Prelicensure Nursing Students Developing Clinical Judgment Through Emotional Intelligence: A Qualitative Interpretive Descriptive Study
Clinical judgment is an essential skill required for nurses to provide safe, quality patient care. Nurse educators must develop effective teaching strategies to assist prelicensure nursing students in developing clinical judgment skills. The objective of this study was to determine if a teaching strategy focused on the affective domain of learning and emotional intelligence could be an effective strategy to promote the development of clinical judgment. A guest speaker was invited to the classroom and provided her “lived experience” with multiple sclerosis, which provided a storytelling method of learning. An interpretive descriptive qualitative study was conducted with twenty-one prelicensure diploma registered nursing students enrolled in a medical-surgical nursing course (in the United States of America). Tanner’s Clinical Judgment Model (noticing, interpreting, responding, and reflecting) was used as the theoretical framework to guide data analysis. Four themes emerged from the data: 1) attentive listening (noticing), 2) understanding the patient’s experience (interpreting), 3) compassionate and empathetic care (responding), and 4) treat the patient as a person, not as a disease (reflecting). Results indicated that storytelling via “lived experiences” is an effective teaching strategy which promotes learning through the affective domain and emotional intelligence while also assisting students in developing clinical judgment. Clinical judgment skills are essential for the graduate nurse transitioning to practice.
Prelicensure Nursing Students Developing Clinical Judgment Through Emotional Intelligence: A Qualitative Interpretive Descriptive Study, American Journal of Nursing Science.
Vol. 9, No. 6,
2020, pp. 411-416.
Anderson, L. W. and Krathwohl, D. R., et al (Eds.) (2001) A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom’s Taxonomy of Educational Objectives. Allyn & Bacon. Boston, MA (Pearson Education Group).
Dave, R. H. (1970). Psychomotor levels. In R. J. Armstrong (Ed.), Developing and writing behavioral objectives. Tucson, Arizona: Educational Innovators Press.
Muzyk, A. J., Lentz, K., Green, C., Fuller, S., May, D. B., & Roukema, L. (2017). Instructional design and assessment: Emphasizing bloom’s affective domain to reduce pharmacy students’ stigmatizing attitudes. American Journal of Pharmaceutical Education, 81 (2), 1-7. https://dx.doi.org/10.5688%2Fajpe81235.
Bleich, M. R., & Jones-Schenk, J. (2016). Getting to the root of disparities: Social cognition and the affective domain. The Journal of Continuing Education in Nursing, 47 (10), 443-445. doi: 10.3928/00220124-20160920-04.
Rice, E. (2015). Predictors of successful clinical performance in associate degree nursing students. Nurse Educator, 40 (4), 207-211. https://doi.org/10.1097/nne.0000000000000136.
Shanta, L., & Gargiulo, L. (2014). A study of the influence of nursing education development of emotional intelligence. Journal of Professional Nursing, 30 (6), 511-520. https://doi.org/10.1016/j.profnurs.2014.06.005.
Britiller, M. C., Ramirez, L. Q., Ramos, F. M., Reyes, D. M., Salazar, K. D., & Sandoval, J. A. (2014). Nurse educator’s affective teaching strategies. Asia Pacific Journal of Multidisciplinary Research, 2 (1), 6-13.
Krathwohl, D. R. (2002). A revision of bloom’s taxonomy: An overview. Theory into Practice, 41 (4), 212-218. DOI: 10.1207/s15430421tip4104_2.
Bloom, B., Englehart, M., Furst, E., Hill, W., & Krathwohl, D. (1956). Taxonomy of educational objectives: The classification of educational goals. Handbook I: Cognitive domain. New York, Toronto: Longmans, Green.
Krathwohl, D. R., Bloom, B. S., & Masia, B. B. (1964). Taxonomy of educational objectives: The classification of educational goals. Handbook II: The affective domain. New York: David McKay Company.
Davidson, M. R. (2004). A phenomenological evaluation: Using storytelling as a primary teaching method. Nursing Education in Practice, 4 (3), 184-189. https://doi.org/10.1016/s1471-5953(03)00043-x.
Petty, J. (2020). Creating stories from parents’ premature birth experiences to engender empathy in nursing students. University of Herfordshire Research Archive (Dissertation). http://hdl.handle.net/2299/22635.
Phillips, C., Bassell, K., & Fillmore, L. (2017). Storytelling and reflective pedagogy: Transforming nursing education through faculty development. American Journal of Health Sciences, 8 (1), 7-17. https://doi.org/10.19030/ajhs.v8i1.9953.
Schwartz, M., & Abbott, A. (2007). Storytelling: A clinical application to undergraduate nursing students. Nurse Education in Practice, 7 (3), 181-186. DOI: 10.1016/j.nepr.2006.06.005.
Stein, D. (2009). Storytelling: An adjunct to learning. Journal of Continuing Education in Nursing, 40 (7), 296–297. https://doi.org/10.3928/00220124-20090623-10.
Timbrell, J. (2017). Instructional storytelling: Application of the clinical judgment model in nursing. Journal of Nursing Education, 56 (5), 305-308. https://doi.org/10. 3928/01484834-20170421-10.
Ward, T. D. (2015). Do you heat what I hear? The impact of a hearing voices simulation on affective domain attributes in nursing students. Nursing Education Perspectives, 36 (5), 329-331. https://doi.org/10.5480/14-1448.
Pence, P. L. (2020). Telling stories to help undergraduate students learning concepts on genetics. Journal of Nursing Education, 59, (8), 480. DOI:10.3928/01484834-20200723-14.
Mayer, J. D., Salovey, P., & Caruso, D. R. (2004). Emotional intelligence: Theory, findings, and implications. Psychological Inquiry, 15 (3), 197-215. https://psycnet.apa.org/doi/10.1207/s15327965pli1503_02.
Mayer, J. D., Salovey, P., & Caruso, D. R. (2008). Emotional intelligence: New ability or eclectic traits? American Psychologist, 63 (6), 503-517. https://psycnet.apa.org/doi/10.1037/0003-066X.63.6.503.
Codier, E., & Codier, D. D. (2017). Could emotional intelligence make patients safer? American Journal of Nursing, 117 (7), 58-62. https://doi.org/10.1097/01.naj.0000520946.39224.db.
Hutchinson, M., Hurley, J., Kozlowski, D., & Whitehair, L. (2017). The use of emotional intelligence capabilities in clinical reasoning and decision-making: A qualitative, exploratory study. Journal of Clinical Nursing, 27 (3-4), e600-e610. https://doi.org/10.1111/jocn.14106.
Fernandez, R., Salamonson, Y., & Griffiths, R. (2012). Emotional intelligence as a predictor of academic performance in first-year accelerated graduate entry nursing students. Journal of Clinical Nursing, 21 (23-24), 3485-3492. https://doi.org/10.1111/j.1365-2702.2012.04199.x.
Tanner, C. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education, 45 (6), 204-211. https://doi.org/10.3928/01484834-20060601-04.
Thorne, S. (2008). Interpretive description. Left Coast Press, Walnut Creek.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Newbury Park, CA: Sage Publications.
Landis, P. (2018). When patients backslide into their back story: Can emotional intelligence help emergency nurses? Journal of Emergency Nursing, 44 (6), 650-651. https://doi.org/10.1016/j.jen.2018.07.015.