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Updated: Jul 6, 2025

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Nursing Students' Perception of Just Culture and Development of Self-Confidence With Clinical Judgment: A Scoping
1About the Author Lisa McCarty Pugsley, EdD, RN, CPN, CNE, is a doctoral graduate, Tanner Health System School of Nursing, University of West Georgia, Carrollton, Georgia. This work would not have been possible without the support of her dissertation committee. The author acknowledges Dr. Amy Yarbrough for her support as dissertation chair and Drs. Connie Barbour, Laura Caramanica, and Cynthia Brown for their support during the writing process. For information, contact Dr. Pugsley at lisamcpug@gmail.com .
Aim:
The aim of this study was to determine what is currently known about just culture's impact on nursing students' development of self-confidence with clinical judgment.
Background:
Graduates of nursing programs must execute sound nursing judgment to provide safe client care.
Method:
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guided the scoping review. The review elicited 1,411 sources and included 18 data sources.
Results:
Just culture was found to provide elements of trust, fairness, and psychological safety needed by nursing students to be self-confident in learning and executing clinical judgments that promote client safety.
Conclusion:
Just culture promotes client safety in nursing education. Limited information exists on just culture's influence on student self-confidence with clinical judgment; more research is therefore required.
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