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Cultivating Clinical Judgment in Pharmacological Decision-Making Through Reflection on Practice.
The Journal of Nursing Education
|March 7, 2022
Summary
Postclinical reflective debriefing did not significantly improve nursing students' clinical judgment in pharmacology. However, all students showed improved scores over the semester, highlighting the value of clinical experience.
Area of Science:
- Nursing Education
- Clinical Judgment Development
- Pharmacology Education
Background:
- Nurses' clinical judgment in pharmacology is crucial for medication safety.
- This study investigated reflective debriefing's effect on nursing students' clinical judgment.
Purpose of the Study:
- To assess the impact of postclinical pharmacology-focused reflective debriefing on prelicensure senior nursing students' clinical judgment.
Main Methods:
- A nonrandomized repeated measures design compared students with and without the debriefing activity.
- Lasater's Clinical Judgment Rubric was used for data collection.
Main Results:
- All participants (n=128) showed significant increases in clinical judgment scores by semester's end.
- No significant difference in clinical judgment scores was found between the intervention and control groups.
Conclusions:
- Clinical experiences inherently foster clinical judgment in pharmacology for prelicensure students.
- Nurse educators should explore and evaluate strategies to enhance this development.
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