{"title":"Clinical Judgment Development Through Model-Based Reflection in Clinical Nursing Education.","authors":"Tiffany Condren","doi":"10.1097/01.NEP.0000000000001430","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>This study examined the effectiveness of structured, model-based clinical reasoning reflection prompts for the development of clinical judgment in prelicensure nursing students in the clinical setting. A quasi-experimental design was employed using the Lasater Clinical Judgment Rubric (LCJR) and NCLEX questions based on the National Council of State Boards of Nursing clinical judgment measurement model. Prompts were based on Tanner's clinical judgment model. Statistically significant clinical judgment improvement was found in LCJR scores ( t = 5.31) and NCLEX readiness ( t = 5.14, p < .001). This study supports the use of structured, model-based reflection to enhance clinical judgment development and NCLEX preparation.</p>","PeriodicalId":47651,"journal":{"name":"Nursing Education Perspectives","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Education Perspectives","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/01.NEP.0000000000001430","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: This study examined the effectiveness of structured, model-based clinical reasoning reflection prompts for the development of clinical judgment in prelicensure nursing students in the clinical setting. A quasi-experimental design was employed using the Lasater Clinical Judgment Rubric (LCJR) and NCLEX questions based on the National Council of State Boards of Nursing clinical judgment measurement model. Prompts were based on Tanner's clinical judgment model. Statistically significant clinical judgment improvement was found in LCJR scores ( t = 5.31) and NCLEX readiness ( t = 5.14, p < .001). This study supports the use of structured, model-based reflection to enhance clinical judgment development and NCLEX preparation.
期刊介绍:
A publication of the National League for Nursing, Nursing Education Perspectives is a peer-reviewed, bimonthly journal that provides evidence for best practices in nursing education. Through the publication of rigorously designed studies, the journal contributes to the advancement of the science of nursing education. It serves as a forum for research and innovation regarding teaching and learning, curricula, technology, and other issues important to nursing education. Today, as nurse educators strive to advance research in nursing education and break away from established patterns and chart new pathways in nursing education, Nursing Education Perspectives is a vital resource. Nursing Education Perspectives is housed in the NLN Chamberlain College of Nursing for the Advancement of the Science of Nursing Education.