Background: Health care today is presented with a complex set of circumstances requiring exploration of new and varied teaching methodologies to produce requisite student reasoning and prepare them for professional practice. Health care practitioners require high-level clinical reasoning skills to practice, skills traditionally achieved through clinical experiences. Purpose: The purpose of this study was to explore the impact of a community service learning clinical experience on the clinical reasoning skills of pre-licensure nursing students. Methodology/Approach: A sample of junior-level nursing students was recruited and given the Health Science Reasoning Test pre-test. Participants then completed a community service learning clinical experience, after which they took a post-test and completed a reflective journal entry. Findings/Conclusions: Quantitative data analysis was inconclusive due to limitations. Qualitative data analysis suggested that clinical reasoning skills were affected and identified major themes (communication, holistic care, and knowledge and skills). Implications: Community service learning clinical experiences have the potential to enhance clinical reasoning skills and should be further evaluated for inclusion in today’s nursing programs.

中文翻译：

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影响和推理：在非传统领域应用社区服务学习

背景：今天的医疗保健面临着一系列复杂的情况，需要探索新的和多样化的教学方法，以产生必要的学生推理并为他们的专业实践做好准备。医疗保健从业者需要高水平的临床推理技能来实践，这些技能传统上是通过临床经验获得的。目的：本研究的目的是探讨社区服务学习临床经验对执照前护理学生临床推理技能的影响。方法/途径：招募了一个初级护理学生样本，并进行了健康科学推理测试预测试。然后，参与者完成了社区服务学习临床体验，之后他们进行了后测并完成了反思日记条目。调查结果/结论：由于局限性，定量数据分析尚无定论。定性数据分析表明临床推理技能受到影响并确定了主要主题（沟通、整体护理以及知识和技能）。影响：社区服务学习临床经验有可能提高临床推理技能，应进一步评估以纳入当今的护理计划。