Keywords

clinical judgment: clinical competence, National Council of State Boards of Nursing Action Model, nursing faculty, nursing students

 

Authors

  1. Sommer, Sheryl K. PhD, RN, CNE
  2. Johnson, Janean D. MSN, RN, CNE
  3. Clark, Cynthia M. PhD, RN, ANEF, FAAN
  4. Mills, Christine M. PhD

Abstract

Background: Mastering clinical judgment (CJ) skills is an essential competency for nurses in all health care environments.

 

Problem: Complexities of the health environment combined with the intricacies of nursing practice can pose potential risks to client safety.

 

Approach: Over a 2-year period, a 3-phased approach using (1) survey results from nurses in education and practice, (2) discussion forums, and (3) a series of think tanks that comprised nurse educators resulted in the development of the Guide for CJ.

 

Outcomes: The Guide for CJ provides nurse educators with an evidence-based resource to promote CJ skills in nursing students. The environmental and individual factors and expected nurse responses and behaviors contained in the Guide are well-aligned with the cognitive operations contained in the National Council of State Boards of Nursing Action Model.

 

Conclusions: Educators may use the Guide to support faculty development and operationalize CJ to develop a variety of learning strategies for use in multiple learning environments.