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Clinical judgement in baccalaureate ...

Manetti, Wendy Grochowski.

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Clinical judgement in baccalaureate pre-licensure nursing students.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Clinical judgement in baccalaureate pre-licensure nursing students./
作者:	Manetti, Wendy Grochowski.
面頁冊數:	175 p.
附註:	Source: Dissertation Abstracts International, Volume: 76-09(E), Section: B.
Contained By:	Dissertation Abstracts International76-09B(E).
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3701058
ISBN:	9781321714586

Clinical judgement in baccalaureate pre-licensure nursing students.
Manetti, Wendy Grochowski.

Clinical judgement in baccalaureate pre-licensure nursing students. - 175 p.

Source: Dissertation Abstracts International, Volume: 76-09(E), Section: B.

Thesis (Ph.D.)--Widener University, 2015.

This item must not be sold to any third party vendors.

Good clinical judgement is an essential component of clinical competence to ensure the delivery of quality, safe nursing care. Health care administrators and experienced nurses have voiced concerns that novice nurses lack the clinical judgement necessary for entry into practice. Therefore, nurse educators have the responsibility to foster clinical judgement development in nursing students and to assess its adequacy. Methods to evaluate students' clinical performance have been under scrutiny for years because of various issues, including the lack of evidence-based tools, inconsistent assessments due to rater subjectivity, and poor communication between faculty and students as a result of the complex language within the tools.

ISBN: 9781321714586Subjects--Topical Terms:

528444
Nursing.

Clinical judgement in baccalaureate pre-licensure nursing students.
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245 1 0 $a Clinical judgement in baccalaureate pre-licensure nursing students.
300 $a 175 p.
500 $a Source: Dissertation Abstracts International, Volume: 76-09(E), Section: B.
500 $a Adviser: Lois Ryan Allen.
502 $a Thesis (Ph.D.)--Widener University, 2015.
506 $a This item must not be sold to any third party vendors.
520 $a Good clinical judgement is an essential component of clinical competence to ensure the delivery of quality, safe nursing care. Health care administrators and experienced nurses have voiced concerns that novice nurses lack the clinical judgement necessary for entry into practice. Therefore, nurse educators have the responsibility to foster clinical judgement development in nursing students and to assess its adequacy. Methods to evaluate students' clinical performance have been under scrutiny for years because of various issues, including the lack of evidence-based tools, inconsistent assessments due to rater subjectivity, and poor communication between faculty and students as a result of the complex language within the tools.
520 $a This descriptive, comparative study described and compared the clinical judgement of junior and senior baccalaureate pre-licensure nursing students in the clinical setting using the Lasater Clinical Judgment Rubric (LCJR). Tanner's Integrative Model of Clinical Judgement (IMCJ) provided the theoretical foundation for this study and the development of the research instrument. The clinical judgement of 75 junior and 61 senior baccalaureate, pre-licensure nursing students was assessed by clinical faculty using the LCJR in the clinical setting at the end of the semester. Medical-surgical units contracted by the universities provided the setting. Student subjects and clinical faculty also completed demographic questionnaires. Statistical methods used to analyze the data included descriptive statistics, independent t-tests, and multivariate analysis of variance.
520 $a Senior baccalaureate, pre-licensure nursing students were found to have significantly higher total and subscale scores of clinical judgement on the LCJR than junior baccalaureate, pre-licensure nursing students. Additional analyses revealed that both junior and senior students with health care work experience had higher clinical judgement scores than students not working in healthcare. In addition, in the junior student group, the males scored higher in clinical judgement than the females.
520 $a Eighteen clinical faculty served as data collectors and were surveyed regarding the ease and utility of using the LCJR in the clinical setting. Findings indicated that 67% of the clinical faculty felt that the LCJR was "somewhat or very easy to use" and 56% judged the LCJR as a "very or quite valuable" assessment tool of a student's clinical judgement in the clinical setting.
520 $a Research questions, findings, additional analyses, methodological issues, generalizability of findings, and conclusions were presented. Implications for nursing science and research, education, and practice, and recommendations for future research were also discussed. The findings of this study contributed to the growing body of nursing knowledge about clinical judgement, Tanner's IMCJ, and Lasater's LCJR. Utilization of findings could guide teaching-learning strategies to foster clinical judgement development in nursing students and ultimately produce better prepared novice nurses for the practice setting. Findings from this study provide nurse managers valuable information about the level of clinical judgement of the new graduate nurse. This information can provide direction as to the content and length of mentored preceptorships programs and the type of unit a novice is best suited.
590 $a School code: 1063.
650 4 $a Nursing. $3 528444
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773 0 $t Dissertation Abstracts International $g 76-09B(E).
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791 $a Ph.D.
792 $a 2015
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