Abstract
AIM The aim of the study was to determine if use of a structured reflection exercise using a clinical judgment framework would result in more practice-ready new graduate nurses (NGNs). BACKGROUND Clinical judgment is a critical skill for all nurses, yet it is identified as a deficit in NGNs. METHOD Seventy-four NGNs in two groups participated in this mixed-methods study in their first year in practice. Scores from two quantitative measures were collected for all participants. The Lasater Clinical Judgment Rubric framed the structured intervention. RESULTS Although the quantitative data showed no significant differences between the groups, use of the reflection exercise indicated a positive impact on NGNs. Qualitative data revealed four themes that present challenges for preparation of NGNs: enhancing communication, finding interprofessional support, responding to complexity of care, and appreciating the role of the nurse. CONCLUSION Implications provide guidance for academic and practice educators to smooth the transition into practice.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 201-207 |
| Number of pages | 7 |
| Journal | Nursing Education Perspectives |
| Volume | 39 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 1 2018 |
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Keywords
- Clinical Judgment
- New Graduate Nurses
- Reflection
- Workplace Culture
ASJC Scopus subject areas
- Nursing(all)
- Education
Cite this
New Graduate Nurse Experiences in Clinical Judgment : What Academic and Practice Educators Need to Know. / Monagle, Janet Lusk; Lasater, Kathie; Stoyles, Sydnee; Dieckmann, Nathan.
In: Nursing Education Perspectives, Vol. 39, No. 4, 01.07.2018, p. 201-207.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - New Graduate Nurse Experiences in Clinical Judgment
T2 - What Academic and Practice Educators Need to Know
AU - Monagle, Janet Lusk
AU - Lasater, Kathie
AU - Stoyles, Sydnee
AU - Dieckmann, Nathan
PY - 2018/7/1
Y1 - 2018/7/1
N2 - AIM The aim of the study was to determine if use of a structured reflection exercise using a clinical judgment framework would result in more practice-ready new graduate nurses (NGNs). BACKGROUND Clinical judgment is a critical skill for all nurses, yet it is identified as a deficit in NGNs. METHOD Seventy-four NGNs in two groups participated in this mixed-methods study in their first year in practice. Scores from two quantitative measures were collected for all participants. The Lasater Clinical Judgment Rubric framed the structured intervention. RESULTS Although the quantitative data showed no significant differences between the groups, use of the reflection exercise indicated a positive impact on NGNs. Qualitative data revealed four themes that present challenges for preparation of NGNs: enhancing communication, finding interprofessional support, responding to complexity of care, and appreciating the role of the nurse. CONCLUSION Implications provide guidance for academic and practice educators to smooth the transition into practice.
AB - AIM The aim of the study was to determine if use of a structured reflection exercise using a clinical judgment framework would result in more practice-ready new graduate nurses (NGNs). BACKGROUND Clinical judgment is a critical skill for all nurses, yet it is identified as a deficit in NGNs. METHOD Seventy-four NGNs in two groups participated in this mixed-methods study in their first year in practice. Scores from two quantitative measures were collected for all participants. The Lasater Clinical Judgment Rubric framed the structured intervention. RESULTS Although the quantitative data showed no significant differences between the groups, use of the reflection exercise indicated a positive impact on NGNs. Qualitative data revealed four themes that present challenges for preparation of NGNs: enhancing communication, finding interprofessional support, responding to complexity of care, and appreciating the role of the nurse. CONCLUSION Implications provide guidance for academic and practice educators to smooth the transition into practice.
KW - Clinical Judgment
KW - New Graduate Nurses
KW - Reflection
KW - Workplace Culture
UR - http://www.scopus.com/inward/record.url?scp=85053211325&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85053211325&partnerID=8YFLogxK
U2 - 10.1097/01.NEP.0000000000000336
DO - 10.1097/01.NEP.0000000000000336
M3 - Article
C2 - 29746356
AN - SCOPUS:85053211325
VL - 39
SP - 201
EP - 207
JO - Nursing Education Perspectives
JF - Nursing Education Perspectives
SN - 1536-5026
IS - 4
ER -