Building evidence for the development of clinical reasoning using a rating tool with the Outcome-Present State-Test (OPT) Model

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Robin Bartlett, Associate Professor (Creator)
Donald D. Kautz, Associate Professor (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: As nurses strive to adopt evidence-based practice, those who teach nursing must provide evidence of student learning, both in class and in clinical practicums. The purpose of this study was to describe the use of a tool to rate students’ work in medical-surgical clinical practicums using the Outcome-Present State-Test (OPT) Model of clinical reasoning. The OPT model is a third generation nursing process meta-model designed to assist students in planning and evaluating their nursing care. A sample of 48 students enrolled in a medical-surgical course completed a total of 405 OPT models and Clinical Reasoning Webs, which were re-rated after the students had completed clinical experiences in the course using a new rating tool developed for this study. The rating tool was useful for rating students’ work and noting their development of clinical reasoning skills; however, it needs further refinement and testing. Suggestions are included for faculty members who wish to develop tools for evaluating students’ clinical reasoning.

Additional Information

Publication
The Southern Online Journal of Nursing Research, 9 (1)
Language: English
Date: 2009
Keywords
Outcome-Present State-Test Model, Clinical Reasoning, Nursing Students, Evaluating students work

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