Ph.D. Student in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Assistant Professor, Medical Surgical Department, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
Medical Surgical Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Associate Professor, Management Department, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Background: The nursing process is a way to develop medical students’ clinical decision-making skills and can be implemented on paper and electronically. The present study aimed to compare the effect of paper-based and electronic nursing processes in the clinical decision-making of nursing students.
Materials and Methods: This quasi-experimental study was carried out on 64 nursing students who were randomly classified into paper-based and electronic groups. The students were undergoing internships in the neurology and thorax departments of Ghaem Hospital in Mashhad, Iran. The intervention was comprised of a training workshop on the nursing process for the two groups. The participants were then asked to implement the nursing process using two methods (paper-based vs. electronic) for two weeks during the course. Every student was assigned to a patient daily and performed the nursing process after examining the patient according to their groups. Students were monitored during the process, and Luari’s clinical decision-making questionnaire was used before and after intervention in the two groups.
Results: 64 nursing students in equal group were participants. Clinical decision-making scores of the paper-based and electronic groups before and after intervention were 65.5 ± 3.2 vs. 63.3 ± 3.4 (range: 24-120), and 72.0 ± 9.2 vs. 78.8 ± 11.0, respectively. It means 9.9% and 24.2% improvements in the paper-based and electronic groups, indicating significant changes (p<0.05).
Conclusion: The students’ clinical decision-making was improved considerably higher in the electronic group. The results showed that the electronic method facilitated the implementation of the nursing process and improved clinical decision-making skills and is thus suggested in teaching the nursing process.