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http://dx.doi.org/10.5977/jkasne.2017.23.3.330

Simulation-based Clinical Judgment and Performance Ability for Tracheal Suction in Nursing Students  

Lim, Kyung-Choon (College of Nursing, Sungshin Women's University)
Publication Information
The Journal of Korean Academic Society of Nursing Education / v.23, no.3, 2017 , pp. 330-340 More about this Journal
Abstract
Purpose: This study was conducted to explore the relationship between simulation-based clinical judgment and performance ability for tracheal suction in nursing students. Methods: With a convenience sampling, 207 nursing students participated in this descriptive study. Lasater clinical judgment rubric was used for self-reported clinical judgment in addition to observe the skill of tracheal suction using a checklist. Data were analyzed by descriptive statistics, t-test and Pearson's correlation coefficients using the SPSS/WIN 22. Results: A scenario with pneumonia patient was developed to observe the skill of tracheal suction during simulation-based practices. Then self-reported clinical judgment was scored. The mean score of total sum of clinical judgment, total mean of clinical judgment, and performance skill were $36.44{\pm}4.82$, $13.44{\pm}1.71$, and $42.32{\pm}5.05$, respectively. Statistically, students having good skills in suction showed significant differences in clinical judgment of interpreting (p=.031) compared to students having fair skills. Conclusion: The results of this study show that a structured debriefing method utilizing Lasater clinical judgment rubric is helpful. Also, simulation-based practice related to adult nursing in the respiratory system was useful for increasing the core basic skills among nursing students.
Keywords
Patient simulation; Judgment; Clinical competence; Nursing students;
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Times Cited By KSCI : 9  (Citation Analysis)
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