Nurse Educ Pract. 2021 Jan;50:102931. doi: 10.1016/j.nepr.2020.102931. Epub 2020 Nov 28.
Nurse education in practice
Joyce Wright, Debra Scardaville
PMID: 33296859 DOI: 10.1016/j.nepr.2020.102931
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.
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Keywords: Nursing residency; Reflective journaling; Tanner's model of clinical judgement