Professional nurses' understanding of clinical judgement: A contextual inquiry

Graan, Anna Catharina van; Williams, Martha J.S.; Koen, Magdalena P.

doi:10.1016/j.hsag.2016.04.001

Cited by 49 publications

(44 citation statements)

References 55 publications

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“…They completely neglect planning for improvement or patient satisfaction. [12,14,17] Incompatible to previous results, Potgieter, in 2012, highlighted that the use of CJ with its four phases among nurses is an essential issue that helps them to collect, comprehend, relate and analyze patient problems. It is an obligation in a critical job like nursing.…”

Section: Discussionmentioning

confidence: 89%

“…Preceptors should before help them to discover sufficient educational chances in this aspect to fulfill the challenges of the nursing profession. [14,15] Nowadays, and for what has been displayed, professional nursing activities are based on the CJ that is linked to the nursing process cycle. CJ knowledge considers the grassroots for understanding and interpreting patient problems and responding with qualified and competent intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, when they graduate, they suffer from the lack of skills such as CJ skills. [7,14,17] In the same line and since Florence Nightingale's era, many graduate nurses find difficulty in CJ skills implementation. First of all, in the noticing phase, they can't recognize what deviation is behind expected observation, or they may not link or integrate data with previous learning for understanding.…”

Section: Discussionmentioning

confidence: 99%

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Clinical judgment among nursing interns

Ibrahim

Aly

2018

CNS

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Clinical judgment (CJ) is considered a vital and crucial ability for nurses that can help them to improve their practical or clinical capabilities, particularly in the internship period. Nursing interns pass through a transient period with significant job responsibilities. They face multifaceted issues, dilemmas, and problems that oblige them to use CJ skills. CJ is a talent and clever skill which should be acquired by nursing interns. The current study is a quantitative study that aims to determine CJ knowledge and skills among nursing interns in nursing practice. A descriptive exploratory design was used. A systematic random sample of 150 nursing interns out of 305 was selected and assigned as a survey group. The data was collected in internship training hospitals in Damanhur, Egypt (Damanhur Medical National Institute, El Raee El Saleh, El Farok and Kafer El Dawar Hospitals). One tool was used for data collection, the Clinical Judgment Evaluation Sheet (CJES), which included two parts. The first part was the Clinical Judgment Knowledge Test that was developed by the researchers to collect the necessary data regarding the CJ knowledge needs of nursing interns. The Lasater Clinical Judgment Rubric (LCJR) 2009 was the second part. It was developed based on Tanner's work in 2006 and included eleven skills in the four phases delineated with CJ developmental skills (noticing, interpreting, responding, and reflecting). Results revealed that the nursing interns have a serious lack of knowledge about the concept of CJ in nursing practice. Additionally, they have a great deficiency in the knowledge about all phases of the CJ process in nursing practice. As well, they suffered from observed insufficiently CJ skills in the nursing practice, respectfully. These findings confirmed that the nursing interns in Damanhur governorate have necessitated to an educational program about CJ knowledge skills. In conclusion, there is an obvious and serious lack of nursing interns' CJ knowledge and skills in nursing practice in Egypt. Therefore, CJ teaching programs or self-learning references are important for them for developing and improving CJ knowledge and skills. Nurse educators and preceptors should take initiative steps in developing teaching sessions, models, and instructional aides to empower their nursing intern's students in CJ practice.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical judgment among nursing interns

Ibrahim

Aly

2018

CNS

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“…1 This kind of practice helps graduate nurses to have the confidence and creativity to transcend formal rules and standards to deliver high-quality patient care. 29 Book knowledge is fine and necessary, but clinical simulation provides experience and the deep knowledge that comes from it so that students have something more than textbooks and abstract knowledge to guide them. 29 If the nursing education curriculum can change from emphasizing content to promoting concepts, doing so will train nurses in critical thinking, enabling them to synthesize their information, apply their knowledge to everyday situations, and become learners for life.…”

Section: Relevance To Clinical Practicementioning

confidence: 99%

Perceptions of Clinical Decision-Making Skills among Saudi Nursing Students: A Comparative Study

AL-Dossary

Dorgham

Maniago

2019

Journal of Health and Allied Sciences NU

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Introduction As complexities in healthcare and medical technology increase, nursing students and newly graduated nurses may often feel less confident and have fewer skills in decision-making than experienced nurses. Objective The main purpose of this article is to explore nurses’ perceptions of their clinical decision-making skills. Materials and Methods A comparative, cross-sectional design was used to conduct a study at a college of nursing in the Eastern Province of Saudi Arabia. The sample consisted of students (n = 139) enrolled in bridging (n = 72) and undergraduate (basic; n = 67) programs. Results Highly statistically significant differences were revealed between students in the bridging program and those in the undergraduate program. Those in the bridging program showed higher mean and median values than did undergraduate students, demonstrating better decision-making skills. Conclusion Students in the bridging program have better decision-making skills compared with students in the baccalaureate program.

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“…Clinical reasoning is one of the subjects that has gained relevance in the area of teaching and clinical practice in nursing. It can be defined as reflective, inductive, and deductive thinking, composed of acquired knowledge and personal experiences (1)(2) . The term is associated with expressions such as critical thinking, critical judgment, creative thinking, and diagnostic reasoning, which represent attributes of nurses seeking the development of evidence-based practice (1) .…”

Section: Introductionmentioning

confidence: 99%

Development of the clinical reasoning of nurses of an emergency hospital service

et al. 2019

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Objective: to understand the development of the clinical reasoning of nurses working in an emergency hospital service. Methods: qualitative research, with methodological reference of the Grounded Theory. Data collection took place through interviews, with a theoretical sample of 21 participants and analysis using substantive and theoretical coding. Results: the central category was identified as Knowing what to do, and four conceptual categories: 1) Uncovering the nurse's duties in the emergency service; 2) Improving clinical reasoning through professional experience; 3) Providing care with quality and safety for the patient; and 4) Conquering professional recognition from the health team. Conclusion: the development of nurses' clinical reasoning is a cumulative, experiential, and gradual process of knowing what to do in an emergency. It is based on the collaborative work with the health team and on the acquisition of technical-scientific knowledge to perform qualified assistance to patients.

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Professional nurses' understanding of clinical judgement: A contextual inquiry

Cited by 49 publications

References 55 publications

Clinical judgment among nursing interns

Clinical judgment among nursing interns

Perceptions of Clinical Decision-Making Skills among Saudi Nursing Students: A Comparative Study

Development of the clinical reasoning of nurses of an emergency hospital service

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