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Published on: February 16, 2011
Assisting Learners to Understand and Incorporate Functions of Clinical Judgment Into Nursing Practice
Sheryl K Sommer1, Janean D Johnson, Cynthia M Clark
1Author Affiliations: Chief Nursing Officer (Dr Sommer), Nursing Strategist (Ms Johnson), and Former Strategic Nursing Advisor (Dr Clark), Assessment Technologies Institute, LLC; and Director (Dr Mills), Research and Applied Psychometrics, Ascend Learning, Leawood, Kansas.
This study developed a Guide for Clinical Judgment (CJ) to help nurse educators improve students' essential CJ skills. The guide offers evidence-based strategies for various learning settings, enhancing client safety.
Area of Science:
- Nursing Education
- Clinical Judgment Skills
- Healthcare Safety
Background:
- Mastering clinical judgment (CJ) is crucial for nurses across all healthcare settings.
- Complex healthcare environments and nursing practice intricacies pose risks to client safety.
Purpose of the Study:
- To develop an evidence-based resource for nurse educators to enhance clinical judgment (CJ) skills in nursing students.
- To address potential risks to client safety by improving CJ competencies.
Main Methods:
- A 2-year, 3-phased approach was employed.
- Phase 1: Survey results from nurses in education and practice.
- Phases 2 & 3: Discussion forums and think tanks with nurse educators.
Main Results:
- Development of the Guide for CJ, an evidence-based resource for educators.
- The Guide aligns environmental/individual factors and nurse behaviors with the NCSBN Action Model.
- Provides a framework to promote CJ skills in nursing students.
Conclusions:
- The Guide for CJ supports faculty development and operationalizes CJ.
- Educators can use the Guide to create diverse learning strategies.
- Applicable across multiple learning environments to enhance nursing practice.
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Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

