Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Table of Contents - Year : 2017 | Month : May | Volume : 11 | Issue : 5 | Page : JC01 - JC04

Factors Influencing Nursing Studentsí Clinical Judgment: A Qualitative Directed Content Analysis in an Iranian Context JC01-JC04

Moluk Pouralizadeh, Hamidreza Khankeh, Abbas Ebadi, Asghar Dalvandi

Correspondence
Dr. Hamidreza Khankeh,
Professor, Research Center of Emergency and Disaster Health,
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
E-mail: ha.khankeh@uswr.ac,ir, hamid.khankeh@ki.se;map87_pour@yahoo.com

Introduction: Clinical judgment is necessary for clinical decision making and enhancing it in nursing students improves health care quality. Since clinical judgment is an interactive phenomenon and dependent on context and culture, it can be affected by many different factors.

Aim: To understand the experiences of Iranian nursing students and teachers about the factors influencing nursing studentsí clinical judgment.

Materials and Methods: A qualitative study was conducted using a directed content analysis approach. In this study, purposive sampling and semi-structured interviews were applied with seven nursing students, six faculty member teachers and four clinical instructors from Guilan University of Medical Sciences, Gilan, Iran.

Results: The factors influencing nursing studentsí clinical judgment consisted of five main categories including thoughtful behaviour, professional ethics, use of evidence based care, the context of learning environment and individual and professional features of clinical teachers.

Conclusion: Relying on the results of this research, teachers can create an appropriate educational condition and a safe psychological atmosphere, use instructional strategies strengthening deep thought processes, applying professional ethics and scientific evidence and principles to establish clinical judgment in nursing students.