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The University of Texas Medical Branch at Galveston

Nurse Educators' Perspectives and Experiences with Clinical Judgment

Abstract

dc:description.abstract

Sound clinical judgment (CJ) is an essential skill every nurse needs to care for individuals competently and safely. Over the last two decades, nursing education has struggled to sufficiently prepare and develop students’ CJ, despite various educational and curricular changes. This study utilized a Naturalistic Inquiry approach to explore prelicensure nurse educators’ perceptions and experiences with teaching and evaluating nursing students’ CJ to gain essential insight to educators’ perceptions of this education deficit. Eight prelicensure nurse educators participated in this study, recruited through the memberships of the National League for Nursing (NLN). Data saturation was evident after six participants. Four main categories emerged from the data: Making Sense of Clinical Judgment, Efforts to Foster Clinical Judgment in the Classroom and Clinical Setting, Perceived Challenges for Nurse Educators Related to Clinical Judgment, and The Next Generation National Council Licensure Examination (NGN) Impact. The findings indicate nursing education needs to agree on a definition and utilization of a CJ model to help teach. The findings also indicate creating an active learning environment, using simulation, and educators actively posing questions to students are strategies used to foster CJ in the clinical and classroom settings. The data from this study also reveals prelicensure nurse educators’ perceived challenges to teaching and evaluating students’ CJ and their perceptions on the new changes to licensure examination. The findings from this study support and add to the accelerating body of literature on nursing CJ and lay the groundwork for future research on fostering nursing students’ CJ

Degree

thesis:*
Name thesis:degree_name
PhD in Nursing (Doctoral)
Grantor
The University of Texas Medical Branch at Galveston
Year dc:date.issued
2023

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Rosen, Chelsey Lynn 1992-
Advisor dc:contributor.advisor
  • Richard, Patricia (plrichar@utmb.edu)
Committee members dc:contributor.committeemember
  • Rounds, Linda (lrounds@utmb.edu)
  • Martin, Darlene (damartin@utmb.edu)
  • Prochaska, John (joprocha@utmb.edu)
  • Bosenbark, Margaret (margaret.bosenbark@bswhealth.org)

Rights

Language dc:language.iso
English

Identifiers

dc:identifier.*
Handle dc:identifier.uri
https://hdl.handle.net/2152.3/12239
OAI identifier oai:identifier
oai:utmb-ir.tdl.org:2152.3/12239

Chain of custody

source
Harvested from
University of Texas Medical Branch
Base URL
utmb-ir.tdl.org/server/oai/request
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
related terms
citation

Rosen, Chelsey Lynn 1992-. Nurse Educators' Perspectives and Experiences with Clinical Judgment. The University of Texas Medical Branch at Galveston, 2023. https://hdl.handle.net/2152.3/12239