Effectiveness of Round by Peers on Critical Thinking and Clinical Decision-Making in Nursing Students

Background: Strengthening critical thinking and clinical decision-making skills is important for nursing. Therefore, it is essential to use appropriate educational methods to influence these factors. This study aimed to assess the impact of peers’ round on nursing students’ clinical decision-making...

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Main Authors: Nasrin Sarabi, Maryam Kiarsi, Shahzad Mehranfard
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:Iranian Journal of Nursing and Midwifery Research
Subjects:
Online Access:https://journals.lww.com/10.4103/ijnmr.ijnmr_363_23
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author Nasrin Sarabi
Maryam Kiarsi
Shahzad Mehranfard
author_facet Nasrin Sarabi
Maryam Kiarsi
Shahzad Mehranfard
author_sort Nasrin Sarabi
collection DOAJ
description Background: Strengthening critical thinking and clinical decision-making skills is important for nursing. Therefore, it is essential to use appropriate educational methods to influence these factors. This study aimed to assess the impact of peers’ round on nursing students’ clinical decision-making and critical thinking abilities. Materials and Methods: In this semi-experimental study, 67 final-year nursing students participated in round meetings at Ganjavian Hospital in Dezful, Iran, from January 2022 to July 2023. They were selected using a census sampling method. After selecting patients from different hospital departments and presenting them in groups of 3–4 individuals, group members collected patient information and used experts’ opinions to present rounds with other students. Before and after the initiation of the program, participants completed critical thinking (18 questions) and clinical decision-making (40 questions) questionnaires. Data were analyzed using the independent t-test, paired t-test, Pearson correlation, and one-way analysis of variance (ANOVA). Results: Rounds by peers improved students’ critical thinking (t66 = 9.52; p < 0.04) and clinical decision-making (t66 = 2.48; p < 0.004) after the intervention. Systematic analysis and re-evaluation of outcomes had the lowest scores. Searching for alternatives and thinking outside the box obtained the highest scores among the questionnaire subscales. There was a relationship between critical thinking and clinical decision-making (r = 0.075; p < 0.001). Conclusions: Considering the effect of round by peers on critical thinking and clinical decision-making in nursing students, nursing schools should employ new methods for the clinical training of their students.
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spelling doaj-art-e393aa4913114b08907ffedb5d2ff4d22025-08-20T03:37:31ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662228-55042025-07-0130452453010.4103/ijnmr.ijnmr_363_23Effectiveness of Round by Peers on Critical Thinking and Clinical Decision-Making in Nursing StudentsNasrin SarabiMaryam KiarsiShahzad MehranfardBackground: Strengthening critical thinking and clinical decision-making skills is important for nursing. Therefore, it is essential to use appropriate educational methods to influence these factors. This study aimed to assess the impact of peers’ round on nursing students’ clinical decision-making and critical thinking abilities. Materials and Methods: In this semi-experimental study, 67 final-year nursing students participated in round meetings at Ganjavian Hospital in Dezful, Iran, from January 2022 to July 2023. They were selected using a census sampling method. After selecting patients from different hospital departments and presenting them in groups of 3–4 individuals, group members collected patient information and used experts’ opinions to present rounds with other students. Before and after the initiation of the program, participants completed critical thinking (18 questions) and clinical decision-making (40 questions) questionnaires. Data were analyzed using the independent t-test, paired t-test, Pearson correlation, and one-way analysis of variance (ANOVA). Results: Rounds by peers improved students’ critical thinking (t66 = 9.52; p < 0.04) and clinical decision-making (t66 = 2.48; p < 0.004) after the intervention. Systematic analysis and re-evaluation of outcomes had the lowest scores. Searching for alternatives and thinking outside the box obtained the highest scores among the questionnaire subscales. There was a relationship between critical thinking and clinical decision-making (r = 0.075; p < 0.001). Conclusions: Considering the effect of round by peers on critical thinking and clinical decision-making in nursing students, nursing schools should employ new methods for the clinical training of their students.https://journals.lww.com/10.4103/ijnmr.ijnmr_363_23critical thinkingdecision makingnursingpeer influencestudentsteaching round
spellingShingle Nasrin Sarabi
Maryam Kiarsi
Shahzad Mehranfard
Effectiveness of Round by Peers on Critical Thinking and Clinical Decision-Making in Nursing Students
Iranian Journal of Nursing and Midwifery Research
critical thinking
decision making
nursing
peer influence
students
teaching round
title Effectiveness of Round by Peers on Critical Thinking and Clinical Decision-Making in Nursing Students
title_full Effectiveness of Round by Peers on Critical Thinking and Clinical Decision-Making in Nursing Students
title_fullStr Effectiveness of Round by Peers on Critical Thinking and Clinical Decision-Making in Nursing Students
title_full_unstemmed Effectiveness of Round by Peers on Critical Thinking and Clinical Decision-Making in Nursing Students
title_short Effectiveness of Round by Peers on Critical Thinking and Clinical Decision-Making in Nursing Students
title_sort effectiveness of round by peers on critical thinking and clinical decision making in nursing students
topic critical thinking
decision making
nursing
peer influence
students
teaching round
url https://journals.lww.com/10.4103/ijnmr.ijnmr_363_23
work_keys_str_mv AT nasrinsarabi effectivenessofroundbypeersoncriticalthinkingandclinicaldecisionmakinginnursingstudents
AT maryamkiarsi effectivenessofroundbypeersoncriticalthinkingandclinicaldecisionmakinginnursingstudents
AT shahzadmehranfard effectivenessofroundbypeersoncriticalthinkingandclinicaldecisionmakinginnursingstudents