The articles prior to January 2010 are part of the back file collection and are not available with a current paid subscription. To access the article, you may purchase it or purchase the complete back file collection here

Educational Innovations 

Reflective Journaling for Clinical Judgment Development and Evaluation

Kathie Lasater, EdD, RN, ANEF; Ann Nielsen, MN, RN

Abstract

Reflective journaling is a strategy used often in clinical education to gain insight into students’ clinical thinking; however, studies indicate that students may benefit from guided reflections. Numerous tools have been used to structure student reflection with varying results. This article describes the outcomes from using the Guide for Reflection based on Tanner’s Clinical Judgment Model. The Lasater Clinical Judgment Rubric, created from the Model, is used to evaluate development of clinical judgment and provides language to communicate about clinical thinking with students. Senior immersion course competencies, also developed with language from Tanner’s Clinical Judgment Model, offer a comprehensive package that fosters students’ clinical judgment development, faculty-student communication about clinical judgment, and evaluation of students’ clinical thinking.

Authors

Dr. Lasater is Assistant Professor and Ms. Nielsen is Instructor, Oregon Health and Science University, School of Nursing, Portland, Oregon.

Address correspondence to Kathie Lasater, EdD, RN, ANEF, Assistant Professor, Oregon Health and Science University, School of Nursing, 3455 SW US Veteran’s Hospital Road, Portland, OR 97239–2941; e-mail: .lasaterk@ohsu.edu

10.3928/01484834-20090101-06

Reflective journaling is a strategy used often in clinical education to gain insight into students’ clinical thinking; however, studies indicate that students may benefit from guided reflections. Numerous tools have been used to structure student reflection with varying results. This article describes the outcomes from using the Guide for Reflection based on Tanner’s Clinical Judgment Model. The Lasater Clinical Judgment Rubric, created from the Model, is used to evaluate development of clinical judgment and provides language to communicate about clinical thinking with students. Senior immersion course competencies, also developed with language from Tanner’s Clinical Judgment Model, offer a comprehensive package that fosters students’ clinical judgment development, faculty-student communication about clinical judgment, and evaluation of students’ clinical thinking.

Dr. Lasater is Assistant Professor and Ms. Nielsen is Instructor, Oregon Health and Science University, School of Nursing, Portland, Oregon.

Address correspondence to Kathie Lasater, EdD, RN, ANEF, Assistant Professor, Oregon Health and Science University, School of Nursing, 3455 SW US Veteran’s Hospital Road, Portland, OR 97239–2941; e-mail: .lasaterk@ohsu.edu

Read This Article
  • Subscriber
  • Non-Subscriber
Read This Article
This Article
Advertisement
Advertisement