Cultivating Clinical Judgment Through Wound Building: A Teaching Innovation.

IF 1.9

The Journal of nursing education Pub Date : 2026-06-26 DOI:10.3928/01484834-20260602-01

Cristena E Cook, Heidi J G Niswander

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Abstract

Background: Wound care is a critical competency for prelicensure nursing students, yet opportunities for authentic, hands-on practice contribute to students' limited exposure and decreased confidence in wound assessments and management.

Method: Following INACSL Standards, students constructed hyper-realistic wounds using low-cost everyday materials. Students then rotated though peer-created stations to perform assessments, determine wound staging, and develop care strategies. Faculty-led debriefing concluded the sessions, focusing on AACN Essentials and clinical judgment.

Results: Statistical analysis (N = 113) revealed significant gains from pretest (M = 59.7) to posttest (M = 80.6; p < .001). A large effect size (Cohen's d = 1.59) indicated substantial improvements in student knowledge and confidence. Qualitative themes included high engagement, improved theoretical application, and increased assessment confidence.

Conclusion: This innovative activity effectively bridges the educational gap in wound care. By demonstrating measurable gains though a framework aligned with national standards, this scalable, low-cost strategy offers a validated model for nursing programs to cultivate clinical judgment in the classroom.

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通过创面培养临床判断能力：一项教学创新。

背景：伤口护理是准护士学生的一项关键能力，然而，真实的动手实践机会导致学生接触伤口的机会有限，对伤口评估和管理的信心下降。方法：根据INACSL标准，学生使用低成本的日常材料构建超现实伤口。然后，学生们轮流在同行创建的医疗站进行评估，确定伤口分期，并制定护理策略。教师主导的汇报结束了会议，重点是AACN要点和临床判断。结果：统计分析（N = 113）显示，从测试前（M = 59.7）到测试后（M = 80.6; p < .001），获益显著。较大的效应量（Cohen’s d = 1.59）表明学生的知识和信心有了实质性的提高。定性主题包括高参与度、改进的理论应用和增加的评估信心。结论：该创新活动有效地弥合了伤口护理教育的差距。通过与国家标准一致的框架展示可衡量的收益，这种可扩展的低成本战略为护理项目提供了一个有效的模型，以培养课堂上的临床判断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Journal of nursing education

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