Maryland Nursing Workforce Center

• Choose a clinical judgment model to implement across their curriculum.
• Consider how to implement one model across a curriculum.
• Engage in using an example of how to use a clinical judgment model.

How to Write a Case Study to Use to Teach, Assess, and Test Clinical Judgment Across the Curriculum

Session Description:

In this session, participants will develop a case study to use in their course. The session includes information about choosing a case study, a template for writing a case study, consider elements to include in the case study, and an opportunity to practice writing a case study.

Session Learning Objectives:

After engaging in this session, the participant will be able to:

• Consider appropriate sources for a case
• Organize key elements of the case necessary for making effective clinical
• Use a case study template to develop a case study to use when teaching, assessing, and evaluating student’s ability to make clinical

Session Preparation:

Prior to participating in this session, participants should:

1. review their course learning objectives and content
2. identify a topic for a case study that requires decision making
3. review the article by Betts and Muntean and the template for writing a case study.

Handouts:

• Martin Presentation Slides
• Case Study Writing Template
• Case Study Builder Worksheet

Readings:

Betts, J., Muntean, W., Kim, D., Jorean, D., & Dickison, P. (2019). Building a method for writing clinical judgment items for entry-level nursing exams. Journal of Applied Testing Technology, 20(2).

NCSBN (Spring 2020). The NGN case study. https://www.ncsbn.org/NGN_Spring20_Eng_02.pdf 

Overview of Next Generation Questions

• Choose the appropriate test item type to measure each step of a clinical judgment model.
• Calculate a score for each item type.

• Hensel Presentation Slides
• Hensel Handout: Sample Question Templates
• Hensel Handout: Changing Item Format Practice
• Hensel Handout: Changing Item Format Practice - Answers

Readings:

Yours, Mine, and Ours: Sharing Ideas for Assessing Clinical Judgment Development

presented by Kathie Lasater, EdD, RN, ANEF, FAAN

Monday, Jan. 24, 2022
11 a.m. - 12:30 p.m.
Online via Zoom

Session Description:
In this session, participants will learn how to integrate the use of a clinical judgment model into their teaching, assessment, and evaluation strategies in didactic, clinical, and simulation experiences.

Session Learning Outcomes:
After engaging in this session, the participant will be able to:

• Explain two ways to use the Lasater Clinical Judgment Rubric (LCJR).
• Share with others a strategy you use to develop/assess students’ clinical judgment.
• Identify a new (for you) strategy you can use to develop/assess students’ clinical judgment.

Session Preparation:
Prior to participating in this session, participants should:

• Review the session outcomes.
• Identify a strategy that you use to develop or assess students’ clinical judgment.
• Read the recommended articles.

Handout:

• Lasater Clinical Judgment Rubric

Readings:
Gonzalez, L., Nielsen, A., & Lasater, K. (2021). Developing students’ clinical reasoning skills: A faculty guide. Journal of Nursing Education, 60(9), 485–493. https://doi.org/10.3928/01484834-20210708-01 (recommended)

Jessee, M. A., & Tanner, C. (2016). Pursuing improvement in clinical reasoning: Development of the clinical coaching interactions inventory. Journal of Nursing Education, 55(9), 495-504. 10.3928/01484834-20160816-03 (recommended)

Lasater, K. (2011). Clinical judgment: The last frontier for evaluation. Nurse Education in Practice, 11(2), 86-92. 10.1016/j.nepr.2010.11.013 (recommended)

Monagle, J. L., Lasater, K., Stoyles, S., & Dieckmann, N. (2018). New graduate nurse experiences in clinical judgment: What academic and practice educators need to know. Nursing Education Perspectives, 39(4), 201-207. 10.1097/01.NEP.0000000000000336 (recommended for those interested in role of reflection in clinical judgment development)

Nielsen, A. (2016). Concept-based learning in clinical experiences: Bringing theory to clinical education for deep learning. Journal of Nursing Education, 55(7), 365-371. 10.3928/01484834-20160615-02 (recommended)

Nielsen, A., Lasater, K., & Stock, M. (2016). A framework to support preceptors' evaluation and development of new nurses' clinical judgment. Nurse Education in Practice, 19, 84-90, 10.1016/j.nepr.2016.03.012 (recommended)

Tanner, C. A. Thinking like a nurse: A research-based model of clinical judgment. Journal of Nursing Education, 45(6), 204-211.10.3928/01484834-20060601-04 (should be read as a foundation for clinical judgment work)