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A nursing residency program: A window into clinical judgement and clinical decision making
Joyce Wright1, Debra Scardaville1
1New Jersey City University, 2039 Kennedy Blvd, Jersey City, NJ, 07305, USA.
Nurse Education in Practice
|December 9, 2020
Summary
Nursing residency programs transform new nurses, enhancing clinical judgment and decision-making skills through reflective journaling. This pedagogical approach fosters confidence and professional growth.
Area of Science:
- Nursing Education
- Clinical Judgment
- Professional Development
Background:
- New graduate nurses often face challenges transitioning to practice.
- Nursing residency programs aim to support this transition and enhance clinical skills.
- Reflective journaling is a tool for self-assessment and learning.
Purpose of the Study:
- To explore nursing residents' perceptions of clinical decision-making and judgment.
- To examine the role of reflective journaling in a nursing residency program.
Main Methods:
- Qualitative, descriptive research design.
- Analysis of reflective journals from seven Registered Nurses in a one-year baccalaureate program and residency.
- Application of Tanner's Model of Clinical Judgement (2006).
Main Results:
- Identified three temporal phases of the residency: Beginning, Thresholds, and Homecoming.
- Eight distinct themes emerged across the residency phases.
- Residency experiences facilitated skill/knowledge acquisition, confidence, self-analysis, and professional socialization.
Conclusions:
- Nursing residency is a transformative pedagogical methodology.
- Reflective journaling effectively supports self-analysis of clinical decision-making during residency.
- Residency programs are crucial for developing competent and confident nurses.
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