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Research Paper
- Development of Nursing Clinical Judgment Scale
- Kwon, Shi Nae , Park, Hyojung
- J Korean Acad Nurs 2023;53(6):652-665. Published online December 31, 2023
- DOI: https://doi.org/10.4040/jkan.23042
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Abstract
PDF - 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. -
Citations
Citations to this article as recorded by
- How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
PLOS ONE.2025; 20(1): e0316654. CrossRef - Effects of Critical Thinking Disposition, Clinical Judgement, and Nurse–Physician Collaboration on Triage Competency Among Triage Nurses
Ji-Won Song, Hyung-Ran Park
Healthcare.2025; 13(4): 405. CrossRef
- How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
- 708 View
- 64 Download
- 2 Web of Science
- 2 Crossref
Original Articles
- A Structural Model on the Nursing Competencies of Nursing Simulation Learners
- Soo Jin Park, Eun Sun Ji
- J Korean Acad Nurs 2018;48(5):588-600. Published online October 31, 2018
- DOI: https://doi.org/10.4040/jkan.2018.48.5.588
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Abstract
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Purpose The purpose of this study was to test a model of nursing competencies of nursing simulation learners. The conceptual model was based on the theory of Jeffries's simulaton theory.
Methods Data collection was conducted in October 2017 for 310 students from two nursing universities in Kyungbuk area for 20 days. Data analysis methods were covariance structure analysis using SPSS 21.0 and AMOS 22.0 statistical programs.
Results The hypothetical model was a good fit for the data. The model fit indices were comparative fit index=.97, normed fit index=.94, Tucker-Lewis Index=.97, root mean square error of approximation=.44, and standardized root mean square residual=.04. Teacher factors were directly related to simulation design characteristics, and it was confirmed that the curriculum, classroom operation and teaching method of the instructors were important factors. Learner factors were found to have a direct effect on nursing competence, self-confidence, and clinical performance that belong to nursing capacity. In particular, the results of this study indicate that the simulation design characteristics have a partial mediating effect on learner factors and clinical performance, and a complete mediating effect on learner factors and clinical judgment ability.
Conclusion In order to improve the learner's clinical performance and clinical judgment ability, it is necessary to conduct practical training through nursing simulation besides preparing the learner and the educator.
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Citations
Citations to this article as recorded by- The mediating role of flow in the relationship between simulation design and simulation educational satisfaction in korean nursing students: a cross-sectional study
Eun-Kyung Lee, Eun-Joo Ji
BMC Nursing.2024;[Epub] CrossRef - Factors Influencing Students’ Self-confidence in Simulation Learning Based on National League for Nursing/Jeffries Simulation Framework
Jung-Suk Kim
Journal of Korea Society for Simulation in Nursing.2024; 12(1): 73. CrossRef - The Development and Evaluation of the Online Respiratory Infectious Disease Nursing Simulation Course for Nursing Students
Jisu Lee, Hye Won Yoon
Journal of Korea Society for Simulation in Nursing.2023; 11(2): 91. CrossRef - Does a preterm labor-assessment algorithm improve preterm labor-related knowledge, clinical practice confidence, and educational satisfaction?: a quasi-experimental study
Hee-Young Choi, Jeung-Im Kim
Korean Journal of Women Health Nursing.2023; 29(3): 219. CrossRef - Relationship between Simulation Design Characteristics and Clinical Reasoning Competence: Multiple Additive Moderating Effects of Teaching Effectiveness and Students' Anxiety on Nursing Students
Kyung-In Cheon, Hea Kung Hur
Korean Journal of Adult Nursing.2021; 33(4): 322. CrossRef - Development and Effects of Leukemia Nursing Simulation Based on Clinical Reasoning
Aeri Jang, Miok Song, Suhyun Kim
International Journal of Environmental Research and Public Health.2021; 18(8): 4190. CrossRef - A Comparative Study on Learning Outcomes according to the Integration Sequences of S-PBL in Nursing Students: Randomized Crossover Design
So Young Yun, Ja Yun Choi
Journal of Korean Academy of Nursing.2019; 49(1): 92. CrossRef
- The mediating role of flow in the relationship between simulation design and simulation educational satisfaction in korean nursing students: a cross-sectional study
- 437 View
- 25 Download
- 4 Web of Science
- 7 Crossref
- A Longitudinal Study on Moral Judgment Development in Nursing and Medical Students
- Yong Soon Kim, Jee Won Park, Youn Jung Son
- Journal of Korean Academy of Nursing 2003;33(6):820-828. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2003.33.6.820
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Abstract
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Purpose In this longitudinal study, we examined the moral judgment level and its related factors, such as individual characteristics. The result of this study will provide baseline data to establish policy of ethics education for college students and healthcare professionals.
Method We enrolled 37 nursing students and 20 medical students as the subjects in a university in Suwon, Korea. We conducted a questionnaire on the subjects using Korean version of Defining Issues Test(DIT) to analyze the subjects' moral judgment level. Collected data was coded using ASCII document and scored using Fortran program for computer. Then the data was statistically analyzed by SPSS Version 10.0.
Result Nursing students' moral development score at each stage were consistently higher at stage 5A across 4-years rather than other stages. On the other hand, medical students' moral development score were consistently higher at stage 4 than other stages. There was no significant difference in the change P(%) score at each academic year in both groups. In the perspective of the subjects' general characteristics, P(%) score showed no significant in both groups.
Conclusion Based on the results of this study, further studies will examine the correlation between curriculum and moral judgment development in detail. Moreover, we suggest that the current ethics education should be developed and evaluated in more realistic manner.
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Citations
Citations to this article as recorded by- Development of critical thinking in health professions education: A meta-analysis of longitudinal studies
Matthew C. Reale, Daniel M. Riche, Benjamin A. Witt, William L. Baker, Michael J. Peeters
Currents in Pharmacy Teaching and Learning.2018; 10(7): 826. CrossRef - Relationships among Cultural Disposition, Morality, and Psychological Health of Medical Students in a Province of Korea
Sunyoung Lee, Byungduck An
Korean Medical Education Review.2016; 18(1): 26. CrossRef - Cross-sectional comparison on human rights sensitivity changes in nursing students and non-nursing students
Seong-Eun Kim
Journal of Digital Convergence.2016; 14(4): 355. CrossRef - Volunteer activity, sociality, and morality in the dental hygiene students
Hye-Kyung Lee
Journal of Korean society of Dental Hygiene.2014; 14(6): 927. CrossRef - Changes in Nursing Students' Moral Judgment and Ways to Evaluate the Effect of Ethics Education
MI-Aie Lee
Journal of Korean Academy of Nursing Administration.2013; 19(3): 351. CrossRef - A Study of Moral Judgment and Ethical Decision Making and Ethical Dilemmas Experienced in Practice by Nursing Students
Yoon Goo Noh, Myun Sook Jung
Journal of the Korea Academia-Industrial cooperation Society.2013; 14(6): 2915. CrossRef - Korean Medical Students' Cognitive, Emotional, and Social Characteristics
Sook Hee Ryue, Hae Bum Lee
Korean Journal of Medical Education.2012; 24(2): 103. CrossRef - Validation of a Korean version of the Moral Sensitivity Questionnaire
Sung-Suk Han, Juhu Kim, Yong-Soon Kim, Sunghee Ahn
Nursing Ethics.2010; 17(1): 99. CrossRef - Comparison of Career Choice Motivation and Moral Reasoning Ability between Students in Baccalaureate and Graduate-entry Programs
Min Kang Kim, Jin Oh Kang
Korean Journal of Medical Education.2007; 19(2): 91. CrossRef
- Development of critical thinking in health professions education: A meta-analysis of longitudinal studies
- 113 View
- 0 Download
- 9 Crossref
- Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial
- Kyung In Jeong, Ja Yun Choi
- J Korean Acad Nurs 2017;47(6):842-853. Published online January 15, 2017
- DOI: https://doi.org/10.4040/jkan.2017.47.6.842
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Abstract
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Abstract Purpose This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education.
Methods Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students’ skill training, and evaluators’ training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing.
Results ANCOVA showed that there were differences in knowledge (F=4.81,
p =.034), skill performance (F=68.33,p <.001), clinical judgment (F=18.33,p <.001) and self-confidence (F=4.85,p =.033), but no difference in satisfaction (t=-0.38,p =.704) between the experimental and control groups.Conclusion This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.
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Citations
Citations to this article as recorded by- Clinical Judgment Model‐Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial
Ae Ran Kim, Jeong Hee Hong, Kyeongsug Kim, Yuna Kim, Jung Min Lee, Heejin Lee, Ji Hyun Yoon, Mi Soon Kim
Research in Nursing & Health.2025; 48(2): 234. CrossRef - Effects of a mobile simulation program for nursing delegation: A randomised controlled trial
Haena Lim, Yeojin Yi
Nurse Education in Practice.2025; 83: 104283. CrossRef - Effectiveness of a simulation programme with lectures about end-of-life care using a standardised patient: a quasi-experimental study
Sunyoung Son, Deulle Min, Suhee Kim
BMC Nursing.2025;[Epub] CrossRef - Effectiveness of End-of-Life Care Debriefing for Intensive Care Unit Nurses
Sook Hyun Park, Jung Eun Lee, Yu-Jin Jung, Ha Neul Yoo, Yeon Su Kim, Young Hee Yi
Journal of Korean Critical Care Nursing.2024; 17(3): 87. CrossRef - Effect of Simulation Case Complexity on Engagement During Distance Debriefing - A Randomized Controlled Trial
Cynthia J. Mosher, Perman Gochyyev, Adam Cheng, Alex Morton, Jabeen Fayyaz, Susan E. Farrell, Janice C. Palaganas
Clinical Simulation in Nursing.2024; 91: 101538. CrossRef - Using Simulation to Develop Clinical Judgment in Undergraduate Nursing Students
Deborah Byrne, Stephanie Blumenfeld, Maureen Szulewski, Rita Ann Laske
Home Healthcare Now.2023; 41(2): 84. CrossRef - Development and evaluation of case video-based debriefing on a simulation of high-risk neonatal care for nursing students in South Korea: a mixed-methods study
Hyun Young Koo, Bo Ryeong Lee, Hyeran An
BMC Nursing.2023;[Epub] CrossRef - A Literature Review of Simulation-Based Nursing Education in Korea
Sumee Oh, Jungmin Park
Nursing Reports.2023; 13(1): 506. CrossRef - Effectiveness of Debriefing in Simulation-Based Education for Nursing Students: A Systematic Review and Meta-analysis
Yeoungsuk Song, Seurk Park
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 399. CrossRef - The impact of clinical simulation with debriefing and self-regulation on academic performance in four clinical competencies of medical students
Gabriela Torres-Delgado, Ricardo Veloz Cárdenas
International Journal on Interactive Design and Manufacturing (IJIDeM).2022; 16(2): 613. CrossRef - The effects of neonatal resuscitation gamification program using immersive virtual reality: A quasi-experimental study
Sun-Yi Yang, Yun-Hee Oh
Nurse Education Today.2022; 117: 105464. CrossRef - Effectiveness of neonatal emergency nursing education through simulation training: Flipped learning based on Tanner’s Clinical Judgement Model
Sun‐Yi Yang
Nursing Open.2021; 8(3): 1314. CrossRef - Effectiveness of self-re-learning using video recordings of advanced life support on nursing students’ knowledge, self-efficacy, and skills performance
Kyeongmin Jang, Sung Hwan Kim, Ja Young Oh, Ji Yeon Mun
BMC Nursing.2021;[Epub] CrossRef - Effectiveness of Debriefing for Meaningful Learning-based simulation training on high-risk neonatal care: A randomized controlled simulation study
Sun-Yi Yang, Yun-Hee Oh
Clinical Simulation in Nursing.2021; 61: 42. CrossRef - Development of a Clinical Judgment Measurement Model-Based Simulation Module for Ileus: A Mixed-Methods Study
Aeri Jang, Suhyun Kim, Mi Ok Song
Journal of Nursing Education.2020; 59(7): 382. CrossRef
- Clinical Judgment Model‐Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial
- 503 View
- 11 Download
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