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. 2024 Aug 18:10:23779608241274728.
doi: 10.1177/23779608241274728. eCollection 2024 Jan-Dec.

Barriers and Facilitators Experienced by Undergraduate Nursing Faculty Teaching Clinical Judgment: A Qualitative Study

Carolyn Kerns  1 , Monika Wedgeworth  1
Affiliations

Barriers and Facilitators Experienced by Undergraduate Nursing Faculty Teaching Clinical Judgment: A Qualitative Study

Carolyn Kerns et al. SAGE Open Nurs. .

Abstract

Background: Clinical judgment is declining in new graduate nurses, which affects patient safety and is therefore tested on the Next Generation NCLEX. There is limited research describing barriers and facilitators impacting nursing faculty's experiences teaching clinical judgment.

Aims: The purpose of this study was to explore barriers and facilitators affecting undergraduate nursing faculty's clinical judgment teaching methods.

Methods: Sixteen qualitative interviews were conducted with full-time nursing faculty at seven universities in the Northeast and Southeast regions of the United States.

Results: The findings revealed program, student, and faculty factors affecting clinical judgment teaching methods. Subthemes included time, class size, students' class preparation, critical thinking, task orientation, professional development, and faculty resistance.

Conclusion: Minimizing barriers and strengthening facilitators based on participants' practices and previous research can support more effective clinical judgment pedagogy, which has the potential to achieve Next Generation NCLEX success and potentially increase patient safety.

Keywords: nursing education; nursing faculty; nursing students; qualitative research; undergraduate nursing programs.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Adamson K. A., Gubrud P., Sideras S., Lasater K. (2012). Assessing the reliability, validity, and use of the Lasater Clinical Judgment Rubric: Three approaches. Journal of Nursing Education, 51(2), 66–73. 10.3928/01484834-20111130-03 - DOI - PubMed
    1. Al-Moteri M., Plummer V., Cooper S., Symmons M. (2019). Clinical deterioration of ward patients in the presence of antecedents: A systematic review and narrative synthesis. Australian Critical Care, 32(5), 411–420. 10.1016/j.aucc.2018.06.004 - DOI - PubMed
    1. American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/essentials
    1. Benner P., Tanner C., Chesla C. (2009). Expertise in nursing practice: Caring, clinical judgment, and ethics (2nd ed.). Springer Publishing Company.
    1. Bertozzi S., Ferri P., Cortini C., Mentasti R., Scalorbi S., Di Lorenzo R., Rovesti S., Alberti S., Rubbi I. (2022). Clinical judgment skills assessment in high fidelity simulation: A comparison study in nursing education. International Conference in Methodologies and Intelligent Systems for Technology Enhanced Learning, 12th International Conference.

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