Related Experiment Video
Updated: Sep 14, 2025
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
23.8K
The Effect of Clinical Judgment Methods for Care Plan Development in Nursing Students
Lisa Foertsch1, Paula Sherwood, Paul Wesley Scott
1About the Authors Lisa Foertsch, DNP, MSN, is an assistant professor, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania. Paula Sherwood, PhD, RN, CNRN, FAAN, is a professor, University of Virginia School of Nursing, Charlottesville, Virginia. Paul Wesley Scott, PhD, is an assistant professor and faculty statistician, University of Pittsburgh School of Nursing. For more information, contact Dr. Foertsch at lyf3@pitt.edu .
Nursing Education Perspectives
|July 23, 2025
Summary
The clinical judgment model (CJM) significantly improved nursing students
Area of Science:
- Nursing Education
- Clinical Judgment
- Critical Thinking
Background:
- Nursing students require critical thinking skills to develop effective patient care plans.
- Assessing student confidence in applying critical thinking to care plan development is crucial for educational improvement.
Purpose of the Study:
- To evaluate the impact of the clinical judgment model (CJM) on junior nursing students' confidence in creating nursing care plans.
- To determine if CJM enhances students' ability to identify patient problems, plan interventions, and select appropriate resources.
Main Methods:
- A pilot study design was employed.
- Junior nursing students' confidence levels were assessed before and after instruction on the clinical judgment model (CJM).
- Focus was placed on critical thinking skills used in developing written nursing care plans.
Main Results:
- A statistically significant increase (p = .01) was observed in students' confidence in selecting appropriate resources for patient needs.
- A statistically significant increase (p = .04) was noted in students' ability to apply relevant knowledge for identifying nursing interventions.
- The CJM approach to care planning demonstrated positive usability and merit.
Conclusions:
- The clinical judgment model (CJM) positively impacts nursing students' critical thinking and confidence in care plan development.
- Integrating CJM into nursing education is recommended to enhance clinical reasoning and practical skills.
Related Concept Videos
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.7K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.7K
01:29Planning Nursing Care II
2.9K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.9K
01:21Planning Nursing Care I
4.8K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.8K
01:15Nursing Evaluation
3.6K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.6K
01:13Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
01:25Fundamentals of Nursing Process II
3.8K
There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
3.8K