• Nurse Educ Pract · Nov 2020

    A nursing residency program: A window into clinical judgement and clinical decision making.

    • Joyce Wright and Debra Scardaville.
    • New Jersey City University, 2039 Kennedy Blvd, Jersey City, NJ, 07305, USA. Electronic address: JWRIGHT@njcu.edu.
    • Nurse Educ Pract. 2020 Nov 28; 50: 102931.

    AbstractThe purpose of this descriptive, qualitative research study was to explore a nursing residency students' perception of clinical decision making and clinical judgment as evidenced through reflective journaling. Seven Registered Nurses completed a one year Baccalaureate Degree, while concurrently participating in a nursing residency. Reflective Journals focusing on clinical incidences during the residency were analyzed using the Tanner's Model of Clinical Judgement (2006). The residency experiences were noted as temporal in nature; with three phases evident; Beginning Residency, Thresholds in Nursing Residency and Homecoming in Nursing Residency. Eight themes were identified throughout the three phases. A nursing residency is an exceptional transformative pedagogical methodology for skill/knowledge acquisition allowing for a deeper engagement in enhanced confidence, self-analysis and progression to professional socialization. In addition, reflective journaling is a viable method for the self-analysis of clinical decision making through the experience of a nursing residency.Copyright © 2020 Elsevier Ltd. All rights reserved.

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