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Related Experiment Video

Updated: Jun 25, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Reflective journaling for clinical judgment development and evaluation.

Kathie Lasater¹, Ann Nielsen

¹Oregon Health and Science University, School of Nursing, Portland, Oregon 97239-2941, USA. lasaterk@ohsu.edu

The Journal of Nursing Education

|February 21, 2009

Summary

This summary is machine-generated.

Guided reflection using Tanner

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Area of Science:

Nursing Education
Clinical Judgment Development

Background:

Reflective journaling aids clinical thinking insight in nursing education.
Students may benefit from structured, guided reflection strategies.
Existing tools for structuring reflection yield varied outcomes.

Purpose of the Study:

To describe outcomes of using the Guide for Reflection, based on Tanner's Clinical Judgment Model.
To evaluate the development of clinical judgment using the Lasater Clinical Judgment Rubric.
To assess a comprehensive package fostering clinical judgment, communication, and evaluation.

Main Methods:

Utilized the Guide for Reflection tool, derived from Tanner's Clinical Judgment Model.
Employed the Lasater Clinical Judgment Rubric for evaluating clinical judgment.
Integrated senior immersion course competencies aligned with Tanner's Model.

Main Results:

The Guide for Reflection, Lasater Rubric, and course competencies provided a structured approach.
Facilitated enhanced faculty-student communication regarding clinical thinking.
Demonstrated a method for evaluating students' clinical judgment development.

Conclusions:

Tanner's Clinical Judgment Model provides a robust framework for developing and evaluating clinical judgment.
A comprehensive package including guided reflection tools enhances nursing students' clinical thinking.
Standardized language and tools improve assessment and communication in clinical education.