Program
Education Doctorate
Number of Pages
147
Year Approved
2025
First Advisor
Scott Moats
Second Reader
Ann Hollan
Third Reader
Cameron Conn
Abstract
Inadequate educational preparation for the clinical judgment demands of complex patient scenarios further perpetuates stress and burnout in the nursing profession. Self-efficacy and self-confidence have been correlated with decreased perceived stress, lower anxiety, and increased capacity for clinical decision-making underscoring the importance of their analysis. A clinical post conference activity entitled Rolling Through the Complications with the Clinical Judgment Model (CJM) was developed as a scripted debriefing experience based on the CJM framework to prompt anticipatory reflection of actual patient cues for analysis of potential complications. This study evaluated (n = 30) baccalaureate nursing students at private, nonprofit universities in Minnesota and Missouri with participating clinical instructors trained in leading the debriefing experience. A paired t-test evaluated the Revised Clinical and Simulation General Self-Efficacy Scale (CSGSES) students completed at the beginning and end of the clinical rotation. Additional questions adapted from of the Confidence factor of the Simulation Learning Effectiveness Inventory (SLEI) were evaluated for descriptive statistics and correlation with clinical self-efficacy through Pearson correlations. Study participants had significantly higher clinical self-efficacy after they completed the clinical rotation with the Rolling Through the Complications with the CJM debriefing. Post Revised CSGSES mean scores significantly correlated with the total Confidence factor of the SLEI score and with three individual SLEI items. These findings support the use of scripted debriefings for consistent post conference learning experiences and gamification for enhanced engagement and knowledge gains. Faculty should research and facilitate active learning strategies focused on clinical judgment in the clinical post conference setting.
Degree Name
Education Doctorate
Document Type
Doctoral dissertation
Recommended Citation
Nugteren, L. (2025). An Examination of Clinical Self-Efficacy and Confidence after the Rolling Through the Complications Clinical Debriefing Experience [Doctoral dissertation, Bethel University]. Spark Repository. https://spark.bethel.edu/etd/1215
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