Clinical judgment during the nursing process in oncology care: An almost experimental study
Open accessAbstract
Background: Nurses face difficulties in applying the stages of the nursing process, which may lead to shortcomings in clinical judgment or decision-making in patient care. Objective: To compare the clinical judgment of nurses providing care to people with cancer, before and after an educational intervention regarding use of nursing process. Methods: This is a quasi-experimental study carried out with 12 nurses working in a high-complexity oncology hospital in Brazil. The participants were assessed using the Lasater Clinical Judgment Rubric (LCJR) before and after an educational intervention on nursing process. Data collection occurred between July and August 2023, and the data were analyzed using Student’s t-test for paired samples. Results: The study variables that showed significance after intervention were prioritizing data (p < 0.001), making sense of data pre-intervention (p = 0.017), well-planned intervention/flexibility (p = 0.002), being skillful (p = 0.003), evaluation/self-analysis (p < 0.001), and commitment to improvement (p < 0.001). Conclusions: It can be seen through this study that oncology nurses improved their interpretation skills, their response to the provision of nursing care, and their ability to reflect on their practice following an educational intervention. The education intervention is an element that changes realities, such that nurses are competent to implement the nursing process in cancer care settings.
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Research works printed but not linked: 6
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Dwiarini, M., Hwang, G.-J., & Chang, C.-Y. (2026) · BMC Nursing · doi:10.1186/s12912-026-04840-4 · Cited by 1 · see citing works
“Agazzi et al. stated that the nursing process teaches students to assess, diagnose, plan, implement, and evaluate care while developing soft skills to analyze patient data, prioritize care needs, and make evidence-informed decisions [30].”
Kim, S. H. (2026) · Journal of Korean Society for Simulation in Nursing · doi:10.17333/jkssn.2026.14.1.119
- Authors
- Agazzi, S., Haag, F., da Conceição, V., Candido, T., Maestri, E., Biffi, P., & Bitencourt, J.
- Affiliations
- Hospital São Vicente de Paulo (BR)
- Venue
- Canadian Oncology Nursing Journal
- Publisher
- Pappin Communications
- Published
- 2025-10-01
- Pages
- 678-685
- ISSN
- 1181-912X (ISSN-L)
- 2368-8076
- OpenAlex
- W4416076549
- Cited by
- 2
- References
- 0
- Citations by year
- 2026: 2
- FWCI
- 4.57
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Canadian Oncology Nursing Journal (publishedVersion)
- Topics
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- clinical judgment, nursing process, oncology nursing, nursing education intervention, Lasater Clinical Judgment Rubric, nursing decision-making, cancer care, nursing competencies, reflective practice
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