Rolling Through the Complications With the Clinical Judgment Model.

Laura Nugteren, Ann E Holland
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Abstract

Background: Nurse educators have been challenged to creatively implement the clinical judgment model (CJM) across the curriculum. Opportunities exist to utilize rich patient data in clinical debriefing.

Method: Rolling Through the Complications with the CJM, a scripted clinical debriefing tool, was created to help students think beyond the clinical day and apply clinical judgment to potential complications. In a pilot study, five medical-surgical clinical instructors implemented the clinical debriefing tool.

Results: Survey responses from 29 students following the clinical debriefing expressed the activity was a positive experience encouraging focused analysis beyond typical post-conference discussions. Comments focused on critical thinking, collaborative learning, application to future practice, and holistic care.

Conclusion: Clinical post-conferences offer excellent opportunities to implement scripted debriefing encompassing the CJM. [J Nurs Educ. 2024;63(X):XXX-XXX.].

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用临床判断模型克服并发症。
背景:护士教育者面临着在整个课程中创造性地实施临床判断模式(CJM)的挑战。在临床汇报中利用丰富的患者数据的机会是存在的:方法:"用 CJM 分析并发症 "是一种脚本化的临床汇报工具,旨在帮助学生超越临床日思考,并将临床判断应用于潜在的并发症。在一项试点研究中,五名内外科临床教师实施了该临床汇报工具:结果:29 名学生在临床汇报后的调查回复中表示,该活动是一次积极的体验,鼓励学生在典型的会后讨论之外进行重点分析。评论主要集中在批判性思维、协作学习、应用于未来实践以及整体护理等方面:临床会后会议为实施包含 CJM 的脚本汇报提供了绝佳机会。[护理教育杂志,2024;63(X):XXX-XXX]。
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