Discussion: Clinical Judgment Case

Discussion: Clinical Judgment Case

Discussion: Clinical Judgment Case


I am sharing some research findings below pertaining to drastic decline of graduate NCLEX competency, that they call it a CRISIS!

“NCSBN research have indicated that 50% of novice nurses were involved in errors of nursing and 65% of the errors were due to poor clinical decision making skills (Muntean, 2013; https://www.ncsbn.org/11436.htm). Another research by Kavanagh and Szweda (2017), measured the entry level clinical judgment of thousands of new graduates and discovered that only 23% were at the level needed for safe patient care. This is down from 34% reported by another research (Del Bueno, 2005). Some are calling this a crisis — a crisis in new graduate competency”.


del Bueno, D. (2005). A crisis in critical thinking. Nursing Education Perspectives, 26 (5), 278-282.
Kavanagh, J., & Szweda, C. (2017). A crisis in competency: The strategic and ethical imperative to assessing new graduate nurses’ clinical reasoning. Nursing Education Perspectives, 38(2), 57-62.
Muntean, W. J. (2013). Nursing clinical decision-making: A literature review. Available from NCSNB at: https://www.ncsbn.org/11435.htm

In the discussion board, write down your opinion regarding this very important topic, by answering the following:

1. Do you agree or disagree that present nursing graduates clinical competency is as low as the research reveal? Explain your answer.

2. How do you feel if you or your loved one is being cared for by a nurse who lacks clinical judgment, and what will you do?

3. Are you clinically competent to assume the role of a registered nurse in a medical surgical floor?

Extra 2 points will be added in your Exam 5 for answering the above questions in well written sentences with references if needed.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.