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at risk, clinical reasoning, nursing student, prelicensure nursing program, seminar



  1. Fugate, Stephanie DNP, MSN, ARNP ACNP-BC
  2. Hampton, Debra PhD, MSN, RN, NEA-BC, CENP, FACHE
  3. Ashford, Kristin PhD, WHNP-BC, FAAN
  4. Welsh, Darlene PhD, MSN, RN, FNAP
  5. Marfell, Julie DNP, FNP-BC, FAANP


Background: Clinical reasoning and clinical judgment have been identified as essential skills for the delivery of quality patient care.


Purpose: The purpose of this study was to determine the impact of clinical reasoning seminars (CRSs) on medical-surgical specialty HESI examination scores of high-risk students.


Methods: A retrospective correlational design was used for this study, which involved a review of medical-surgical HESI scores for 115 junior-level baccalaureate nursing students who were identified as academically high-risk and who participated in a series of CRSs.


Results: The participation in CRSs by high-risk students did not have a statistically significant impact on the medical-surgical HESI scores. Students who attended CRSs, however, had a higher mean medical-surgical HESI score than students who did not attend any CRSs.


Conclusion: Although statistical differences were not found, it appears that high-risk students may have benefitted from participation in CRSs.