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Nurse Educ Pract. 2016 Jul;19:84-90. doi: 10.1016/j.nepr.2016.03.012. Epub 2016 May 03.

A framework to support preceptors' evaluation and development of new nurses' clinical judgment.

Nurse education in practice

Ann Nielsen, Kathie Lasater, Mary Stock

Affiliations

  1. Oregon Health & Science University School of Nursing, 3455 SW US Veterans Hospital Road, Portland, OR 97239-2941, USA. Electronic address: [email protected].
  2. Oregon Health & Science University School of Nursing, 3455 SW US Veterans Hospital Road, Portland, OR 97239-2941, USA.
  3. Oregon Health & Science University Hospital, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA.

PMID: 27428698 DOI: 10.1016/j.nepr.2016.03.012

Abstract

In today's complex, fast-paced world of hospital nursing, new graduate nurses do not have well-developed clinical judgment skills. Nurse preceptors are charged with bridging the gap between new graduates' learning in school and their autonomous practice as RNs. In one large, urban medical center in the U.S., a clinical judgment model and rubric were used as a framework for a new evaluation and orientation process. Preceptors of new graduate nurses who had used the former and new processes described their experiences using the framework. The findings indicated that having a structured framework provided objective ways to evaluate and help develop new graduate nurses' clinical judgment. It is hypothesized that academic clinical supervisors may find such a framework useful to prepare students for transition to practice.

Copyright © 2016 Elsevier Ltd. All rights reserved.

Keywords: Clinical judgment; Evaluation; Graduate nurse; Mentor; Newly qualified nurse; Orientation; Preceptor; Tutor

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