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WHDL - 00015882
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Description / Abstract
A critical component for nurses to provide safe and quality care with strong patient outcomes is clinical judgment. Nurse leaders indicate that many newly graduated nurses are not practice-ready and enter practice with varied clinical experience. This project aimed to develop clinical judgment in newly graduated nurses by implementing Tanner’s clinical judgment model. The project followed an experimental design with a pretest-posttest. Thirty-two newly graduated nurses from three private hospitals in Indonesia were involved in this project. The intervention group had scheduled post-conferences with their preceptors following Tanner’s clinical judgment model’s guidelines with high-level, open-ended questions for two consecutive weeks. An independent samples t-test compared the pre-and post-test scores of the Lasater Clinical Judgment Rubric (LCJR). The results indicated a significant difference in the mean clinical judgment scores between the intervention and control groups after two weeks of intervention, where the intervention group scores were higher than the control group with a significance value <.001 with a mean difference of 6.75 and CI of 95% (4.18-9.31). The use of Tanner’s clinical judgment model showed a significant increase in clinical judgment scores. Preceptors and nursing leaders in the hospital should continue to give newly graduated nurses the opportunity to develop clinical judgment skills and be confident during their transition period.
Keywords: clinical judgment, newly graduated nurses, Tanner’s clinical judgment model, Lasater Clinical Judgment Rubric
Degree AwardedDoctor of Nursing Practice
Awarding InstitutionIndiana Wesleyan University
Peer Reviewed?No
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