Early Prelicensure Nursing Students' Perceptions of Case Studies Through the Lens of the Clinical Judgment Measurement Model

Abstract

Background: Research indicates new nursing graduates struggle with clinical reasoning, despite some related skill development throughout their education. The question remains, “Could an earlier focus on clinical reasoning in nursing programs enhance nursing students' clinical reasoning?” Purpose: This pilot study investigated how first-semester nursing students perceive the use of case studies in clinical reasoning skill development and the perceived benefits of case studies related to the NCSBN Clinical Judgment Measurement Model (NCJMM). Methods: Case studies and written reflections were introduced to a convenience sample (n = 45) of first-semester nursing students. Qualitative analysis was conducted on written reflections. Results: Students found case studies enhanced their knowledge and prepared them for clinical practice as a nurse. Conclusions: Findings suggest early introduction of case studies is a meaningful teaching strategy to develop clinical reasoning aligned with the NCJMM.