Implementing NGN-aligned unfolding case-based learning to strengthen clinical judgment and professional identity formation in pre-licensure nursing students at a Historically Black University

Abstract

Background

The Next Generation NCLEX (NGN) emphasizes clinical judgment as a core entry-to-practice nursing competency. Pre-licensure nursing programs must implement instructional strategies that support the development of clinical reasoning while engaging diverse learners.

Innovation

This paper describes an NGN-aligned unfolding case-based learning model implemented in a pre-licensure nursing program at a historically Black university in the southern United States. The innovation integrates Tanner’s Clinical Judgment Model with the NCSBN Clinical Judgment Measurement Model (NCJMM) to guide case development, NGN-style item construction, and structured faculty-guided debriefing.

Implications

The approach embeds culturally responsive patient scenarios and social determinants of health within unfolding cases to promote student engagement and support repeated clinical judgment practice. Standardized facilitation guides and structured debriefing promote consistent implementation across course sections.

Conclusions

NGN-aligned unfolding case-based learning offers a practical strategy for strengthening clinical judgment and supporting professional identity formation among pre-licensure nursing students. The model provides a replicable approach for educators seeking to align curriculum with NGN expectations.