Bae Juyeon, Lee JuHee, Choi Mona, Jang Yeonsoo, Park Chang Gi, Lee Young Joo
Research Institute for Biomedical & Health Science, Department of Nursing, Konkuk University Glocal Campus, Chungwon-daero 268, Chungju-si, Chungcheongbuk-do, 27478, Korea.
Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Yonsei-ro 50, Seodaemun-gu, Seoul, 03722, Korea.
BMC Nurs. 2023 Apr 25;22(1):138. doi: 10.1186/s12912-023-01244-6.
Clinical reasoning is emphasized as an important component of nursing education, since nurses' lack of clinical reasoning leads to incorrect clinical decision-making. Therefore, a tool for measuring clinical reasoning competency needs to be developed.
This methodological study was conducted to develop the Clinical Reasoning Competency Scale (CRCS) and examine its psychometric properties. The attributes and preliminary items of the CRCS were developed based on a systematic literature review and in-depth interviews. The validity and reliability of the scale were evaluated among nurses.
The exploratory factor analysis was conducted for the construct validation. The total explained variance of the CRCS was 52.62%. The CRCS consists of 8 items for plan setting, 11 items for intervention strategy regulation, and 3 items for self-instruction. The Cronbach's α of the CRCS was 0.92. Criterion validity was verified with the Nurse Clinical Reasoning Competence (NCRC). The correlation between the total NCRC and CRCS scores was 0.78, all of which were significant correlations.
The CRCS is expected to provide raw scientific and empirical data for various intervention programs to develop and improve nurses' clinical reasoning competency.
临床推理被视为护理教育的重要组成部分，因为护士缺乏临床推理会导致错误的临床决策。因此，需要开发一种测量临床推理能力的工具。
本方法学研究旨在开发临床推理能力量表（CRCS）并检验其心理测量特性。CRCS的属性和初步项目是基于系统的文献综述和深入访谈而制定的。在护士中评估了该量表的有效性和可靠性。
进行探索性因素分析以进行结构验证。CRCS的总解释方差为52.62%。CRCS包括8个计划制定项目、11个干预策略调整项目和3个自我指导项目。CRCS的Cronbach's α为0.92。通过护士临床推理能力（NCRC）验证了效标效度。NCRC总分与CRCS得分之间的相关性为0.78，均为显著相关。
预计CRCS将为各种干预项目提供原始的科学和实证数据，以培养和提高护士的临床推理能力。
