Revista Brasileira de Enfermagem ()

Perceptions of senior nursing students regarding clinical decision-making

  • Maria de Fátima Mendes Marques,
  • Carlos Lopes Alves Henriques Pina David,
  • Maria Anabela Ferreira dos Santos,
  • Sandra Cristina da Silva Neves,
  • Maria Jose Fonseca Pinheiro,
  • Maria Teresa Sarreira Leal

DOI
https://doi.org/10.1590/0034-7167-2020-0921

Abstract

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ABSTRACT Objectives: to understand the perceptions of senior students in an undergraduate nursing course at a nursing college in Lisbon regarding skills related to clinical decision-making learned during their initial training. Methods: qualitative study, of an exploratory and descriptive nature. Data collection occurred by carrying out a focus group with eight senior students in an undergraduate nursing course. Data treatment applied content analysis, performed with twebQDA® software. Results: data were analyzed according to the four dimensions of Tanner’s model of clinical judgment, and noticing and interpreting stood out as the most influential in clinical decision-making. Theoretical and clinical knowledge, validation of care planning, prioritization, and capacity to discuss and debate about situations emerged as the most representative skills. Final considerations: students make decisions by means of a complex process by using the knowledge and skills learned during their training.

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