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.
| Identifer | oai:union.ndltd.org:IUPUI/oai:scholarworks.iupui.edu:1805/11775 |
| Date | 29 July 2016 |
| Creators | Fedko, Andrea Lauren |
| Contributors | Dreifuerst, Kristina Thomas, Ironside, Pamela M., Reising, Deanna, Wonder, Amy Hagedorn |
| Source Sets | Indiana University-Purdue University Indianapolis |
| Language | en_US |
| Detected Language | English |
| Type | Dissertation |
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