Teaching Circle to Improve Nursing Clinical Judgment in an Undergraduate Nursing Program

Abstract

Background: Clinical judgment combines both decision making capacity and the ability to think critically. In an effort to foster clinical judgment in students, a quality improvement plan was initiated. Method: A teaching circle was created by key nursing faculty. After a review of the literature, goals, objectives, and aims were articulated. Faculty development, through the use of “lunch and learn,” was delivered using webinars, discussion, and application of item writing. Results: Faculty benefited from the teaching circle's professional development activities by gleaning tools to develop, measure, and assess clinical judgment with undergraduate nursing students in nursing courses. Conclusion: Professional faculty development is necessary to effectively prepare students for the rigors of contemporary practice. The use of a teaching circle is one effective strategy to foster success for programmatic improvement. Further research is warranted to explore best teaching learning strategies in the construct of clinical judgment. [ J Nurs Educ . 2020;59(4):218–221.]

Clinical judgement in nursing – An evolutionary concept analysis

“…Clinical judgement is viewed as an essential skill for nurses (Cappelletti et al, 2014; Martin et al, 2020; Tanner, 2006). The concept of clinical judgement has evolved, rather than been discovered or invented; therefore, it is difficult to determine when clinical judgement was first recognised and used in nursing.…”

Practical effect of different teaching modes in teaching gastrointestinal surgery nursing

“…Conventional teaching mode is usually used in gastrointestinal surgery nursing intern teaching work, but the study found that the teaching mode is the knowledge, simple teacher centered, related disease knowledge, it's not interns become active, and professional theoretical knowledge to clinical practical ability transformation process is slow, makes the teaching theoretical knowledge and skills evaluation results often reach the ideal[ 16 , 17 ]. However, a large number of foreign studies show that CBL-SSL-TBL combined with training mode and students' self-assessment to take nursing interns as the main body, which stimulates their desire for independent exploration and learning, and greatly improves the final assessment results[ 18 , 19 ]. However, the results of this paper show that in the comparison between the two groups, the operation skills and theoretical knowledge scores of the observation group were higher than that of the control group, and the difference had statistical significance ( P < 0.05).…”

Using Simulation to Develop Clinical Judgment in Undergraduate Nursing Students

“…New registered nurses face increasing challenges, including high nurse/patient ratios and an increase in chronic illnesses (Woda et al, 2019). Nursing students need to develop clinical judgment skills (Ashcraft et al, 2013; Martin et al, 2020; Yang et al, 2019) and it is essential that opportunities to do so are provided in undergraduate nursing programs (Dickison et al, 2019).…”

“…Nursing students need to develop clinical judgment skills (Ashcraft et al, 2013;Martin et al, 2020;Yang et al, 2019) and it is essential that opportunities to do so are provided in undergraduate nursing programs (Dickison et al, 2019).…”

“…Simulation allows nurse educators to prepare future registered nurses to use clinical judgment skills to recognize cues, hypothesize, and prioritize care, and to act quickly and appropriately to prevent negative patient outcomes. Using simulation with standardized patients and high-fidelity mannequins is an effective strategy that can be integrated throughout the curricula to build clinical judgment skills (Ashley & Stamp, 2014; Bussard, 2018; Martin et al, 2020; Salameh et al, 2021; Yang et al, 2019).…”