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Nurse Educators’ Guide to Clinical Judgment : A Review of Conceptualization, Measurement, and Development
Summary
This article examined the concept of clinical judgment, reviewed valid and reliable measurement instruments, and explored strategies for developing clinical judgment. It also identified 24 studies that demonstrated the effects of high-fidelity simulation on clinical judgment in prelicensure learners. Six themes emerged: the number of simulation-based experiences, specialty simulations, debriefing, assessment, decision-making, and reflection. Key future research priorities investigating the effects of interprofessional simulation and simulation in the classroom were identified.
Q&As
What is the purpose of this article?
The purpose of this article is to define clinical judgment, examine valid and reliable instruments to measure the construct, review established strategies by which to develop it, and propose key future nursing education research priorities in clinical judgment.
How can clinical judgment be measured?
Clinical judgment can be measured using six instruments.
What strategies can be used to develop clinical judgment?
Strategies to develop clinical judgment include number of simulation-based experience exposures, specific nursing specialty simulations, debriefing and its effect on clinical judgment, assessment, clinical decision-making, and reflection.
What are the six themes that emerged from the literature review?
The six themes that emerged from the literature review are number of simulation-based experience exposures, specific nursing specialty simulations, debriefing and its effect on clinical judgment, assessment, clinical decision-making, and reflection.
What are the key future research priorities in clinical judgment?
Key future research priorities in clinical judgment include investigating the effects of interprofessional simulation and simulation in the classroom.
AI Comments
👍 This article provides a comprehensive review of the conceptualization, measurement, and development of clinical judgment which is an important skill for nurse educators to understand.
👎 The article does not provide any practical strategies for how to implement the research findings into nursing education programs.
AI Discussion
Me: It's about clinical judgment in prelicensure nursing students. It talks about how valid and reliable instruments can be used to measure the construct, and suggests strategies for developing it. It also identifies key future research priorities.
Friend: Interesting. What do you think are the implications of this article?
Me: Well, first, it emphasizes the need for nurse educators to be aware of the importance of clinical judgment and to make sure they create strategies that can help prelicensure students develop it. It also indicates that the use of simulation and debriefing can be effective in helping students develop clinical judgment. Finally, it highlights the need for further research into how interprofessional simulation and simulation in the classroom can affect clinical judgment in prelicensure students.
Action items
- Research the six instruments that measure clinical judgment and the 24 studies that demonstrate the effects of high-fidelity simulation on clinical judgment in prelicensure learners.
- Explore the effects of interprofessional simulation and simulation in the classroom on clinical judgment development.
- Develop strategies to incorporate debriefing into simulation-based experiences to enhance clinical judgment development.
Technical terms
- Clinical Judgment
- The ability to assess a patient’s condition and make decisions based on the assessment.
- Measurement
- The process of quantifying a phenomenon or concept.
- Development
- The process of improving or expanding upon a concept or idea.
- Simulation
- A technique used to replicate real-world scenarios in a controlled environment.
- Debriefing
- A process of reflection and discussion following a simulation experience.
- Assessment
- The process of gathering information about a patient’s condition.
- Decision-Making
- The process of making a choice between two or more options.
- Reflection
- The process of thinking deeply about an experience or concept.