Title : Integrative practice model (IPM) for enhancement of clinical judgment skill
Introduction: The evolution of the nurse from Novice to Expert happens in stages (Stage I: Novice to Stage V: Expert, Benner P, 1984). The novice nurse also faces problems in the context of communication and maintenance of interpersonal relationships with peers, interaction with physicians and criticism from staff. Apart from these issues, Development of sound clinical judgement skills are very essential. Clinical Judgment is a decision made regarding client’s problems, needs and concerns and the action to be taken or not. It equips the nurse to deliver Safe, effective and efficient nursing care to clients in today’s complex health care system.
P.D. Hinduja CON, one of the Centre of Excellence in Nursing Education in India designed an Integrative model with four pronged strategies to enhance clinical judgment skills in graduates. Efficacy of the measures was evaluated at the end of the program. The results discussed below brings out the true value of the measures not only to enhance sound clinical judgement but also to refine critical thinking and self-management skills while allowing for a smooth transition of Novice graduate to an Expert professional.
Aim: To equip Nursing graduate to deliver Holistic, Safe and Compassionate care with enhanced clinical judgment skills.
Discussion: Paper titled “Educating Nurses: A Call for Radical Transformation reiterates the need for curriculum changes with greater emphasis on clinical reasoning, and nursing domain-specific pedagogies. Integrative Model evolved at college thus helps to enhance clinical judgment skills as well as pioneers newer nursing specific pedagogies in such as CCA, OFCM and Voyage from Bench to Bedside.
Conclusion: IPM with four pronged strategies can prove as an effective tool to enhance clinical judgment skills in nurses with its applicability to various nursing education programs including short term courses and CNEs. IPM is also scalable for implementation in other practice oriented professional courses.
Audience Take Away:
- Audience can implement the complete model or the selected strategies whichever one is applicable in their own setting.
- It enhances smooth transition of graduates to actual practice. (Retraining becomes minimal reducing the cost involved)
- It provides practical solution to challenges faced by nursing educators and administrators such as, Clinical reasoning and competency development as well as self-management skills.
- In total, it equips novice nurses to be effective, safe and compassionate caregiver.