Clinical judgment in new nurse graduates: identifying the gaps.

IF 1.3 Q3 NURSING International Journal of Nursing Education Scholarship Pub Date : 2023-12-20 eCollection Date: 2023-01-01 DOI:10.1515/ijnes-2022-0112
Julie A Kennedy, Pamela Laskowski, Blake Breyman
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Abstract

Objectives: Clinical judgment has been identified as a key component of clinical practice. We sought to measure the elements of clinical judgment in new nurse graduates to identify future educational interventions.

Methods: Lasater's clinical judgment rubric was adapted and distributed to nurse preceptors at two significant health care systems in central Illinois.

Results: One hundred and six surveys were returned and one hundred and five of those were included in the study. New nurse graduates were found to be the lowest ranking in ability to identify significant data and calm, confident responses.

Conclusions: The findings can guide nurse educators to create innovative, targeted educational interventions to improve students' ability to identify important pieces of data and respond to challenging situations in a self-assured manner.

Implications for international audience: Identifying and addressing the gaps to improve students' clinical judgment may facilitate NCLEX success and entry to practice.

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新护士毕业生的临床判断力:找出差距。
目的:临床判断被认为是临床实践的关键组成部分。我们试图测量新护士毕业生的临床判断要素,以确定未来的教育干预措施:方法:我们对 Lasater 的临床判断评分标准进行了改编,并将其分发给伊利诺伊州中部两个重要医疗保健系统的实习护士:结果:共收回 106 份调查问卷,其中 105 份被纳入研究范围。研究发现,新护士毕业生在识别重要数据的能力和冷静自信的回答方面排名最低:研究结果可指导护士教育者制定创新的、有针对性的教育干预措施,以提高学生识别重要数据的能力,并以自信的方式应对具有挑战性的情况:找出差距并加以解决,提高学生的临床判断能力,可促进学生在 NCLEX 考试中取得成功并进入执业阶段。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
25
期刊介绍: The International Journal of Nursing Education Scholarship publishes significant research and scholarship in the broad field of nursing education. The mandate of the journal is to present high quality papers to advance nursing education through research, description of innovative methods, or introduction of novel approaches about all aspects of nursing education in a timely manner. The specific aims of IJNES are to: - Promote worldwide scholarship in nursing education - Enhance and advance nursing education globally - Provide a forum for the dissemination of international perspectives and scholarship in nursing education
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