Predictors of Nursing Clinical Judgment in Simulation

Shinnick, Mary Ann; Cabrera‐Mino, Cristina

doi:10.1097/01.nep.0000000000000604

Cited by 12 publications

(4 citation statements)

References 14 publications

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“…Investigators have shown that expert nurses possess both an understanding of specific disease processes and a broad holistic understanding of acute patient care situations [8]. Based on their wealth of experience, expert nurses may utilize intuitive or subconscious decision-making processes to quickly grasp complex clinical situations, rapidly and confidently come to an accurate assessment and provide safe quality care to patients [9,10]. According to Benner et al (1992), the application of the Dreyfus model of skill acquisition to clinical nursing practice has helped explain how nurse decision-making develops over time [11,12].…”

Section: Introductionmentioning

confidence: 99%

Identifying factors that nurses consider in the decision-making process related to patient care during the COVID-19 pandemic

et al. 2021

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Background Nurse identification of patient deterioration is critical, particularly during the COVID-19 pandemic, as patients can deteriorate quickly. While the literature has shown that nurses rely on intuition to make decisions, there is limited information on what sources of data experienced nurses utilize to inform their intuition. The objectives of this study were to identify sources of data that inform nurse decision-making related to recognition of deteriorating patients, and explore how COVID-19 has impacted nurse decision-making. Methods In this qualitative study, experienced nurses voluntarily participated in focused interviews. During focused interviews, expert nurses were asked to share descriptions of memorable patient encounters, and questions were posed to facilitate reflections on thoughts and actions that hindered or helped their decision-making. They were also asked to consider the impact of COVID-19 on nursing and decision-making. Interviews were transcribed verbatim, study team members reviewed transcripts and coded responses, and organized key findings into themes. Results Several themes related to decision-making were identified by the research team, including: identifying patient care needs, workload management, and reflecting on missed care opportunities to inform learning. Participants (n = 10) also indicated that COVID-19 presented a number of unique barriers to nurse decision-making. Conclusions Findings from this study indicate that experienced nurses utilize several sources of information to inform their intuition. It is apparent that the demands on nurses in response to pandemics are heightened. Decision-making themes drawn from participants’ experiences can to assist nurse educators for training nursing students on decision-making for deteriorating patients and how to manage the potential barriers (e.g., resource constraints, lack of family) associated with caring for patients during these challenging times prior to encountering these issues in the clinical environment. Nurse practice can utilize these findings to increase awareness among experienced nurses on recognizing how pandemic situations can impact to their decision-making capability.

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Section: Introductionmentioning

confidence: 99%

Identifying factors that nurses consider in the decision-making process related to patient care during the COVID-19 pandemic

et al. 2021

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“…Previous clinical experience 6,19,22,30,31 the persons have accumulated in their memory can possibly enable them to choose appropriate information from clinical cases, create linkage, and decide the priority of an intervention 19,41 . Evidence indicates the prior clinical experience factor was significantly and positively related to the development of clinical judgment 41 and years of nursing experience could independently predict clinical judgment 42 …”

Section: Antecendents and Consequencesmentioning

confidence: 99%

“…19,41 Evidence indicates the prior clinical experience factor was significantly and positively related to the development of clinical judgment 41 and years of nursing experience could independently predict clinical judgment. 42 Critical thinking 6,17,22,26,27,30,31 refers to a cognitive process persons use to analyze knowledge 35 to summarize the observation, reflection, and data analysis processes, which lead to clinical judgment. 12,43 Clinical reasoning 17,30,31 involves the processes of cognition and metacognition utilized for an analysis of knowledge related to clinical situations or particular patients to evaluate the significance, and weigh evidence to select the optimal action by reasoning practically and intuitively.…”

Section: Antecedentsmentioning

confidence: 99%

A concept analysis of clinical judgment in undergraduate nursing students

et al. 2022

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Aim To offer a clear understanding of the definition, attributes, antecedents, and consequences of undergraduate nursing students' clinical judgment in the nursing education context. Background Clinical judgment is a concept with broad uses among healthcare professionals. Its definitions and attributes vary across contexts. There is no established understanding of clinical judgment in nursing students. Design This concept analysis was performed using the eight steps of Walker and Avant's framework. Data Sources A literature search was conducted using search engines and included peer‐reviewed articles related to clinical judgment in nursing students. Results Clinical judgment in nursing students was defined as the cognitive process exhibited via a nursing action by observation, patient assessment, interpreting, and prioritizing data that lead to responding using the appropriate nursing practice with the patient. Reflection was used to evaluate nursing students' clinical judgment to revise nursing practice. Antecedents included nursing education curriculum, student's knowledge, previous clinical experience, critical thinking, and clinical reasoning. The consequences of clinical judgment were clinical judgment ability, safe nursing practice, nursing care quality, and patient safety. Conclusions This concept analysis gives clear insights into the definition, attributes, antecedents, and consequences of undergraduate nursing student's clinical judgment.

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“…Novice nurses are aware of their lack of experience [8]. Better clinical judgment skills are honed through practical experience [9], but it is difficult for novice nurses who are inexperienced and lack confidence in practice to acquire accurate judgment skills in daily clinical settings.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Simulation-Based Education Program to Improve Novice Nurses' Clinical Judgment Skills

Kawase,

Takahashi,

Okayasu

et al. 2024

Cureus

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Predictors of Nursing Clinical Judgment in Simulation

Cited by 12 publications

References 14 publications

Identifying factors that nurses consider in the decision-making process related to patient care during the COVID-19 pandemic

Identifying factors that nurses consider in the decision-making process related to patient care during the COVID-19 pandemic

A concept analysis of clinical judgment in undergraduate nursing students

Effectiveness of a Simulation-Based Education Program to Improve Novice Nurses' Clinical Judgment Skills

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