Teaching strategies in registered nursing: a blended approach to fostering clinical judgment

Abstract : A widely shared struggle among nursing faculty is to identify teaching strategies that foster clinical judgment in nursing students. This is of utmost importance not only to adequately prepare graduates to pass the Next Generation National Council Licensure Examination (NCLEX), but also because clinical judgment is ranked as the most desired skill by employers and preceptors.
Nursing education faced a new challenge when the NCSBN introduced the clinical judgment model as a response to the lack of clinical judgment skills observed in graduate nurses (NCSBN, 2019). Nurse educators are still struggling to integrate teaching strategies to foster clinical judgment and clinical competence among nursing students.
Benner et al. discuss combining clinical and classroom teaching to assist students in applying theory to practice. Those strategies seem to support bringing simulation in the classroom, but there is a gap in the literature on its effectiveness in developing students’ clinical judgment skills. ( Klenke-Bormann, L, et al, 2020).
This study measures ADN students' clinical judgement confidence gains in a blended flipped classroom-clinical simulation design. Eighty-five students participated in a post-class, cross-sectional survey. Survey questions included multiple choice questions developed by the faculty researcher using Lasater Clinical Judgement Rubric modified for self-assessment, and three open-ended questions. Responses were analyzed using a mixed methods approach, using mean statistical analysis to measure both quantitative and qualitative responses. Overall, survey responses show that students felt positive about clinical judgement skills gained in the class.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: This presentation discusses how bringing simulation in the classroom as a teaching strategy can assist students in developing clinical judgment.
An overview of the simulation design will be shared with the participants.