Objectives: 1.To assess the effectiveness of reflective journaling on clinical decision-making skills.2. To compare decision-making abilities between students who use reflective journaling and those who do not.

Materials and Methods:Quasi Experimental research design is used for the study.40BSc Nursing students who met inclusion criteria were selected conveniently and allotted in both experimental(n=20) and control group(n=20). Clinical decision making in nursing scale (CDMNS)was used to measure the clinical decision-making skill. Students in the intervention group maintained a daily reflective journal for 6 weeks. The control group continue with their regular training without journaling. After 6 weeks, CDMNS was re-administered to both groups.

Results: The study revealed there was a significant difference (p<0.05) in the clinical decision making skill after the intervention in experimental group. Hence the intervention was effective in increasing clinical decision making skill.

Conclusion: The result of the current study demonstrates reflective journaling improves the clinical decision making skills in nursing students