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http://dx.doi.org/10.4040/jkan.2017.47.6.842

Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial  

Jeong, Kyung In (Department of Nursing, Daedong College)
Choi, Ja Yun (College of Nursing, Chonnam National University.Chonnam Research Institute of Nursing Science)
Publication Information
Journal of Korean Academy of Nursing / v.47, no.6, 2017 , pp. 842-853 More about this Journal
Abstract
Purpose: This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education. Methods: Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students' skill training, and evaluators' training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing. Results: ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups. Conclusion: This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.
Keywords
Simulation training; Formative feedback; Nursing students; Hospice care; Judgment;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Shin H, Park CG, Shim K. The Korean version of the Lasater clinical judgment rubric: A validation study. Nurse Education Today. 2015;35(1):68-72. https://doi.org/10.1016/j.nedt.2014.06.009   DOI
2 Moreland SS, Lemieux ML, Myers A. End-of-life care and the use of simulation in a baccalaureate nursing program. International Journal of Nursing Education Scholarship. 2012;9(1). https://doi.org/10.1515/1548-923X.2405
3 Kim CS. Development and effect of high fidelity patient simulation education program for nursing students [dissertation]. Seoul: Catholic University of Korea; 2012. p. 1-55.
4 Jeong KI. Attitudes toward death and terminal care in nursing students. Journal of the Daedong University. 2013;20:235-249.
5 Jeffries PR. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives. 2005;26(2):96-103.
6 Ryoo EN, Ha EH. The importance of debriefing in simulation-based learning: Comparison between debriefing and no debriefing. Computers, Informatics, Nursing. 2015;33(12):538-545. https://doi.org/10.1097/CIN.0000000000000194   DOI
7 Chronister C, Brown D. Comparison of simulation debriefing methods. Clinical Simulation in Nursing. 2012;8(7):e281-e288. https://doi.org/10.1016/j.ecns.2010.12.005   DOI
8 Kelly MA, Hager P, Gallagher R. What matters most? Students' rankings of simulation components that contribute to clinical judgment. Journal of Nursing Education. 2014;53(2):97-101. https://doi.org/10.3928/01484834-20140122-08   DOI
9 Lavoie P, Pepin J, Boyer L. Reflective debriefing to promote novice nurses' clinical judgment after high-fidelity clinical simulation: A pilot test. Dynamics. 2013;24(4):36-41.
10 Ha YK, Koh CK. The effects of mechanical ventilation simulation on the clinical judgment and self-confidence of nursing students. Perspectives in Nursing Science. 2012;9(2):119-126.
11 Mariani B, Cantrell MA, Meakim C, Prieto P, Dreifuerst KT. Structured debriefing and students' clinical judgment abilities in simulation. Clinical Simulation in Nursing. 2013;9(5):e147-e155. https://doi.org/10.1016/j.ecns.2011.11.009   DOI
12 Ha EH, Song HS. The effects of structured self-debriefing using on the clinical competency, self-efficacy and educational satisfaction in nursing students after simulation. The Journal of Korean Academic Society of Nursing Education. 2015;21(4):445-454. https://doi.org/10.5977/jkasne.2015.21.4.445   DOI
13 Ministry of Foreign Affairs. OECD PISA in Focus [Internet]. Seoul: Ministry of Foreign Affairs; c2015 [cited 2017 Sep 1]. Available from: http://mcms.mofa.go.kr/webmodule/htsboard/template/read/hbdlegationread.jsp?typeID=15&boardid=11076&seqno=1170376&c=TITLE&t=&pagenum=1&tableName=TYPE_LEGATION&pc=&dc=&wc=&lu=&vu=&iu=&du=.
14 Sorensen R, Iedema R. Emotional labour: Clinicians' attitudes to death and dying. Journal of Health Organization and Management. 2009;23(1):5-22. https://doi.org/10.1108/14777260910942524   DOI
15 Korea National Statistical Office. Annual report on the cause of death statistics [Internet]. Daejeon: Korea National Statistical Office; c2015 [cited 2017 May 1]. Available from: http://kostat.go.kr/portal/korea/index.action.
16 Caton AP, Klemm P. Introduction of novice oncology nurses to end-of-life care. Clinical Journal of Oncology Nursing. 2006;10(5):604-608. https://doi.org/10.1188/06.CJON.604-608   DOI
17 Hamilton CA. The simulation imperative of end-of-life education. Clinical Simulation in Nursing. 2010;6(4):131-138. https://doi.org/10.1016/j.ecns.2009.08.002   DOI
18 Eun Y, Bang SY. Effects of the Lasater's clinical rubric of debriefing in advanced cardiovascular life support training. Journal of the Korea Contents Association. 2016;16(4):516-527. https://doi.org/10.5392/JKCA.2016.16.04.516   DOI
19 Raemer D, Anderson M, Cheng A. Fanning R, Nadkarni V, Savoldelli G. Research regarding debriefing as part of the learning process. Simulation in Healthcare. 2011;6 Suppl:S52-S57. https://doi.org/10.1097/SIH.0b013e31822724d0   DOI
20 Kim EJ. Nursing students'clinical judgment skills in simulation: Using Tanner's clinical judgment model. The Journal of Korean Academic Society of Nursing Education. 2014;20(2):212-222. https://doi.org/10.5977/jkasne.2014.20.2.212   DOI
21 Kim HJ. The effects of suction care self video-based debriefing-assisted learning in the fundamentals of nursing practice. Journal of Korean Academic Society of Home Health Care Nursing. 2015;22(1):88-97.
22 Al Sabei SD, Lasater K. Simulation debriefing for clinical judgment development: A concept analysis. Nurse Education Today. 2016;45:42-47. https://doi.org/10.1016/j.nedt.2016.06.008   DOI
23 Koh JH, Hur HK. Effects of simulation-based training for basic life support utilizing video-assisted debriefing on non-technical and technical skills of nursing students. Korean Journal of Adult Nursing. 2016;28(2):169-179. https://doi.org/10.7475/kjan.2016.28.2.169   DOI
24 Oh HK. Effects of debriefing applying the clinical judgment rubric on nursing students' knowledge, skill performance and simulation effectiveness. Advanced Science and Technology Letters. 2015;116:104-109. https://doi.org/10.14257/astl.2015.116.22
25 Levett-Jones T, Lapkin S. A systematic review of the effectiveness of simulation debriefing in health professional education. Nurse Education Today. 2014;34(6):e58-e63. https://doi.org/10.1016/j.nedt.2013.09.020   DOI
26 Tanner CA. Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education. 2006;45(6):204-211.
27 Lasater K. Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education. 2007;46(11):496-503.
28 Nahm FS. Understanding effect sizes. Hanyang Medical Reviews. 2015;35:40-43. https://doi.org/10.7599/hmr.2015.35.1.40   DOI
29 Ministry of Health and Welfare. Introduction to hospice palliative care for palliative medical team members [Internet]. Goyang: National Cancer Center; c2012 [cited 2017 May 1]. Available from: http://hospice.cancer.go.kr/index.do.
30 METI. Program for Nursing Curriculum Integration (PNCI) 2. Seoul: Yaksan Publishing Co.; 2007. p. 1-50.