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Development and validation of the clinical judgment capability questionnaire in nurses: A sequential exploratory

Ali Dehghani1

  • 1Department of Community Health Nursing, School of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran.

International Journal of Nursing Studies Advances
|May 15, 2024
PubMed
Summary

This study developed and validated a 22-item questionnaire to assess nurses' clinical judgment capability. The tool demonstrates strong reliability and validity, crucial for safe nursing care and decision-making.

Keywords:
Clinical judgmentNursesNursing careQuestionnaireValidation

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Area of Science:

  • Nursing Education
  • Healthcare Professional Competency
  • Psychometrics

Background:

  • Clinical judgment is essential for safe nursing care, decision-making, and diagnosis.
  • A culturally and socially relevant tool is needed to accurately evaluate nurses' clinical judgment.
  • Existing assessment methods may not fully capture the nuances of clinical judgment in diverse nursing contexts.

Purpose of the Study:

  • To develop and validate a comprehensive questionnaire for assessing clinical judgment capability in nurses.
  • To create a psychometrically sound instrument suitable for diverse nursing populations.
  • To provide a reliable tool for evaluating a critical nursing competency.

Main Methods:

  • A sequential exploratory mixed-methods study was conducted.
  • Qualitative content analysis explored the concept of clinical judgment, informing initial item generation.
  • Quantitative methods assessed the questionnaire's face, content, and structure validity, along with reliability (internal consistency and stability).

Main Results:

  • A 22-item questionnaire was finalized after psychometric evaluation.
  • Factor analysis identified four key components of clinical judgment: noticing, interpreting, responding, and reflecting.
  • The questionnaire demonstrated excellent internal consistency (Cronbach's alpha = 0.95) and stability (ICC = 0.84).

Conclusions:

  • The developed 22-item questionnaire is a valid and reliable instrument for assessing nurses' clinical judgment.
  • This tool can aid in evaluating and enhancing nursing practice through objective measurement of clinical judgment.
  • The findings support the use of this questionnaire in educational and clinical settings to improve nursing care quality.