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Interventions to develop clinical judgment among nurses: A systematic review with narrative synthesis

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Publicado en:Nurse Education in Practice vol. 84 (Mar 2025), p. 104300
Autor principal: Mendívil-Pérez, Maite
Otros Autores: Choperena, Ana, Salas, Vanesa, Chocarro-Haro, Mayte, Oroviogoicoechea, Cristina
Publicado:
Elsevier Limited
Materias:
Narratives
Intervention
Databases
Nursing education
Patients
Clinical skills
Nurses
Efficacy
Mixed methods research
Appraisal
Cognition & reasoning
Clinical nursing
Teaching methods
Systematic review
Simulation
Clinical decision making
Nursing care
Decision making
Design
Methods
Critical thinking
Meta-analysis
Models
Judgment
Medical personnel
Teaching
Research methodology
Dissertations & theses
Nursing
Medical decision making
World Problems
Scoring Rubrics
Learning Strategies
Educational Methods
Nursing Students
Meta Analysis
Medical Evaluation
Authors
Search Strategies
Information Seeking
Health Needs
Concept Mapping
Journal Writing
Database Management Systems
Cognitive Ability
Synthesis
Educational Strategies
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Resumen:Aim To explore interventions developed to improve nurses’ clinical judgment. Background Clinical judgment can assist nurses in assessing clinical situations, identifying and preventing problems, and making effective decisions about patient care. Studies on developing clinical judgment among nurses thus far been limited and heterogeneous. Design A systematic review with narrative synthesis. Methods Eight databases (PubMed, CINAHL, PsycInfo, Scopus, Web of Science, Cochrane Library and ProQuest Dissertations and Theses databases) were systematically searched for studies published until May 2024. A total of 13 studies satisfied the inclusion criteria. Joanna Briggs Institute’s critical appraisal tools were used to assess the quality of the selected studies, whereas the Mixed Methods Appraisal Tool was used for mixed methods studies. Results Overall, 13 studies were included for analysis. Simulation was the most used type of intervention, whereas Tanner clinical judgment model was the most used framework, and Lasater Clinical Judgment Rubric was the most used tool for exploring the development of nurses’ clinical judgment skills. Among the 13 interventions analyzed, 11 were found to be effective. Conclusions Simulation teaching strategies using Tanner’s clinical judgment model and Lasater Clinical Judgment Rubric satisfactorily develop clinical judgment among nurses. The findings of this systematic review underscore the dearth of nursing research exploring the efficacy of interventions designed to enhance clinical judgment among general registered nurses. Reporting Method The systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Patient or Public Contribution No patient or public contribution.
ISSN:1471-5953
1873-5223
DOI:10.1016/j.nepr.2025.104300
Fuente:Sociology Database