Development of Nursing Clinical Judgment Scale.

Purpose: This study aimed to develop a nursing clinical judgment scale (NCJS) and verify its validity and reliability in assessing the clinical judgment of nurses. Methods: A preliminary instrument of the NCJS comprising 38 items was first developed from attributes and indicators derived from a lite...

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Publicado en:Journal of Korean Academy of Nursing Vol. 53; no. 6; pp. 652 - 666
Autores principales: Kwon Shi Nae, Park Hyojung
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Dec2023
Acceso en línea:Ver este registro en EBSCOhost
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        20053673
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      jtl: Journal of Korean Academy of Nursing
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      dt: Dec2023
      vid: 53
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      pid: 42744
      pub: Korean Society of Nursing Science
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        174823712
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        10.4040/jkan.23042
        174823712
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        atl: Development of Nursing Clinical Judgment Scale.
      aug:
        au:
          Kwon Shi Nae
          Park Hyojung
        affil: College of Nursing, Ewha Womans University, Seoul, Korea
      sug:
        subj:
          Instrument Validation
          Instrument Construction
          Scales
          Practice Guidelines
          Judgment
          Cooperative Behavior
          Patient Centered Care
          Factor Analysis
          Reproducibility of Results
          Coefficient alpha
          Literature Review
          Emergency Nurses
          Intensive Care Units
          Human
          Male
          Female
          Descriptive Statistics
          Male
          Female
      ab: Purpose: This study aimed to develop a nursing clinical judgment scale (NCJS) and verify its validity and reliability in assessing the clinical judgment of nurses. Methods: A preliminary instrument of the NCJS comprising 38 items was first developed from attributes and indicators derived from a literature review and an in-depth/focus interview with 12 clinical nurses. The preliminary tool was finalized after 7 experts conducted a content validity test based on a data from a preliminary survey of 30 hospital nurses in Korea. Data were collected from 443 ward, intensive care unit, emergency room nurses who voluntarily participated in the survey through offline and online for the verification of the construct validity and reliability of the scale. Results: The final scale comprised 23 items scored on a 5-point Likert scale. Six factors -- integrated data analysis, evaluation and reflection on interventions, evidence on interventions, collaboration among health professionals, patient-centered nursing, and collaboration among nurse colleagues -- accounted for 64.9% of the total variance. Confirmatory factor analysis supported the fit of the measurement model, comprising six factors (root mean square error of approximation = .07, standardized root mean square residual = .04, comparative fit index = .90). Cronbach's α for all the items was .92. Conclusion: The NCJS is a valid and reliable tool that fully reflects the characteristics of clinical practice, and it can be used effectively to evaluate the clinical judgment of Korean nurses. Future research should reflect the variables influencing clinical judgment and develop an action plan to improve it.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: Korean
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