2.50
Hdl Handle:
http://hdl.handle.net/10755/603895
Category:
Full-text
Type:
Presentation
Title:
Clinical Judgement in Baccalaureate Pre-Licensure Nursing Students
Other Titles:
Clinical Skills Assessment [Session]
Author(s):
Grochowski Manetti, Wendy
Lead Author STTI Affiliation:
Iota Omega
Author Details:
Wendy Grochowski Manetti, RN, CRNP, NP-C
Abstract:
Session presented on Saturday, April 9, 2016: Good clinical judgement is an essential component of clinical competence to ensure the delivery of quality, safe nursing care.� Health care administrators and experienced nurses have voiced concerns that novice nurses lack the clinical judgement necessary for entry into practice.� Therefore, nurse educators have the responsibility to foster clinical judgement development in nursing students and to assess its adequacy.� There is a lack of evidence-based tools to evaluate students� clinical performance and more specifically clinical judgement. �This descriptive, comparative study described and compared the clinical judgement of junior and senior baccalaureate pre-licensure nursing students in the clinical setting using the Lasater Clinical Judgment Rubric (LCJR).� Tanner�s Integrative Model of Clinical Judgement (IMCJ) provided the theoretical foundation for this study and the development of the research instrument.� The clinical judgement of 75 junior and 61 senior baccalaureate, pre-licensure nursing students was assessed by clinical faculty using the LCJR in the medical-surgical clinical setting at the end of one semester.� Statistical methods used to analyze the data included descriptive statistics, independent t-tests, and multivariate analysis of variance. Senior baccalaureate, pre-licensure nursing students were found to have significantly higher total and subscale scores of clinical judgement on the LCJR than junior baccalaureate, pre-licensure nursing students.� Additional analyses revealed that both junior and senior students with health care work experience had higher clinical judgement scores than students not working in healthcare.� The findings of this study contributed to the growing body of nursing knowledge about clinical judgement, Tanner�s IMCJ, and Lasater�s LCJR.� Utilization of findings could guide teaching-learning strategies to foster clinical judgement development in nursing students and ultimately produce better prepared novice nurses for the practice setting.� Findings from this study provide nurse managers valuable information about the level of clinical judgement of the new graduate nurse.� This information can provide direction as to the content and length of mentored preceptorships programs and the type of unit a novice is best suited.
Keywords:
clinical judgement; clinical decision making; assessment
Repository Posting Date:
29-Mar-2016
Date of Publication:
29-Mar-2016
Other Identifiers:
NERC16E02
Conference Date:
2016
Conference Name:
Nursing Education Research Conference 2016
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing, and National League for Nursing
Conference Location:
Washington, DC
Description:
Nursing Education Research Conference Theme: Research as a Catalyst for Transformative Practice

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleClinical Judgement in Baccalaureate Pre-Licensure Nursing Studentsen
dc.title.alternativeClinical Skills Assessment [Session]en
dc.contributor.authorGrochowski Manetti, Wendyen
dc.contributor.departmentIota Omegaen
dc.author.detailsWendy Grochowski Manetti, RN, CRNP, NP-Cen
dc.identifier.urihttp://hdl.handle.net/10755/603895en
dc.description.abstractSession presented on Saturday, April 9, 2016: Good clinical judgement is an essential component of clinical competence to ensure the delivery of quality, safe nursing care.� Health care administrators and experienced nurses have voiced concerns that novice nurses lack the clinical judgement necessary for entry into practice.� Therefore, nurse educators have the responsibility to foster clinical judgement development in nursing students and to assess its adequacy.� There is a lack of evidence-based tools to evaluate students� clinical performance and more specifically clinical judgement. �This descriptive, comparative study described and compared the clinical judgement of junior and senior baccalaureate pre-licensure nursing students in the clinical setting using the Lasater Clinical Judgment Rubric (LCJR).� Tanner�s Integrative Model of Clinical Judgement (IMCJ) provided the theoretical foundation for this study and the development of the research instrument.� The clinical judgement of 75 junior and 61 senior baccalaureate, pre-licensure nursing students was assessed by clinical faculty using the LCJR in the medical-surgical clinical setting at the end of one semester.� Statistical methods used to analyze the data included descriptive statistics, independent t-tests, and multivariate analysis of variance. Senior baccalaureate, pre-licensure nursing students were found to have significantly higher total and subscale scores of clinical judgement on the LCJR than junior baccalaureate, pre-licensure nursing students.� Additional analyses revealed that both junior and senior students with health care work experience had higher clinical judgement scores than students not working in healthcare.� The findings of this study contributed to the growing body of nursing knowledge about clinical judgement, Tanner�s IMCJ, and Lasater�s LCJR.� Utilization of findings could guide teaching-learning strategies to foster clinical judgement development in nursing students and ultimately produce better prepared novice nurses for the practice setting.� Findings from this study provide nurse managers valuable information about the level of clinical judgement of the new graduate nurse.� This information can provide direction as to the content and length of mentored preceptorships programs and the type of unit a novice is best suited.en
dc.subjectclinical judgementen
dc.subjectclinical decision makingen
dc.subjectassessmenten
dc.date.available2016-03-29T13:12:07Zen
dc.date.issued2016-03-29en
dc.date.accessioned2016-03-29T13:12:07Zen
dc.conference.date2016en
dc.conference.nameNursing Education Research Conference 2016en
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursing, and National League for Nursingen
dc.conference.locationWashington, DCen
dc.descriptionNursing Education Research Conference Theme: Research as a Catalyst for Transformative Practiceen
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