护理专业学生临床推理能力的概念分析

doi:10.3761/j.issn.1672-9234.2026.04.013

Abstract

Abstract:

Objective To clarify the definition and connotation of the concept of clinical reasoning ability in nursing students. Methods Related literature on clinical reasoning ability in nursing students was systematically retrieved from CNKI，Wanfang，VIP，SinoMed，PubMed，Cochrane Library，ClNAHL，and Embase. The conceptual analysis method proposed by Walker and Avant was used to analyze the concept of clinical reasoning ability in nursing students. Results The definition of clinical reasoning ability in nursing students included application of theoretical knowledge，extraction of key information，clinical problem identification，continuous reasoning hypothesis，and self-assessment reflection. The leading factors were knowledge base，practical experience，emotional and attitudinal factors，and teaching factors. The outcomes were scientific basis of nursing decisions，nursing quality and satisfaction，team collaboration and quality safety，learning ability and self-confidence，and nursing professional development. The com-mon measurement tools included the Self-Assessment of Clinical Reflection and Reasoning and Script Concordance Test. Conclusion This study clarified the conceptual attributes of clinical reasoning ability in nursing students through conceptual analysis，providing a reference for improving clinical reasoning ability in nursing students and promoting in-depth development of related research.

Key words: Nursing Student, Clinical Reasoning Ability, Concept Analysis

BU Yemeng, SHI Tieying, GUO Yufei, CHENG Huiyan, YU Jiamiao, CAI Yingjie. Conceptual analysis of clinical reasoning ability in nursing students[J].Chinese Journal of Nursing Education, 2026, 23(4): 464-470.

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Conceptual analysis of clinical reasoning ability in nursing students

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