Clinical Judgement and Next Generation NCLEX® – A Positive Direction for Nursing Education!

Assessing the Impact of Unfolding Case Study Scenarios during High-Fidelity Pediatric Simulation among Undergraduate Nursing Students

“…In addition, the simulation may increase the clinical judgment of students. This is supported by Sherrill, who encouraged the use of simulation as a way to apply the Clinical Judgment Model, which may increase preparedness for the Next Generation NCLEX [8].…”

“…New graduates' ability to organize information, think critically, and use sound clinical judgment in a variety of patient situations is an expectation [7]. The National Council State Boards of Nursing (NCSBN) is moving toward the Next Generation NCLEX which assesses clinical judgment [8]. These changes to the exam are supported by the Clinical Judgment Model (CJM), which includes the following components: recognizing and analyzing cues, prioritizing hypotheses, generating solutions, taking action, and evaluating outcomes.…”

“…These changes to the exam are supported by the Clinical Judgment Model (CJM), which includes the following components: recognizing and analyzing cues, prioritizing hypotheses, generating solutions, taking action, and evaluating outcomes. Clinical judgment assists students as they transition to the role of the registered nurse in practice [8]. According to the Carnegie Report, simulation is a recommended way to link the classroom and clinical practice, and it allows students to utilize the Clinical Judgment Model in patient care scenarios [8,9].…”

“…Clinical judgment assists students as they transition to the role of the registered nurse in practice [8]. According to the Carnegie Report, simulation is a recommended way to link the classroom and clinical practice, and it allows students to utilize the Clinical Judgment Model in patient care scenarios [8,9]. Through high-fidelity simulation, faculty are able to assess students' clinical judgment and provide constructive, real-time feedback.…”

The critical need for nursing education to address the diagnostic process

“…The National Council Licensure Examination (NCLEX) for registered nurses is changing and will align well with the interprofessional diagnostic competencies across the three domains. The new exam, known as The Next Generation NCLEX, will build on the National Council of State Boards of Nursing Clinical Judgment Measurement Model (Sherrill, 2020). The new test (NCLEX-RN) will assess different facets of the Clinical Judgment Measurement Model, including the recognition of cues, analysis of cues, hypothesis prioritization, solution generation, action planning, and outcomes evaluation.…”