Table 1 The components and steps of the CR skills development action plan
From: A clinical reasoning skills development plan for coronary care nurse: an action research
Components | Steps |
|---|---|
Efficiency of nursing education | An integrative literature review on CR skills development in nursing; Creating the list of CCU nurses’ educational needs based on the results of the literature review and need assessment; Developing a CCU educational booklet based on the main syllabus of coronary care nursing education; Developing evidence-based clinical guideline based on the newest cardiac nursing textbooks and guidelines; Determining the most appropriate strategies and models for educating CR skills in nursing; Development and psychometric evaluation of the Nurses’ Clinical Reasoning Skills Checklist; Assessing nurses’ CR skills using the Nurses’ Clinical Reasoning Skills Checklist and the NCRS at the beginning of the study; Conducting educational workshops on thinking skills in nursing, the nursing process, and management of cardiovascular disease to empower nurses; Assessment of nurses’ CR skills using the checklist and the scale after the action plan; Providing and discussing the findings |
Effective nursing management | Conducting a qualitative study and determining the strategies to promote effective management; Holding regular weekly sessions with the nursing manager and CCU nurses; Valuing professional nursing practice through written incentives by the hospital dean; Promoting participatory care through joint planning, joint interventions, and group evaluation; Supporting quality care delivery based on the expected responsibilities; Recruitment of experienced staff to perform responsibilities; Balanced distribution of nursing staff in all work shifts based on patients’ conditions and needs; Determining the requirements of nursing documentation based on the regulations of the Ministry of Health and excluding unnecessary documentations; Designing structured nursing documentation sheets with the collaboration of the educational committee of the study setting; Providing and discussing the findings |
Personal professional development | Conducting a qualitative study and determining the challenges of and the strategies for CR skills development; Selecting two experienced and competent CCU nurses as mentors by the nursing manager; Conducting educational workshops on professional commitment and ethics; Supervising and guiding nurses’ practice in providing standard and ethical care; Conducting educational workshops on using the nursing process; Supervising the use of the nursing process by the head nurse and supervisors; Incentive for nurses who actively engaged in using the nursing process; Conducting educational workshops on interpersonal and professional communication skills; Making the necessary arrangements to ensure the continuity of the participatory care plan; Providing nurses with the opportunity to have clinical rounds with physicians and nursing faculties; Providing and discussing the findings |