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A Comparison of Nurses' Self-assessed Clinical Judgment Abilities Compared to Observed Clinical Judgment Skills During a Simulated Activity

A Comparison of Nurses' Self-assessed Clinical Judgment Abilities Compared to Observed Clinical Judgment Skills During a Simulated Activity PDF Author: Cynthia Lynne Fenske
Publisher:
ISBN:
Category : Clinical competence
Languages : en
Pages : 116

Book Description
The purpose of this study is to determine how closely nurses' perceptions of their clinical judgment abilities match their demonstrated clinical judgment skills when participating in a simulated patient care situation. This study is essential for nursing given the vast amount of data indicating nurses' struggle to make sound clinical judgments during their first year of practice, coupled with the lack of awareness of their limited clinical judgment skills. A descriptive, correlational pilot study was conducted using 74 registered nurses currently practicing in an acute care setting. The nurses participated in a simulation using a video media format. Following the simulation the subjects completed the Lasater Clinical Judgment Rubric (LCJR) indicating their self-assessment of their clinical judgment abilities based on their performance on the simulation. The LCJR was then used to rate the nurses' actual performance with the simulation acitivity. The results of this study indicate that there is a significant discrepancy between nurses' perception of their own clinical judgment skills and their demonstrated clinical judgment abilities. The nurse's age, gender, educational level, and length of nursing experience all were factors that enhanced the difference between the factors of self-assessment and observed performance. Younger nurses and those with one year or less of nursing experience were significantly more likely to have self-assessed their abilities at a level much higher when compared to their actual ability. With the large gap between perception and reality for the younger, inexperienced nurse, it is recommended that nurses and nursing students be trained in self-assessment and receive feedback to close the gap between current and desired performance. The LCJR appears to be a useful tool for self-assessment, as well as for expert evaluation with simulation.

A Comparison of Nurses' Self-assessed Clinical Judgment Abilities Compared to Observed Clinical Judgment Skills During a Simulated Activity

A Comparison of Nurses' Self-assessed Clinical Judgment Abilities Compared to Observed Clinical Judgment Skills During a Simulated Activity PDF Author: Cynthia Lynne Fenske
Publisher:
ISBN:
Category : Clinical competence
Languages : en
Pages : 116

Book Description
The purpose of this study is to determine how closely nurses' perceptions of their clinical judgment abilities match their demonstrated clinical judgment skills when participating in a simulated patient care situation. This study is essential for nursing given the vast amount of data indicating nurses' struggle to make sound clinical judgments during their first year of practice, coupled with the lack of awareness of their limited clinical judgment skills. A descriptive, correlational pilot study was conducted using 74 registered nurses currently practicing in an acute care setting. The nurses participated in a simulation using a video media format. Following the simulation the subjects completed the Lasater Clinical Judgment Rubric (LCJR) indicating their self-assessment of their clinical judgment abilities based on their performance on the simulation. The LCJR was then used to rate the nurses' actual performance with the simulation acitivity. The results of this study indicate that there is a significant discrepancy between nurses' perception of their own clinical judgment skills and their demonstrated clinical judgment abilities. The nurse's age, gender, educational level, and length of nursing experience all were factors that enhanced the difference between the factors of self-assessment and observed performance. Younger nurses and those with one year or less of nursing experience were significantly more likely to have self-assessed their abilities at a level much higher when compared to their actual ability. With the large gap between perception and reality for the younger, inexperienced nurse, it is recommended that nurses and nursing students be trained in self-assessment and receive feedback to close the gap between current and desired performance. The LCJR appears to be a useful tool for self-assessment, as well as for expert evaluation with simulation.

The Essentials of Clinical Reasoning for Nurses

The Essentials of Clinical Reasoning for Nurses PDF Author: RuthAnne Kuiper
Publisher: SIGMA Theta Tau International
ISBN: 9781945157103
Category : Nursing assessment
Languages : en
Pages : 448

Book Description


Comprehensive Healthcare Simulation: Improving Healthcare Systems

Comprehensive Healthcare Simulation: Improving Healthcare Systems PDF Author: Ellen S. Deutsch
Publisher: Springer Nature
ISBN: 3030729737
Category : Medical
Languages : en
Pages : 240

Book Description
This book presents simulation as an essential, powerful tool to develop the best possible healthcare system for patients. It provides vital insights into the necessary steps for supporting and enhancing medical care through the simulation methodology. Organized into four sections, the book begins with a discussion on the overarching principles of simulation and systems. Section two then delves into the practical applications of simulation, including developing new workflows, utilizing new technology, building teamwork, and promoting resilience. Following this, section three examines the transition of ideas and initiatives into everyday practices. Chapters in this section analyze complex interpersonal topics such as how healthcare clinical stakeholders, simulationists, and experts who are non-clinicians can collaborate. The closing section explores the potential future directions of healthcare simulation, as well as leadership engagement. A new addition to the Comprehensive Healthcare Simulation Series, Improving Healthcare Systems stimulates the critical discussion of new and innovative concepts and reinforces well-established and germane principles.

Clinical Reasoning

Clinical Reasoning PDF Author: Tracy Levett-Jones
Publisher:
ISBN: 9781488616396
Category : Medical logic
Languages : en
Pages : 344

Book Description
An Australian text designed to address the key area of clinical reasoning in nursing practice. Using a series of authentic scenarios, Clinical Reasoning guides students through the clinical reasoning process while challenging them to think critically about the nursing care they provide. With scenarios adapted from real clinical situations that occurred in healthcare and community settings, this edition continues to address the core principles for the provision of quality care and the prevention of adverse patient outcomes.

Online Nursing Education: A Collaborative Approach

Online Nursing Education: A Collaborative Approach PDF Author: Melissa Robinson
Publisher: Jones & Bartlett Learning
ISBN: 1284230015
Category : Medical
Languages : en
Pages : 316

Book Description
The increase of online nursing education programs has furthered the need for nursing faculty to have specific preparation for online teaching. Drawing from the authors’ extensive experience teaching online nursing education programs, Online Nursing Education: A Collaborative Approach is unlike any other text. It was written and designed for faculty teaching online post-licensure students in a nursing education degree program, post-master’s certificate program, advanced practice program, or other advanced education-related degree program. This unique text takes a theoretical approach and includes practical examples as well as sample curriculum, course design, and policies. Topics covered include strategies for teaching online, learning through writing in an online classroom, experiential learning in online programs, generational differences in online learning, and more practical discussions backed by evaluation studies and qualitative research.

From Novice to Expert

From Novice to Expert PDF Author: Patricia E. Benner
Publisher: Pearson
ISBN:
Category : Clinical competence
Languages : en
Pages : 340

Book Description
This coherent presentation of clinical judgement, caring practices and collaborative practice provides ideas and images that readers can draw upon in their interactions with others and in their interpretation of what nurses do. It includes many clear, colorful examples and describes the five stages of skill acquisition, the nature of clinical judgement and experiential learning and the seven major domains of nursing practice. The narrative method captures content and contextual issues that are often missed by formal models of nursing knowledge. The book uncovers the knowledge embedded in clinical nursing practice and provides the Dreyfus model of skill acquisition applied to nursing, an interpretive approach to identifying and describing clinical knowledge, nursing functions, effective management, research and clinical practice, career development and education, plus practical applications. For nurses and healthcare professionals.

Nursing Scope and Standards of Practice, 4th Edition

Nursing Scope and Standards of Practice, 4th Edition PDF Author: American Nurses Association
Publisher:
ISBN: 9780999308868
Category :
Languages : en
Pages :

Book Description


Critical Thinking in Nursing

Critical Thinking in Nursing PDF Author: Carol J. Green
Publisher: Prentice Hall
ISBN:
Category : Critical thinking
Languages : en
Pages : 324

Book Description
Helping today's nursing professional acquire essential critical thinking skills for solving both common and more complex health problems, this innovative and insightful workbook contains 92 real-life cases which address all aspects of nursing care (i.e., assessment, analyzing data, planning care, evaluating benefits and possible consequences of care), and demonstrate the cognitive and affective components that influence critical thinking. KEY TOPICS: Contains an introduction to critical thinking, an historical overview of critical thinking, and an in-depth discussion on the affective and cognitive components of critical thinking. Uses critical thinking language throughout; bases all material on critical thinking theory; and fosters both attitude and cognitive critical thinking within each case. Organizes case studies by major nursing specialties--adult health, community and home-care, maternal-newborn, pediatrics, and mental health nursing--and presents many activities and questions within each case to stimulate critical thinking skills. Includes practice sessions, detailed chapter summaries, and a book/Internet link that provides regularly updated material. MARKET: For nurses specializing in adult health, community and home-care, maternal-newborn, pediatrics, and mental health.

Expertise in Nursing Practice, Second Edition

Expertise in Nursing Practice, Second Edition PDF Author: Patricia E. Benner
Publisher: Springer Publishing Company
ISBN: 0826125441
Category : Medical
Languages : en
Pages : 525

Book Description
Print+CourseSmart

Cumulated Index Medicus

Cumulated Index Medicus PDF Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1840

Book Description