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Dissertation
Clinical Adjunct Nurse Faculty Influence on Nursing Student Clinical Judgment
University of West Florida Libraries
Doctor of Education (EDD), University of West Florida
2025
Abstract
Through this research, I explored the influence of students’ clinical instructors’ employment classification (i.e., adjunct vs. full time) on nursing students’ clinical judgment. This research was grounded in Jessee’s (2018) integrated clinical education theory (ICET), a synthesized theoretical framework incorporating Tanner’s (2006) clinical judgment model, expert practice, deliberate practice, and situated learning theories. Participants were associate degree nursing students enrolled in a medical–surgical nursing course at a state college in Florida. I randomly assigned participants to a clinical group instructed by adjunct or full-time faculty members; group placement was constant. I measured differences in overall clinical judgment and its dimensions (i.e., noticing, interpreting, responding, and reflecting) between groups using Lasater’s (2007) clinical judgment rubric (LCJR) during a high-fidelity simulation that occurred after 10–12 weeks of clinical instruction. I used an independent samples t test to explore differences in clinical judgment between groups. Participants instructed by full-time instructors displayed higher scores on all study measures, but only the difference in noticing scores was statistically significant (p = .0245). Posthoc analysis revealed that sample size may have impacted study results. Though power analysis findings challenge the interpretation of the results, the study results suggested congruency in outcomes between experimental conditions and support the continued assignment of adjunct nursing instructors to clinical instruction in associate degree nursing programs.
Details
- Title
- Clinical Adjunct Nurse Faculty Influence on Nursing Student Clinical Judgment
- Resource Type
- Dissertation
- Contributors
- Giang-Nguyen T Nguyen (Advisor)Hongwei Yang (Committee Member)Michele Heston (Committee Member)
- Publisher
- University of West Florida Libraries; Argo Scholar Commons
- Format
- pdf
- Number of pages
- 174
- Copyright
- Unpublished work © Mary Elizabeth von Merveldt
- Identifiers
- 99381357076706600
- Academic Unit
- School of Education
- Language
- English
- Awarding Institution
- University of West Florida; Doctor of Education (EDD)
- Theses and Dissertations
- Doctor of Education (EDD), University of West Florida