Practice Rational Care Model: It’s Effect on Students’ Clinical Reasoning and Practical Skills at Maternity Nursing Department | ||||
| Egyptian Journal of Health Care | ||||
| Volume 16, Issue 2, June 2025, Page 488-506 PDF (645.47 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2025.430006 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Amira Morsy Yousif1; Sanaa Ghareeb Ahmed2 | ||||
| 1Assistant Professor of Maternal and Neonatal Health Nursing, Faculty of Nursing, Ain Shams University | ||||
| 2Lecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Ain Shams University | ||||
| Abstract | ||||
| Clinical reasoning is the dominant of clinical practice, strengthening nursing students' abilities to gather, analyze, and interpret information, leading to hypothesis generation. Crucially, it is necessary for patient safety and a vital component of nursing competence. Aim of the study: To evaluate the impact of the Practice Rational Care (PRC) model on the clinical reasoning and practical skills of students in the maternity nursing department. Study design: A quasi-experimental design was employed in this study. Setting: The study was conducted in the inpatient postnatal departments at Ain Shams Maternity University Hospital. Sample: simple random sampling method was utilized to select 66 maternal nursing students from a total of 266 students enrolled in the Maternal and Neonatal Health Nursing Department during the first semester of the 2024-2025 academic years. Tools of data collection: Three instruments were utilized in this study: a self-administered interview questionnaire, the Clinical Reasoning Assessment Tool (CRAT), and a rubric-based evaluation tool for clinical performance. Results: Prior to implementing the Practice Rational Care (PRC) model, 50.0% of the participants demonstrated a need to enhance their clinical reasoning skills. After implementation, 51.6% of the students exhibited strong clinical reasoning abilities. Additionally, 54.2% of the students showed unsatisfactory clinical practical skills before the intervention, whereas 62.5% achieved an excellent level of clinical practical skills following the PRC model implementation. Statistical analysis revealed a highly significant increase in the overall mean scores for clinical reasoning skills and the content knowledge subsection after applying the PRC model (P=0.002 and P=0.001, respectively). Moreover, there were significant improvements in the mean scores for procedural knowledge/psychomotor skills and the conceptual reasoning subsection post-intervention (P=0.01 for both).Conclusion: The implementation of the Practice Rational Care (PRC) model had a positive impact on the clinical reasoning and practical skills of maternity nursing students. Recommendations: It is recommended to integrate the Practice Rational Care model as an innovative teaching strategy within maternity nursing clinical education to enhance students' clinical reasoning abilities. | ||||
| Keywords | ||||
| Clinical reasoning skills; maternity nursing; practical skills; practical rational care model | ||||
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