Reflective Clinical Judgment Questions to Educate the Next Generation of Nurses.

BACKGROUND: The complexity of health care requires entry-level nurses to have competent clinical judgment skills. In response, a nursing program created Reflective Clinical Judgment Questions (RCJQ) to guide students in the development of clinical judgment. METHOD: The RCJQ incorporates the Clinical Judgment Measurement Model, the National Council of State Boards of Nursing's action questions, and the American Association of Colleges of Nursing's core competencies for professional nursing education. The RCJQ includes cognitive process questions and self-reflection questions aligned to the prelicensure subcompetencies to direct student thinking and build a routine for clinical decision making. RESULTS: The RCJQ provides faculty with a framework to teach clinical judgment and incorporates self-reflective questions to guide decision making for safe and effective client care. CONCLUSION: The RCJQ streamlines the clinical judgment process and guides students to achieve essential outcomes in classroom, clinical, and simulation settings to prepare for clinical practice. [J Nurs Educ. 2024;63(3):182-185.].

Comfort: Context for the Study Abroad Faculty Role.

Universities are increasingly undertaking student study abroad programs led by nursing faculty. The authors launched an inaugural study abroad nursing course. They proposed that the significance of the faculty trip role extends beyond the operational tasks required for international programs. Comfort theory was chosen as a good fit, since it offered a context for the significance of nursing faculty leading study abroad trips. It was consistent with the authors' experiences. Nurse faculty members applying technical and coaching interventions to relieve needs can strengthen students facing the demands of international experiences. It was concluded that comfort theory provided meaningful context for the international trip leader role.

Culturally Congruent Evidence-Based Practice in an International Outreach Course for Prelicensure Nursing Students.

The PICO (Population/Problem, Intervention, Comparison, Outcome) framework is widely accepted for posing evidence-based practice questions. This framework offers prelicensure nursing students a structured process for synthesizing nursing knowledge with the best available evidence to make decisions for practice. However, students in an international outreach course may find that evidence-based practice is not available in-country; furthermore, it may not be congruent with a population's culture. Faculty guidance helps students enrolled in international outreach courses to integrate cultural competence into the PICO structure. A case study illustrates how the framework was applied during an undergraduate nursing outreach course to Nicaragua.