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Nurse Educ Pract. 2021 Jan;50:102931. doi: 10.1016/j.nepr.2020.102931. Epub 2020 Nov 28.

A nursing residency program: A window into clinical judgement and clinical decision making.

Nurse education in practice

Joyce Wright, Debra Scardaville

Affiliations

  1. New Jersey City University, 2039 Kennedy Blvd, Jersey City, NJ, 07305, USA. Electronic address: [email protected].
  2. New Jersey City University, 2039 Kennedy Blvd, Jersey City, NJ, 07305, USA. Electronic address: [email protected].

PMID: 33296859 DOI: 10.1016/j.nepr.2020.102931

Abstract

The purpose of this descriptive, qualitative research study was to explore a nursing residency students' perception of clinical decision making and clinical judgment as evidenced through reflective journaling. Seven Registered Nurses completed a one year Baccalaureate Degree, while concurrently participating in a nursing residency. Reflective Journals focusing on clinical incidences during the residency were analyzed using the Tanner's Model of Clinical Judgement (2006). The residency experiences were noted as temporal in nature; with three phases evident; Beginning Residency, Thresholds in Nursing Residency and Homecoming in Nursing Residency. Eight themes were identified throughout the three phases. A nursing residency is an exceptional transformative pedagogical methodology for skill/knowledge acquisition allowing for a deeper engagement in enhanced confidence, self-analysis and progression to professional socialization. In addition, reflective journaling is a viable method for the self-analysis of clinical decision making through the experience of a nursing residency.

Copyright © 2020 Elsevier Ltd. All rights reserved.

Keywords: Nursing residency; Reflective journaling; Tanner's model of clinical judgement

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