The validity and reliability of clinical judgement and decision-making skills assessment in nursing: A systematic literature review

Clinical judgement in nursing – An evolutionary concept analysis

“…Health care is becoming more complex (Kuipers et al, 2014), and nurses are recognised as key decision‐makers, progressively required to provide safe and effective nursing care in multi‐layered healthcare environments that demand higher cognitive and clinical skills than in previous decades (Clemett & Raleigh, 2021). This is of concern as nurses assume higher levels of responsibility and accountability in increasingly demanding and complex clinical situations (Clemett & Raleigh, 2021). Internationally, nurses must matriculate from a bachelor's degree level of study to meet registration requirements (Baumann & Blythe, 2008; Liaw et al, 2017).…”

“…Improving the quality of nursing care and thus, patient outcomes, is dependent on nursing, prioritising the development of judgement and decision‐making skills (Thompson & Stapley, 2011). Clinical judgement and decision‐making are described by multiple terms within nursing literature (Clemett & Raleigh, 2021; El Hussein et al, 2021; Wright & Scardaville, 2021), and almost all imply the application of higher‐order cognitive skills.…”

“…skills than in previous decades (Clemett & Raleigh, 2021). This is of concern as nurses assume higher levels of responsibility and accountability in increasingly demanding and complex clinical situations (Clemett & Raleigh, 2021).…”

Virtual Simulation to Enhance Clinical Reasoning in Nursing: A Systematic Review and Meta-analysis

“…(2010) conceptualized clinical reasoning as a process by which one gathers cues, processes the information, identifies the problem, plans and performs actions, evaluates outcomes, and reflects on and learns from the process. This cognitive and meta-cognitive process of synthesizing knowledge and patient data in relation to specific clinical situations is vital for nurses to respond to clinical changes and make decisions on care management ( Clemett & Raleigh, 2021 ; Victor-Chmil, 2013 ). It is also important to enhance nursing students’ and nurses’ clinical reasoning skills to enable them to provide quality and safe patient care by making accurate inferences and evidence-based decisions ( Mohammadi-Shahboulaghi et al., 2021 ).…”

“…Although the use of virtual simulation has increased in nursing education, evaluation of its impact on the development of clinical reasoning skills has not yet been carried out. This could be due to the variety of approaches, including multiple-choice questions, script concordance, and clinical performance assessment, that were used as a proxy to evaluate the outcome measure of clinical reasoning ( Clemett & Raleigh, 2021 ). Thampy et al.…”