Self-Evaluation in a Clinical Setting to Develop Nursing Students’ Clinical Judgment

Tanya Sobaski,Sam Abraham

doi:10.20849/ijsn.v3i1.241

Abstract

Background: The Lasater clinical judgment rubric is based upon Tanner’s clinical judgment model for developing clinical judgment and the incorporation of the Benner Novice to Expert theory. The Lasater clinical judgment rubric has been used in nursing programs at the baccalaureate level and with simulation exercises.Method: In this study, the Lasater clinical judgment rubric was used to compare instructor and associate degree nursing students’ evaluations in an acute care setting during their first nursing care rotation. Data analysis included a split-plot ANOVA with repeat measures. A sample size of 16 students yielded an effect size of .40 with a = .001.Results: There was no significant difference in mean scores between the five administrations of the assessment with different groups.Conclusion: The interactions between the evaluator and the scores over time were consistent between groups. Development of student’s ability to use self-evaluation, introspection, and self-awareness skills are foundational for thinking that is more complex.

Highlights

The nursing student in the clinical setting may experience situations that challenge theoretical classroom learning
“Clinical judgment has been identified as a critical component of professional nursing practice and enables nurses to deliver safe patient care with optimal outcomes” (Miraglia & Asselin, 2015, p. 284) It is through purposeful reflection and self-evaluation about personal performance that the development of clinical judgment skills can occur
There was found to be no significant difference in means of the students’ self-evaluation and the instructor’s scores

Summary

Introduction

The nursing student in the clinical setting may experience situations that challenge theoretical classroom learning. Students are excited to apply their learning by providing care to patients. Achieving the full value of the educational experience, the student must participate in evaluating their experience. Evaluation of one’s experiences develops with introspection and translation of the experience combined with the theoretical knowledge through application. 284) It is through purposeful reflection and self-evaluation about personal performance that the development of clinical judgment skills can occur. The Lasater clinical judgment rubric has been used in nursing programs at the baccalaureate level and with simulation exercises. Method: In this study, the Lasater clinical judgment rubric was used to compare instructor and associate degree nursing students’ evaluations in an acute care setting during their first nursing care rotation.

Methods

Results

Discussion

Conclusion