دورية أكاديمية
[Development of Nursing Clinical Judgment Scale].
العنوان: | [Development of Nursing Clinical Judgment Scale]. |
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المؤلفون: | Kwon SN; College of Nursing, Ewha Womans University, Seoul, Korea., Park H; College of Nursing, Ewha Womans University, Seoul, Korea. hyojungp@ewha.ac.kr. |
المصدر: | Journal of Korean Academy of Nursing [J Korean Acad Nurs] 2023 Dec; Vol. 53 (6), pp. 652-665. |
نوع المنشور: | English Abstract; Journal Article |
اللغة: | Korean |
بيانات الدورية: | Publisher: Korean Society of Nursing Science Country of Publication: Korea (South) NLM ID: 101488689 Publication Model: Print Cited Medium: Internet ISSN: 2093-758X (Electronic) Linking ISSN: 20053673 NLM ISO Abbreviation: J Korean Acad Nurs Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Seoul : Korean Society of Nursing Science |
مواضيع طبية MeSH: | Judgment* , Nursing*/standards, Humans ; Emergency Service, Hospital ; Factor Analysis, Statistical ; Reproducibility of Results ; Republic of Korea |
مستخلص: | Purpose: This study aimed to develop a nursing clinical judgment scale (NCJS) and verify its validity and reliability in assessing the clinical judgment of nurses. Methods: A preliminary instrument of the NCJS comprising 38 items was first developed from attributes and indicators derived from a literature review and an in-depth/focus interview with 12 clinical nurses. The preliminary tool was finalized after 7 experts conducted a content validity test based on a data from a preliminary survey of 30 hospital nurses in Korea. Data were collected from 443 ward, intensive care unit, emergency room nurses who voluntarily participated in the survey through offline and online for the verification of the construct validity and reliability of the scale. Results: The final scale comprised 23 items scored on a 5-point Likert scale. Six factors- integrated data analysis, evaluation and reflection on interventions, evidence on interventions, collaboration among health professionals, patient-centered nursing, and collaboration among nurse colleagues - accounted for 64.9% of the total variance. Confirmatory factor analysis supported the fit of the measurement model, comprising six factors (root mean square error of approximation = .07, standardized root mean square residual = .04, comparative fit index = .90). Cronbach's α for all the items was .92. Conclusion: The NCJS is a valid and reliable tool that fully reflects the characteristics of clinical practice, and it can be used effectively to evaluate the clinical judgment of Korean nurses. Future research should reflect the variables influencing clinical judgment and develop an action plan to improve it. Competing Interests: The authors declared no conflict of interest. (© 2023 Korean Society of Nursing Science.) |
References: | Manetti W. Sound clinical judgment in nursing: A concept analysis. Nursing Forum 2019;54(1):102–110. (PMID: 30380153) Shim KK, Shin HY, Rim DH. Analysis of students' clinical judgment process during nursing simulation. Journal of the Korea Academia-Industrial Cooperation Society 2018;19(9):130–138. Kavanagh JM, Sharpnack PA. Crisis in competency: A defining moment in nursing education. The Online Journal of Issues in Nursing 2021;26(1):2. Lasater K, Nielsen AE, Stock M, Ostrogorsky TL. Evaluating the clinical judgment of newly hired staff nurses. Journal of Continuing Education in Nursing 2015;46(12):563–571. (PMID: 26641154) Burdeu G, Lowe G, Rasmussen B, Considine J. Clinical cues used by nurses to recognize changes in patients' clinical states: A systematic review. Nursing & Health Sciences 2021;23(1):9–28. Chaboyer W, Harbeck E, Lee BO, Grealish L. Missed nursing care: An overview of reviews. Kaohsiung Journal of Medical Sciences 2021;37(2):82–91. (PMID: 33022855) Dickison P, Haerling KA, Lasater K. Integrating the national council of state boards of nursing clinical judgment model into nursing educational frameworks. Journal of Nursing Education 2019;58(2):72–78. (PMID: 30721306) Lasater K, Holloway K, Lapkin S, Kelly M, McGrath B, Nielsen A, et al. Do prelicensure nursing students' backgrounds impact what they notice and interpret about patients? Nurse Education Today 2019;78:37–43. (PMID: 31035101) Connor J, Flenady T, Massey D, Dwyer T. Clinical judgement in nursing – An evolutionary concept analysis. Journal of Clinical Nursing 2023;32(13-14):3328–3340. (PMID: 35880251) Lee DS, Park JY. A review for concept clarification of critical thinking, clinical reasoning, and clinical judgment in nursing education. Journal of Korean Academic Society of Nursing Education 2019;25(3):378–387. Betts J, Muntean W, Kim D, Jorion N, Dickison P. Building a method for writing clinical judgment items for entry-level nursing exams. Journal of Applied Testing Technology 2019;20(S2):21–36. Tanner CA. Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education 2006;45(6):204–211. (PMID: 16780008) Cappelletti A, Engel JK, Prentice D. Systematic review of clinical judgment and reasoning in nursing. Journal of Nursing Education 2014;53(8):453–458. (PMID: 25050560) Jenkins HM. Improving clinical decision making in nursing. Journal of Nursing Education 1985;24(6):242–243. (PMID: 2993557) Facione PA, Facione NC. In: The California critical thinking skills test: CCTST: test manual. Millbrae (CA): California Academic Press; 1994. pp. 1-48. Lasater K. Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education 2007;46(11):496–503. (PMID: 18019107) Kawase Y, Miyashita M, Okayasu M, Hirai Y. Development of a clinical judgment scale for Japanese nurses. Journal of Continuing Education in Nursing 2021;52(8):383–391. (PMID: 34324379) Strickland HP, Cheshire MH, March AL. Clinical judgment during simulation: A comparison of student and faculty scores. Nursing Education Perspectives 2017;38(2):85–86. (PMID: 29194302) Vreugdenhil J, Spek B. Development and validation of Dutch version of Lasater Clinical Judgment Rubric in hospital practice: An instrument design study. Nurse Education Today 2018;62:43–51. (PMID: 29289636) DeVellis RF. In: Scale development: Theory and applications. 4th ed. Los Angeles (CA): Sage Publications Inc.; 2017. pp. 105-151. Schwartz-Barcott D, Kim HS. An expansion and elaboration of the hybrid model of concept development. In: Rodgers BL, Knafl KA, editors. Concept Development in Nursing: Foundations, Technqiues, and Applications. 2nd ed. Philadelphia: W.B. Saunders; 2000. pp. 129-159. Choi GH. Understanding of hybrid model by SchwartzBarcott& Kim. Journal of Korean Association for Qualitative Research 2019;4:40–50. Elo S, Kyngäs H. The qualitative content analysis process. Journal of Advanced Nursing 2008;62(1):107–115. (PMID: 18352969) Jang DH, Cho SK. Is the mid-point of a Likert-type scale necessary?: Comparison between the scales with or without the mid-point. Survey Research 2017;18(4):1–24. Polit DF, Beck CT. In: Nursing research: Generating and assessing evidence for nursing practice. 8th ed. Philadelphia (PA): Lippincott Williams & Wilkins, Wolters Kluwer; 2008. pp. 458-486. Hinkin TR. A brief tutorial on the development of measures for use in survey questionnaires. Organizational Research Methods 1998;1(1):104–121. Costello AB, Osborne JW. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation 2005;10(7):1–9. Anderson JC, Gerbing DW. Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin 1988;103(3):411–423. Song JJ. In: SPSS/AMOS statistical analysis method. Rev. ed. Paju: 21Century; 2015. pp. 146-482. Hair JF Jr, Black WC, Babin BJ, Anderson RE. In: Multivariate data analysis. 7th ed. Upper Saddle River (NJ): Pearson Education; 2010. pp. 109-136. Curran PJ, West SG, Finch JF. The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological Methods 1996;1(1):16–29. Kim SE, Jeong KH, Heo YH, Woo JH, Kim KH. In: Thesis passed at once: Application of AMOS structural equations and advanced analysis of SPSS. Seoul: Hanbit Academy; 2018. pp. 366. Bae BR. In: Structural equation modeling with Mplus 7.0. Seoul: Chungram Publishing; 2016. pp. 39. Nibbelink CW, Brewer BB. Decision-making in nursing practice: An integrative literature review. Journal of Clinical Nursing 2018;27(5-6):917–928. (PMID: PMC586721929098746) Jessee MA. An update on clinical judgment in nursing and implications for education, practice, and regulation. Journal of Nursing Regulation 2021;12(3):50–60. Lee MK, Jang KS. Reflection-related research in Korean nursing: A literature review. Journal of Korean Academy of Nursing Administration 2019;25(2):83–96. Miraglia R, Asselin ME. Reflection as an educational strategy in nursing professional development: An integrative review. Journal for Nurses in Professional Development 2015;31(2):62–72. (PMID: 25790356) Lee MK, Jang KS. The significance and application of reflective practice in nursing practice. Nursing and Health Issues 2018;23(1):1–8. Choi EJ, Hwang JH, Jang IS. Effects of nursing practice environment and self-esteem on critical thinking disposition among clinical nurses. Journal of Korean Academy of Nursing Administration 2017;23(2):161–169. Yen PY, Kelley M, Lopetegui M, Rosado AL, Migliore EM, Chipps EM, et al. Understanding and visualizing multitasking and task switching activities: A time motion study to capture nursing workflow. AMIA Annual Symposium Proceedings 2017;2016:1264–1273. (PMID: PMC533322228269924) Han MR, Kang EH, Lee YS, Chang EJ, Lee SJ, Heo YA, et al. Factors influencing the activation time of the rapid response team. Journal of Korean Clinical Nursing Research 2020;26(2):198–206. Ang RJ. Use of content management systems to address nursing workflow. International Journal of Nursing Sciences 2019;6(4):454–459. (PMID: PMC683928031728400) Lee MJ, Lee YM, Shin SY, Cho JH. Experience of the collaborative practice among health professionals in Korea. Journal of Korean Critical Care Nursing 2022;15(1):47–57. Yoo JY. Shared decision-making in patients with chronic disease: Concept analysis. Journal of the Korea Convergence Society 2019;10(11):543–555. Pursio K, Kankkunen P, Sanner-Stiehr E, Kvist T. Professional autonomy in nursing: An integrative review. Journal of Nursing Management 2021;29(6):1565–1577. (PMID: 33548098) Jakimowicz S, Perry L, Lewis J. An integrative review of supports, facilitators and barriers to patient-centred nursing in the intensive care unit. Journal of Clinical Nursing 2017;26(23-24):4153–4171. (PMID: 28699268) Kim KJ, Kim CO, Park JW. The prospect of geriatric medicine– Road to comprehensive elderly care. Korean Journal of Medicine 2021;96(2):65–75. Lee SO, Kim MJ. Health perception and family support as influencing factors on depression in hospitalized elderly patients. The Korean Journal of Health Service Management 2015;9(4):145–155. Cederwall CJ, Plos K, Rose L, Dübeck A, Ringdal M. Critical care nurses management of prolonged weaning: An interview study. Nursing in Critical Care 2014;19(5):236–242. (PMID: 24809683) Hyun SI, Lee TW. Effects of professional autonomy and teamwork on clinical performance of nurses in tertiary hospitals. Journal of Korean Academy of Nursing Administration 2021;27(5):301–310. |
معلومات مُعتمدة: | Korea Hanmaeum Scholarship of the Seoul Nurses Association |
فهرسة مساهمة: | Keywords: Cooperative Behavior; Factor Analysis, Statistical; Judgment; Patient-Centered Care; Reproducibility of Results |
تواريخ الأحداث: | Date Created: 20240111 Date Completed: 20240112 Latest Revision: 20240112 |
رمز التحديث: | 20240112 |
DOI: | 10.4040/jkan.23042 |
PMID: | 38204348 |
قاعدة البيانات: | MEDLINE |
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