ArticleBMC medical education2026
The relationship between clinical reasoning and self-efficacy in clinical performance among nursing students.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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4 authors.
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Abstract
backgroundA primary objective of nursing education is to foster clinical reasoning skills among students. One of the most critical student characteristics that potentially shapes the development of cognitive skills is self-efficacy in clinical performance. This study aimed to determine the relationship between clinical reasoning and self-efficacy in clinical performance among nursing students.
methodsThis analytical cross-sectional study was conducted at the Schools of Nursing of Guilan University of Medical Sciences in 2023. Participants included all sixth-, seventh-, and eighth-semester undergraduate nursing students, selected through census sampling. Data were collected using a demographic information questionnaire, the Nurses’ Clinical Reasoning Scale, and the Clinical Performance Self-Efficacy Scale. Multiple regression analysis was employed to examine relationships between demographic factors, self-efficacy, and clinical reasoning.
resultsThe mean total clinical reasoning score was 55.71 ± 8.26. The mean total clinical performance self-efficacy score was 134.59 ± 21.89. Significant correlations were found between clinical reasoning scores and age (p = 0.061), academic semester (p < 0.001), grade point average (p < 0.001), clinical work experience (p = 0.011), and clinical performance self-efficacy (p < 0.001). Multiple regression analysis revealed that only clinical performance self-efficacy (β = 0.78, p < 0.001) was a significant predictor of clinical reasoning competence.
conclusionsThe study demonstrated that one of the most critical student characteristics shaping clinical reasoning competence is clinical performance self-efficacy. Given that a primary goal of nursing education is to develop high-level cognitive skills in nurses for effective decision-making in clinical situations, nursing education programs should focus on enhancing self-efficacy through active teaching methods to improve clinical reasoning competence.
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