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Developing Clinical Judgment: Lessons Learned from Comparing Classroom Strategies with Simulation Assessment
Lindsay A White1, Patricia L Pence2, Sandra Nielsen2
1Assessment Technologies Institute Testing, Leawood, Kansas.
Background:
Research indicates a decline in the percentage of newly graduated RNs who demonstrate the expected competency level for novice practice. To address a gap in practice readiness, this project aimed to explore strategies to enhance clinical judgment and reflect on the lessons learned to inform nursing education.
Method:
An online simulation program and online quiz program were implemented within a classroom setting. Faculty and students completed the Lasater Clinical Judgment Rubric in three laboratory simulations. Students reflected on their experience using the Guide for Reflection.
Results:
Key challenges were limited time to complete complex simulation tasks, technical difficulties associated with a new online program, and an identified need for comprehensive orientation, training, and preparation. The necessity of debriefing with online simulations and strategies to address diverse learner needs was emphasized.
Conclusion:
The lessons learned highlight the importance of innovative teaching strategies to strengthen students' clinical judgment skills.
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