Keywords

abductive reasoning, clinical reasoning, hypothesis generation, hypothetico-deductive reasoning, nursing students

 

Authors

  1. Mirza, Noeman A. PhD, RN
  2. Akhtar-Danesh, Noori PhD
  3. Noesgaard, Charlotte MScN, RN
  4. Martin, Lynn EdD, RN
  5. Byrne, Carolyn PhD, RN

Abstract

Background: Hypothetico-deductive reasoning used by novice nurses could limit their ability to explain a presenting care situation in its entirety. Hence, scholars recommend the use of abductive reasoning as an alternative approach.

 

Purpose: This study explored the effects of abductive reasoning training on baccalaureate nursing students' hypothesis generation abilities.

 

Method: Through a pretest-posttest study, we delivered educational training on abductive reasoning and examined hypothesis accuracy, expertise, and breadth. Participants generated scenario-specific hypotheses before and after the training. Academic content experts validated the scenarios, and 2 independent raters scored participants' hypotheses.

 

Results: Twenty first- and second-year nursing students participated in this pilot study. Posttest scores showed a significant improvement in participants' hypothesis generation abilities: accuracy (P < .001), expertise (P < .001), and breadth (P = .006).

 

Conclusion: Abductive reasoning training in nursing education may improve students' hypothesis generation abilities.