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Evaluating a Shared Reflective Practice to Develop Nursing Student Clinical Judgment.

Jennifer Maffucci1, Kathryn Vanderzwan, Leah Burt

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Shared structured reflection enhances clinical judgment in nursing students. This method fosters accountability, intentionality, and community, supporting competency-based nursing education.

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Area of Science:

  • Nursing Education
  • Clinical Judgment Development
  • Reflective Practice

Background:

  • Self-reflection is a key strategy for nurse educators to cultivate clinical judgment in prelicensure nursing students.
  • Limited research addresses enhancing clinical judgment specifically in second-degree nursing students within clinical environments.

Purpose of the Study:

  • To explore the impact of a shared structured reflection teaching innovation on clinical judgment skills.
  • To assess the effectiveness of this innovation in a required baccalaureate clinical course for prelicensure nursing students.

Main Methods:

  • Qualitative descriptive methods were employed to evaluate the educational innovation.
  • The study focused on students in the final semester of an accelerated prelicensure nursing program.
  • Data collection occurred within the clinical setting.

Main Results:

  • Students reported heightened accountability for their educational journey.
  • Participants experienced a greater sense of intentionality in their nursing practice.
  • A stronger sense of community was developed among peer students.

Conclusions:

  • Shared reflective practices in clinical settings show potential for improving nursing students' clinical judgment.
  • This approach supports the development of a competency-based nursing curriculum.