The Right Stuff: A Strategic Approach to the Clinical Judgment Crisis

The Right Stuff: A Strategic Approach to the Clinical Judgment Crisis

Nurses must know more and act faster than ever before to prevent patient decline and promote optimal health. Educators, practice partners, and nursing regulators have taken action to address the ongoing crisis in new graduate nurse clinical judgment, yet the problem persists. A collaborative multi-pronged approach is imperative. As educators, our responsibility is to enhance the natural development of clinical judgment with strategic combination and scaffolding of teaching and learning strategies to achieve a new vision of clinical judgment competency. This presentation will summarize the current crisis, present a challenge for change, and outline a key combination of practical strategies for transforming novice students into skilled decision-makers.


Mary A. Jessee, PhD RN

Mary Ann Jessee, PhD, RN is Associate Professor and Assistant Dean for Academics, Generalist Nursing Practice at Vanderbilt University School of Nursing. She has 18 years of teaching and leadership experience at VUSN and a background in medical-surgical and critical care generalist nursing. Mary Ann earned her MSN at Vanderbilt University and her PhD in Nursing at Oregon Health and Science University. Her expertise includes facilitating student development of sound clinical reasoning and judgment through innovative learning experiences in the classroom and clinical learning environment. Her research and scholarship includes the influence of the nursing learning environment on the development of clinical judgment, and theoretical and systematic support and teaching strategies for developing clinical reasoning and judgment.