implementing the OPT Model
title_sort	improving clinical reasoning skills by implementing the opt model
publisher	The University of Alabama
publishDate	2018
url	http://pqdtopen.proquest.com/#viewpdf?dispub=10830485
work_keys_str_mv	AT junkinvictoria improvingclinicalreasoningskillsbyimplementingtheoptmodel
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Improving Clinical Reasoning Skills by Implementing the OPT Model

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