Nurse Educator Strategies Fostering Clinical Decision-Making in Nursing Students:
General Material Designation
[Thesis]
First Statement of Responsibility
Cripe, Tareylyn
Title Proper by Another Author
A Qualitative Study
Subsequent Statement of Responsibility
Kieffer, Joy
.PUBLICATION, DISTRIBUTION, ETC
Name of Publisher, Distributor, etc.
Capella University
Date of Publication, Distribution, etc.
2020
PHYSICAL DESCRIPTION
Specific Material Designation and Extent of Item
118
DISSERTATION (THESIS) NOTE
Dissertation or thesis details and type of degree
D.Ed.
Body granting the degree
Capella University
Text preceding or following the note
2020
SUMMARY OR ABSTRACT
Text of Note
Correcting the nursing shortage will require nursing students capable of utilizing clinical decision-making (CDM) skills to pass the National Council Licensure Examination-Registered Nurse exam, enter into professional nursing practice, and demonstrate competence in an increasingly complex healthcare system. Clinical decision-making is the development of understanding about disease processes, past medical history, experience in clinical practice, and interpretation to arrive at a plan of action. Although clinical education is considered the best method to increase clinical decision-making skills, adequate numbers of clinical hours, sites, and faculty are lacking; therefore, a compiled list of strategies is needed to take full advantage of the time spent in the clinical setting. Discovering effective teaching strategies implemented by nurse educators is necessary for the successful education of nursing students overall. However, a gap exists in the qualitative literature regarding what nurse educators believe are the best methods for fostering these clinical decision-making skills. Semi-structured interviews asking open-ended questions with 10 experienced nurse educators currently teaching in the clinical setting explored how they define the successful development of clinical decision-making skills and the specific strategies they use to ensure the development of these skills. The data collected during the interviews exposed themes and categories utilizing a constant comparative analysis. The nurse educators reported the teaching strategies they use to develop clinical decision-making skills include a realistic simulation with a debriefing, Socratic questioning, case studies, video scenarios/games, dedicated education units, and concept mapping. They noted the lack of resources; resistance from faculty, students, and educational institutions; lack of training to utilize these strategies; or potentially increased faculty workload as barriers to implementing CDM teaching strategies. Understanding these strategies and barriers could assist nursing program administrators and educators as they develop nursing policies and curricula that produce future nurses with strong clinical decision-making skills.