Clinical Reasoning and Its Relationship With Innovation in Nurses Working in the Emergency Departments of Hospitals in Tabriz, Iran

Abstract

Background & Aims Emergency department nurses should be trained people with high knowledge, skills, innovativeness, and ablity to judge and make decisions in critical clinical situations. This study aims to determine clinical reasoning level and its relationship with innovation in nurses working in the emergency departments of hospitals in Tabriz, Iran. Materials & Methods In this descriptive-correlational study conducted in autumn 2021, 170 nurses working in all emergency departments of hospitals in Tabriz city were included by stratified random sampling method. Data were collected using Liou et al.’s clinical reasoning scale and the Hurt-Joseph-Cook innovativeness Scale. The data analysis was done using Pearson correlation test, t-test, ANOVA, and linear regression analysis in SPSS software, version 26. Results The mean age of participants was 34.54±6.97; most of them were female (56.5%) and married (69.4%) with permament employment (56.5%). The mean scores of clinical reasoning and innovation were 60.91±7.079 (Ranged 15-75), and 102.11±10.26 (Ranged 20-140), respectively. The results showed a significant relationship between clinical reasoning and innovation (P<0.001). After adjusting the effects of confounding variables, for every one unit increase in clinical reasoning score, the innovation score increased by 0.35 units. Conclusion There is a significant relationship between clinical reasoning and innovation in emergency department nurses. Nursing professors should provide the ground for learning and strengthening these two important concepts in nursing students.

Keywords

• clinical reasoning
• innovation
• emergency department
• nurses