Degree Name

Nursing Practice, DNP

Publication Date

12-6-2023

Upload Date

2024

First Advisor

Linda Latting

Abstract

The National Council of State Boards of Nursing (NCSBN) lists clinical judgment (CJ) as a critical skill for nurses to promote patient safety (Barner et al., 2023). The purpose of this quality improvement project was to increase CJ through low-fidelity simulation and an authentic electronic health record (EHR) with the aim of improving patient safety. The clinical partners of the school of nursing provided the EHR making it an innovative, cost-effective approach to guide students in interpreting evidence to make safe clinical decisions (Barner et al., 2023). Forty-five Bachelor of Science in Nursing (BSN) students participated in the project, which was designed utilizing the International Nursing Association for Clinical and Simulation Learning (INACSL) Healthcare Simulation Standards of Best Practice: Simulation Design. The NCSBN CJ Measurement Model was chosen as a theoretical framework and the Iowa Model Revised was chosen as the implementation framework. The Lasater Clinical Judgment Rubric (LCJR) was chosen as the measurement tool and revealed that students who received EHR training showed statistically significant higher levels of CJ than those who did not receive training. Students with prior use of an EHR with current training showed statistically significant higher levels of CJ; however, those with no prior EHR training who received training did not show improvement, suggesting that EHR scaffolding is useful for improving CJ. Since CJ is associated with clinical decision-making (the noticing element of CJ), interpreting patient data utilizing an EHR is an essential component of BSN education.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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