April 2023 remains the target date for the Next Generation NCLEX (NGN) for both the NCLEX-RN and NCLEX-PN licensure examinations. These examinations emphasize the use of clinical judgment in caring for patients in a variety of healthcare settings by focusing on interactions between nurse and client, the client’s needs, and expected outcomes.
Regular readers of the Collaborative Momentum Consulting blog may remember the November 2020 story of Ashley, a high school dropout who wanted to be a nurse. A single mother of a small boy, Ashley had been working at low paying jobs when she was encouraged by a friend to complete a GED and take prerequisite courses necessary for a nursing degree. Grades in these courses, although not outstanding, were sufficient for admission to the nursing program. Ashley struggled her first year in the nursing program—making low C’s in all her nursing courses, although she performed well in during her clinical experience.
Perhaps the most critical challenge we face is to ensure that our graduates are competent when making clinical judgements appropriate for novice nurses. Developing this competence has always been important—after all, effective clinical judgment is what keeps the clients we serve safe. However, the implementation of the Next Generation NCLEX (NGN) by the National Council of State Boards of Nursing (NCSBN) in 2023 has brought this need into prominence. At the same time, the pandemic has created the need to deliver more instruction for nursing students in an online format. Let’s look at four principles to help us achieve the outcomes of developing novice nurses who make effective clinical judgment the core of their nursing practice, all of which can be implemented in an online setting. Continue reading “Developing Clinical Judgment in an Online Environment”
On September 14, 2020, I participated in the first-ever virtual 2020 NCLEX Conference offered by the National Council of State Boards of Nursing (NCSBN). There were many interesting presentations, but I believe that you will agree that the discussion about Next Generation NCLEX (NGN) was most important for nursing educators. So here is an overview of the discussion about NGN. Continue reading “Report from the 2020 NCSBN NCLEX Conference”
COVID-19 has changed how nurse educators prepare students for practice. The changes in the health care environment—and nursing specifically—over the last decade have given faculty numerous challenges: integration of important new content in an already “stuffed” curriculum, evolving expectations of students, parents and college administrators, and the difficulty in finding appropriate clinical sites and sufficient numbers of faculty. As if these challenges weren’t enough, now faculty must cope with an international pandemic that has huge implications personally and professionally. In addition to their other responsibilities, faculty now must prepare students for practice using masks, social distancing, and limited clinical sites-all while working from home!
Most of us have been coping, both personally and professionally, with the results of social distancing as a result of the COVID-19 pandemic. While we would like life to return to “normal,” we also worry about the health impact of returning to our “face-to-face” lives. Equally important, when this crisis passes, what will the new normal look like? Continue reading “Testing Online in the Era of Social Distancing”
After being a faculty for many years, I find that I often want to “instruct” my family and friends. This urge is particularly prevalent with my husband. Being a very nice man, when I begin to “instruct” him, he appears to be listening (he looks my way), but the look in his eyes says very clearly, “I have no intention of doing whatever it is that she is saying.” When I see this look, I always say, “W.A.I.T.—Why Am I Talking?” Continue reading “W.A.I.T.: Impact on Teaching Clinical Judgment”
Given the buzz around Next Generation NCLEX (NGN), you
probably already have a good understanding of what NGN is and what you can be
doing now to start preparing for this increased focus on clinical judgment. (If
not, check out our recent
articles on these topics.) This month we will drill down into the use of cues as a means of providing opportunities
for nursing students to practice clinical judgment throughout their educational
Assessment, the starting point to an effective clinical judgment, is an important competency of nurses and other health care providers. When caring for patients, we use a wide range of assessment techniques, including review of the presenting complaint; health history; complete physical assessment; and family, social, and cultural history, to collect sufficient data to plan patient-centered care. However, we all know that in certain clinical situations, a complete assessment is not an appropriate strategy, because of the patient’s condition and/or limited time and resources available. In those situations, a focused assessment that delves into a specific identified problem or issue is more appropriate. Continue reading “Why Effective Assessment is Important to Student Success”