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Mapping Critical Thinking, Clinical Reasoning, and Clinical Judgment Across the Curriculum.

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Summary

Nursing faculty can improve clinical judgment education by mapping curriculum activities and using the National Council of State Boards of Nursing Clinical Judgment Model. This framework aids in developing teaching strategies and assessments for baccalaureate programs.

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Area of Science:

  • Nursing Education
  • Healthcare Professional Development

Background:

  • Critical thinking, clinical reasoning, and clinical judgment are essential nursing skills.
  • Educating and evaluating these skills presents challenges for nursing faculty.

Purpose of the Study:

  • To map current practices in teaching and assessing clinical judgment within a baccalaureate nursing program.
  • To establish a framework for curriculum revision focused on enhancing clinical judgment.

Main Methods:

  • Faculty mapped existing clinical judgment activities across a 5-semester program.
  • An external consultant assisted in identifying new assessment strategies for classroom and clinical settings.
  • Faculty collaborated to develop teaching methods and Next Generation National Council Licensure Examination (NCLEX) style questions.

Main Results:

  • Curriculum mapping identified opportunities for integrating clinical judgment assessment.
  • New teaching strategies and assessment tools were developed.
  • Faculty gained consensus on utilizing a standardized model for clinical judgment education.

Conclusions:

  • The National Council of State Boards of Nursing Clinical Judgment Model provides a robust framework for curriculum development.
  • Implementing this model can guide faculty in revising curricula and enhancing clinical judgment assessment.
  • This approach supports the development of essential skills for nursing practice.