Indiana University-Purdue University Indianapolis (IUPUI) / Clinical judgment provides the basis for nurses’ actions and is essential for the provision of safe nursing care. Tanner’s Clinical Judgment Model and its associated instrument, the Lasater Clinical Judgment Rubric (LCJR) have been used in the discipline of nursing, yet it is unclear if scores on the rubric actually translate to the completion of an indicated nursing action. This is important because clinical judgment involves identifying and responding to patient situations through nursing action, and then evaluation of such actions. The purpose of this observational study was to explore the relationship between clinical judgment, as measured by the LCJR, and the completion of an indicated nursing action, as measured by a nursing action form. The clinical judgment and completion of an indicated nursing action was measured in 92 participant students at a Midwestern university school of nursing who were enrolled in an adult medical/surgical nursing course that included simulation and debriefing during which scoring occurred. This study explored whether clinical judgment, as measured by the LCJR, was related to the completion of an indicated nursing action. In addition, this study evaluated whether Responding, as measured by the LCJR was related to the completion of an indicated nursing action. The data revealed that a very weak relationship was present between clinical judgment, as measured by the LCJR, and the completion of an indicated nursing action; however, these findings were not statistically significant. The data also revealed that a very weak relationship was present between the dimension Responding, and the completion of an indicated nursing action; however, these findings were also not statistically significant. This study expands upon previous clinical judgment research in nursing and identifies a need for additional methods of evaluating clinical judgment in baccalaureate nursing students including action appraisal so that deficiencies are established and targeted for improvement.

The problem of this investigation was the development of a systematic method for the evaluation of curricula in baccalaureate nursing programs. The literature in nursing and general education was used to extrapolate theories and concepts for the formulation of a theoretical construct. This construct served as the basis for the evaluation instrument. The major concepts were identified as (1) underlying structure, (2) content of courses within the curriculum, and (3) methods and activities. Elements and components were chosen to clarify and extend the concepts. The literature and experts in nursing were both instrumental in the selection of weights. Based on the findings of the study, the following conclusions are made. (1) A faculty member's ability to use a systematic evaluation instrument does not depend upon years of teaching experience or prior experience as a National League for Nursing visitor. (2) The Evaluation Index appears capable of meeting the criteria for a more systematic method of curriculum evaluation. (3) A theoretical construct appears conducive to theory development as it is directed toward an approach which is more scientific than intuitive. (4) The inclusion of clarifying components within the instrument provides for the evaluative effort to be distributed across the entire curriculum and indicates the scope of the evaluation effort, which apparently contributes to increasing the precision of evaluation. (5) Clarification of concepts and pre-established weights apparently contributed to the differences in the scores assigned by evaluates. (6) Predetermined weights for each element may contribute to more precise evaluation. (7) Limits on the possible value of each element may contribute to more precise curriculum evaluation.

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Introdução: Há um hiato teórico- prático no ensino dos processos de trabalho em enfermagem. Pensando que a integração desses processos tenha origem no ensino, pressupomos que as ações concernentes aos processos de trabalho administrar e cuidar são desenvolvidas de modo descontinuado e desarticulado entre si. Adotamos como referencial teórico do Planejamento Estratégico Situacional e Teoria da Aprendizagem Significativa. Objetivos: Compreender, no processo ensino-aprendizagem, a articulação dos processos de trabalho cuidar e administrar em enfermagem; identificar os fatores intervenientes no ensino da graduação em enfermagem dos processos cuidar e administrar, segundo a percepção dos graduandos e docentes; conhecer as estratégias de ensino-aprendizagem utilizadas pelos docentes, empregadas no ensino dos processos de trabalho em enfermagem; analisar o inter-relacionamento teórico e prático dos processos cuidar e administrar; propor estratégias de ensino-aprendizagem que privilegiem a articulação dos processos de trabalho cuidar e administrar. Metodologia: Estudo qualitativo, realizado em dois cursos de graduação em enfermagem, um público e um privado, do Município de São Paulo. A primeira fase, conduzida pelo Planejamento Estratégico Situacional, momento explicativo contou com 13 docentes e 17 estudantes, concederam entrevistas analisadas pelo Discurso do Sujeito Coletivo. O diagnóstico situacional achado permitiu o momento normativo, identificados 13 nós críticos, utilizados no momento estratégico. Adotamos a técnica de grupo focal para coleta de dados, na segunda fase, elaboramos plano de ações possíveis para intervenção no ensino da graduação, contando com a participação de quatro docentes e cinco estudantes da instituição particular. Não houve adesão dos sujeitos da escola pública. Resultados: Aproximadamente metade dos docentes apresenta arcabouço teórico sobre os conteúdos dos processos de trabalho em enfermagem; proporcionalmente, o mesmo ocorreu entre os estudantes. O quantiqualitativo de recursos humanos no campo de ensino prático influencia nessa articulação. O grupo focal destacou, como propostas de melhorias: a realização de metodologias ativas para o ensino, e a descrição de um plano de acompanhamento e avaliação diagnóstica, pactuada no projeto político pedagógico. A aprendizagem significativa, momento tático-operacional, conduziu a construção de um mapa conceitual e um rol de estratégias ativas de ensino. Conclusões: É preciso romper os paradigmas. Práticas pedagógicas ativas estimulantes para docentes e estudantes favorecem aprendizado com significado. O planejamento estratégico situacional apoiou assertivamente o desenvolvimento da pesquisa / Introduction: The articulation of work nursing processes promoted this study. Thinking that the integration of these processes originates in education, we assume that the actions pertaining to the work processes are developed to manage and take care of discontinued mode and inarticulate amongst themselves. The Strategic Planning Situational and Meaningful Learning theory was adopted as theoretical benchmark. Objectives: To understand, in the teaching-learning process, the articulation of work processes and administer nursing care; identify factors involved in the teaching of undergraduate nursing processes of care and manage, as perceived by graduates and teachers; know the strategies of teaching and learning used by professors, employed in the teaching of nursing work processes; analyze the theoretical and practical inter-relationship of processes and manage care; suggest strategies for teaching and learning that emphasize coordination of work processes and administer care. Methodology: Qualitative study in two undergraduate nursing a public and a private, in São Paulo. The first phase, conducted by Strategic Situational Planning, explanatory currently featured 13 teachers and 17 students, granted analyzed using the Collective Subject Discourse interviews. The situational analysis findings allowed the normative moment identified 13 critical nodes, used in strategic moment. We adopted the technique of focus group data collection, in the second phase, we prepared for possible actions plan for intervention in undergraduate teaching, with the participation of four teachers and five students of the particular institution. There was no adherence of the subjects of public school. Results: Approximately half of teachers presents a theoretical framework about the contents of the work processes in nursing; proportionally, the same occurred among students. The human quality resources in the field of practical teaching were considered influences in these joint. The focus group proposal highlights improvement: performing for active teaching methodologies, and a description of a monitoring and diagnostic evaluation, the agreed political pedagogical project. Meaningful learning, operational-tactical moment, was to build a conceptual map and a list of suggestions of active teaching strategies. Conclusions: It is necessary to break the paradigms. Stimulanting pedagogical practices enable meaningful learning in practice theoretical joint of nursing work processes. The development of research did supported for the planning situational strategic assertively

No description available.

Introdução: Há um hiato teórico- prático no ensino dos processos de trabalho em enfermagem. Pensando que a integração desses processos tenha origem no ensino, pressupomos que as ações concernentes aos processos de trabalho administrar e cuidar são desenvolvidas de modo descontinuado e desarticulado entre si. Adotamos como referencial teórico do Planejamento Estratégico Situacional e Teoria da Aprendizagem Significativa. Objetivos: Compreender, no processo ensino-aprendizagem, a articulação dos processos de trabalho cuidar e administrar em enfermagem; identificar os fatores intervenientes no ensino da graduação em enfermagem dos processos cuidar e administrar, segundo a percepção dos graduandos e docentes; conhecer as estratégias de ensino-aprendizagem utilizadas pelos docentes, empregadas no ensino dos processos de trabalho em enfermagem; analisar o inter-relacionamento teórico e prático dos processos cuidar e administrar; propor estratégias de ensino-aprendizagem que privilegiem a articulação dos processos de trabalho cuidar e administrar. Metodologia: Estudo qualitativo, realizado em dois cursos de graduação em enfermagem, um público e um privado, do Município de São Paulo. A primeira fase, conduzida pelo Planejamento Estratégico Situacional, momento explicativo contou com 13 docentes e 17 estudantes, concederam entrevistas analisadas pelo Discurso do Sujeito Coletivo. O diagnóstico situacional achado permitiu o momento normativo, identificados 13 nós críticos, utilizados no momento estratégico. Adotamos a técnica de grupo focal para coleta de dados, na segunda fase, elaboramos plano de ações possíveis para intervenção no ensino da graduação, contando com a participação de quatro docentes e cinco estudantes da instituição particular. Não houve adesão dos sujeitos da escola pública. Resultados: Aproximadamente metade dos docentes apresenta arcabouço teórico sobre os conteúdos dos processos de trabalho em enfermagem; proporcionalmente, o mesmo ocorreu entre os estudantes. O quantiqualitativo de recursos humanos no campo de ensino prático influencia nessa articulação. O grupo focal destacou, como propostas de melhorias: a realização de metodologias ativas para o ensino, e a descrição de um plano de acompanhamento e avaliação diagnóstica, pactuada no projeto político pedagógico. A aprendizagem significativa, momento tático-operacional, conduziu a construção de um mapa conceitual e um rol de estratégias ativas de ensino. Conclusões: É preciso romper os paradigmas. Práticas pedagógicas ativas estimulantes para docentes e estudantes favorecem aprendizado com significado. O planejamento estratégico situacional apoiou assertivamente o desenvolvimento da pesquisa / Introduction: The articulation of work nursing processes promoted this study. Thinking that the integration of these processes originates in education, we assume that the actions pertaining to the work processes are developed to manage and take care of discontinued mode and inarticulate amongst themselves. The Strategic Planning Situational and Meaningful Learning theory was adopted as theoretical benchmark. Objectives: To understand, in the teaching-learning process, the articulation of work processes and administer nursing care; identify factors involved in the teaching of undergraduate nursing processes of care and manage, as perceived by graduates and teachers; know the strategies of teaching and learning used by professors, employed in the teaching of nursing work processes; analyze the theoretical and practical inter-relationship of processes and manage care; suggest strategies for teaching and learning that emphasize coordination of work processes and administer care. Methodology: Qualitative study in two undergraduate nursing a public and a private, in São Paulo. The first phase, conducted by Strategic Situational Planning, explanatory currently featured 13 teachers and 17 students, granted analyzed using the Collective Subject Discourse interviews. The situational analysis findings allowed the normative moment identified 13 critical nodes, used in strategic moment. We adopted the technique of focus group data collection, in the second phase, we prepared for possible actions plan for intervention in undergraduate teaching, with the participation of four teachers and five students of the particular institution. There was no adherence of the subjects of public school. Results: Approximately half of teachers presents a theoretical framework about the contents of the work processes in nursing; proportionally, the same occurred among students. The human quality resources in the field of practical teaching were considered influences in these joint. The focus group proposal highlights improvement: performing for active teaching methodologies, and a description of a monitoring and diagnostic evaluation, the agreed political pedagogical project. Meaningful learning, operational-tactical moment, was to build a conceptual map and a list of suggestions of active teaching strategies. Conclusions: It is necessary to break the paradigms. Stimulanting pedagogical practices enable meaningful learning in practice theoretical joint of nursing work processes. The development of research did supported for the planning situational strategic assertively

The problem with which this study is concerned is the attrition of freshman and sophomore students who enroll in a baccalaureate nursing program. The purpose of this study is to identify and describe factors that may contribute to the nursing student attrition problem at a state-supported university.

The problem with which this study is concerned is the identification of selected factors, prior to a student's admission into the nursing sequence, that may be related to the student's success in completing a baccalaureate nursing education. The purposes of the study were (1) to determine if there is a relationship between the reading ability of baccalaureate nursing students and their grades in their initial nursing course, (2) to determine if there are statistically significant differences in reading abilities among traditional groups and identified nontraditional nursing student subgroups (men, older students, blacks Hispanics, and others) of the population, and (3) to determine if prior educational experience (junior college, senior college, or a previous baccalaureate degree) is related to students' grades in the initial clinical course.

The ability to think critically is considered an essential skill of nursing graduates and competent nursing practice. Yet, the literature reports that teachers are having difficulty teaching for critical thinking and that critical thinking is lacking in new nursing graduates. This research study sought to identify barriers to the implementation of critical thinking teaching strategies by nursing faculty currently teaching in generic baccalaureate programs in Tennessee. Surveys were mailed to 262 nursing faculty; 194 were returned, and 175 were usable. Students' attitudes and expectations represented the single greatest barrier to the implementation of critical thinking teaching strategies, followed by time constraints and the perceived need to teach for content coverage. Recommendations to support and encourage faculty to teach for critical thinking are outlined.