Abstract
Background: Clinical reasoning confidence skill is a necessity for high-quality care and an essential part of professional competence, while self-esteem is the individual's subjective assessment of their own value and importance. We conducted the study to investigate the relationship between clinical reasoning competencies (CRC) and self-esteem in nursing students.
Methodology: The study was conducted in the nursing institutes of Khyber Pukhtankhwa, while the study participants were the undergraduate nursing students, using a cross-sectional analytical study design. The sample size of the study was 422 using purposive sampling technique. The data was collected through 2 valid and reliable questionnaires: for self-esteem, a 10-item Rosenberg scale, while for CRC, a 15-item CRC scale was used. The data collection process was started once permission was granted from the study setting. Data was analysed through MS Excel and SPSS 24. Informed consent was taken from each participant while the study was approved by the ethical review committee.
Results: The number of male participants was higher, 368 (87.6%) among the total participants of 422, while the age group 22-25 years old was also in the majority. In the total participants, the maximum number of students self-esteem was average 386 (91.6%), while 26 (6.2%) self-esteem was low, and 8 (1.9%). Otherwise, majority of the respondents CRC was normal 292 (69.5%), then high CRC 96 (22.9%), and 32 (7.6%) were poor.
Conclusion: On the basis of findings, the study concluded that self-esteem is associated with CRC, so students with high self-esteem would generally be more confident to deal with patient care and will be able to make decisions under pressure in the intense environment of the hospital