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Published on: February 16, 2011
A Structured Framework to Enhance Clinical Judgment: Insights From Clinical Adjunct Faculty.
1About the Author Rachael Salguero, PhD, RN-BC, CNEcl, is assistant professor and Nursing Education Department of Labor Grant Track Coordinator, MGH Institute of Health Professions, Boston, Massachusetts. She was a recipient of the National League for Nursing Education Scholarship and gratefully acknowledges the support and guidance of her dissertation committee: Dr. Cheryl Williams, Dr. Janet Monagle, and Dr. Brian French. For more information, contact Dr. Salguero at rhylersalguero@mghihp.edu .
Clinical adjunct faculty benefit from structured frameworks, like the Tanner model, to teach nursing students essential clinical judgment skills. This approach improves student engagement and prepares graduates for effective patient care decision-making.
Area of Science:
- Nursing Education
- Clinical Judgment Development
- Pedagogical Strategies
Background:
- Clinical adjunct faculty possess expertise but often lack pedagogical skills for teaching clinical judgment.
- A gap exists in effectively preparing nursing students for complex clinical decision-making.
- The Tanner clinical judgment model offers a potential framework for enhancing clinical education.
Purpose of the Study:
- To explore clinical adjunct faculty experiences using the Tanner clinical judgment model.
- To identify pedagogical strategies that enhance clinical judgment in nursing students.
- To understand how structured frameworks impact faculty instruction and student learning.
Main Methods:
- Qualitative study involving interviews with clinical adjunct faculty.
- Exploration of faculty perceptions regarding the Tanner clinical judgment model.
- Thematic analysis of interview data to identify key experiences and benefits.
Main Results:
- Four major themes emerged: benefits of structured frameworks, the importance of reflection, development of noticing skills, and enhanced student engagement.
- Adjunct faculty found structured frameworks crucial for teaching clinical judgment.
- Implementation of the model led to improved student engagement and learning.
Conclusions:
- Structured frameworks, such as the Tanner model, are vital for effective clinical judgment education in nursing.
- These frameworks support faculty in their instructional roles and enhance student preparedness for professional practice.
- Utilizing structured pedagogical approaches ultimately promotes better patient care decision-making by nursing graduates.
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