|Title:||Nurses' clinical reasoning during care planning for patients with infectious diseases : a descriptive study using think-aloud technique and protocol analysis|
Hong Kong Polytechnic University -- Dissertations
|Department:||Faculty of Health and Social Sciences|
|Pages:||viii, 82 leaves : ill. ; 30 cm.|
|Abstract:||Think-aloud technique has been developed and used to gather data in usability testing in product design and development, in psychology, and a range of social sciences. This qualitative research aims to compare the clinical reasoning process between expert and novice nurses using think-aloud technique and protocol analysis. Ten nurses (five novices and five experts) were recruited from the infectious disease ward in one of the public hospitals in Hong Kong. Participants were required to finish two computer-based decision-making tasks, and to talk aloud during this period. Their performance was videotaped and then transformed into verbatim transcription. The investigator analysed the concepts and the cognitive strategy used by the participants, and compared the difference in the reasoning process of novices and experts. The reasoning process of the novice and expert participants in the current study was found to be substantially in agreement with each other. Their thinking strategy can be arranged on a continuum from simple to complex. Nevertheless, the expert participants collected information and evaluated the situation in greater detail than the novices; also, the experts can develop a better care plan than their novice colleagues. The results of the study may help the educators know more about the decision-making pattern of the nurses in the infectious disease department, and develop more effective training patterns in the future. The effective clinical training may help the nurses to become more skilful when facing the outbreak of emergency infectious diseases (e.g., SARS and Avian Influenza).|
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