Assessment of Pediatric Nurses' Performance Towards Clinical Reasoning Skills in Women's and Children's General Hospital

Abstract

A descriptive study was conducted to assess the clinical reasoning skills of staff working in general women's and children's hospitals, with the aim of identifying the socioeconomic characteristics of the individuals. A group of 60 nurses was selected using random sampling methods. Clinical practitioners participated in this study and collected data using a specially designed questionnaire. Data were collected using questionnaires and interviews as tools. Interviews were conducted with nurses working in the general women's and children's hospital. Each interview lasted 5 to 10 minutes. Data were evaluated using descriptive statistical analysis techniques (frequencies, mean, standard deviation, and cut-off points).

The results revealed a severe shortage of nursing staff, a significant lack of training programs aimed at improving clinical reasoning skills, and a large number of inexperienced nurses working in emergency, intensive care, and resuscitation units. There is a significant deficiency in nurses' knowledge and use of clinical reasoning skills, as evidenced by a frequency rate of 59.09% in questionnaire items. Key recommendations include providing the hospital with specialized nursing staff, enhancing the nursing staff's capabilities, and developing their clinical reasoning skills through increased educational programs focused on clinical reasoning. Additionally, it is essential to strengthen the intensive care unit and staff the units with nurses with experience and competence in clinical practice.