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http://dx.doi.org/10.7475/kjan.2013.25.5.574

Effects of a Simulation based Clinical Reasoning Practice Program on Clinical Competence in Nursing Students  

Hur, Hea Kung (Department of Nursing, Yonsei University Wonju College of Medicine)
Roh, Young Sook (Red Cross College of Nursing, Chung-Ang University (CAU), CAU Healthcare System)
Publication Information
Korean Journal of Adult Nursing / v.25, no.5, 2013 , pp. 574-584 More about this Journal
Abstract
Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.
Keywords
Clinical competence; Nursing students; Patient simulation;
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Times Cited By KSCI : 10  (Citation Analysis)
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1 Kaakinen, J., & Arwood, E. (2009). Systematic review of nursing simulation literature for use of learning of theory. International Journal of Nursing Education Scholarship, 6 (1), 1-20. http://dx.doi.org/10.2202/1548-923X.1688   DOI   ScienceOn
2 Kang, H. W., & Hur, H. K. (2010). Development of a simulation scenario on emergency nursing care of dyspnea patients. Journal of Korean Critical Care Nursing, 3 , 59-74.   과학기술학회마을
3 Kern, D. E., Thomas, P. A., & Hughes, M. T. (2009). Curriculum development for medical education (2nd ed.). Baltimore: Johns Hopkins University Press.
4 Ko, J. K., Chung, M. S., Choe, M. A., Park, Y. I., Bang, K. S., Kim, J. A., et al. (2013). Modeling of nursing competencies for competency-based curriculum development. Journal of Korean Academic Society of Nursing Education, 19 , 87-96. http://dx.doi.org/10.5977/jkasne.2013.19.1.87   과학기술학회마을   DOI   ScienceOn
5 Kolb, D. (1984). Experiential learning: Experience as the source of learning and development. New Jersey: Prentice Hall.
6 Larew, C., Lessans, S., Spunt, D., Foster, D., & Covington, B. G. (2006). Innovations in clinical simulation: Application of Benner theory in an interactive patient care simulation. Nursing Education Perspectives, 27 , 6-22.
7 Lasater, K. (2007). Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education, 46, 496-503.
8 Lee, J. H., & Choi, M. (2011). Evaluation of effects of a clinical reasoning course among undergraduate nursing students. Journal of Korean Academy of Adult Nursing, 23, 1-9. http://dx.doi.org/10.7475/kjan.2011.23.1.01   과학기술학회마을
9 Lee, K. W., Ko, J. Y., Choi, P. Y., Jung, M. K., & Park, S. H. (2011). Educational psychology for effective teaching learning strategy (2nd ed.). Seoul: Kyoyookbook Co.
10 Lee, S. H. (2008). Curriculum development: Theory into practice. Seoul: Hakjisa.
11 Lenburg, C. B. (1999). The framework, concepts, and methods of the competency outcomes and performance assessment (COPA) model. Online Journal of Issues in Nursing, 4 (2), 1-12. Retrieved May 15, 2012, from http://www.nursingworld.org/ojin
12 Lim, K. C. (2011). Directions of simulation-based learning in nursing practice education: A systematic review. Journal of Korean Academic Society of Nursing Education, 17, 246-256.   과학기술학회마을   DOI   ScienceOn
13 Mariani, B., Cantrell, M. A., Meakim, C., Prieto, P., & Dreifuerst, K. T. (2013). Structured debriefing and students' clinical judgment abilities in simulation. Clinical Simulation in Nursing, 9, e147-e155. http://dx.doi.org/10.1016/j.ecns.2011.11.009   DOI   ScienceOn
14 McGaghie, W. C., Issenberg, S. B., Cohen, E. R., Barsuk, J. H., & Wayne, D. B. (2011). Medical education featuring mastery learning with deliberate practice can lead to better health for individuals and populations. Academic Medicine, 86, e8-9.   DOI
15 Oermann, M. H. (1999). Critical thinking, critical practice. Nursing Management, 30 (4), 40C-40F, 40H-40I.   DOI   ScienceOn
16 Suh, E. E. (2012). Development of a conceptual framework for nursing simulation education utilizing human patient simulators and standardized patients. Journal of Korean Academic Society of Nursing Education, 18, 206-219. http://dx.doi.org/10.5977/jkasne.2012.18.2.206   과학기술학회마을   DOI   ScienceOn
17 Suh, Y. O., Ahn, Y. H., & Park, K. S. (2009). Content validity of experience of nursing students in clinical judgment during nursing practicum. Journal of Korean Academy of Adult Nursing, 21, 245-256.   과학기술학회마을
18 Tanner, C. A. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education, 45, 204-211.
19 Yoon, J. (2004). Development of an instrument for the measurement of critical thinking disposition in nursing. Unpublished doctoral dissertation. Catholic University of Korea, Seoul.
20 Yang, J. J. (2008). Development and evaluation of a simulationbased education course for nursing students. Journal of Korean Academy of Adult Nursing, 20, 548-560.   과학기술학회마을
21 Davis, A. H., & Kimble, L. P. (2011). Human patient simulation evaluation rubrics for nursing education: Measuring the essential of baccalaureate education for professional nursing practice. Journal of Nursing Education, 50, 605-611. http://dx.doi.org/10.3928/01484834-20110715-01   DOI   ScienceOn
22 Bland, A. J., Topping, A., & Wood, B. A. (2011). Concept analysis of simulation as a learning strategy in the education of undergraduate nursing students. Nurse Education Today, 31, 664-670. http://dx.doi.org/10.1016/j.nedt.2010.10.013   DOI   ScienceOn
23 Blum, C. A., Borglund, S., & Parcells, D. (2010). High fidelity nursing simulation: Impact on student self-confidence and clinical competence. International Journal of Nursing Education Scholarship, 7 (1), 1-14. http://dx.doi.org/10.2202/1548-923X.2035   DOI   ScienceOn
24 Cant, R. P., & Cooper, S. J. (2010). Simulation-based learning in nurse education: systematic review. Journal of Advanced Nursing, 66, 3-15. http://dx.doi.org/10.1111/j.1365-2468.2009.05240.x   DOI   ScienceOn
25 Chang, S. O., Kong, E. S., Kim, C. G., Kim, H. K., Song, M. S., Ahn, S. Y., et al. (2013). Exploring nursing education modality for facilitating undergraduate students' critical thinking focus goup interview analysis. Korean Journal of Adult Nursing, 25, 125-135. http://dx.doi.org/10.7475/kjan.2013.25.1.125   과학기술학회마을   DOI   ScienceOn
26 Clark, M. (2006). Evaluating an obstetric trauma scenario. Clinical Simulation in Nursing Education, 2, e75-e77. http://dx.doi.org/10.1016/j.ecns.2009.05.028   DOI   ScienceOn
27 Hur, H. K., Park, S., Shin, Y. H., Lim, Y. M., Kim, G. Y., Kim, K. K., et al. (2013). Development and applicability evaluation of an emergency care management simulation practicum for nursing students. Journal of Korean Academic Society of Nursing Education, 19, 111-119. http://dx.doi.org/ 10.5977/jkasne.2013.19.2.228   과학기술학회마을   DOI   ScienceOn
28 Hur, H. K., Park, S. M., Kim, K. K., Jung, J. S., Shin, Y. H., & Choi, H. O. (2012). Evaluation of Lasater judgment rubric to measure nursing student's performance of emergency management simulation of hypoglycemia. Journal of Korean Critical Care Nursing, 5, 15-27.   과학기술학회마을
29 Jeffries, P. R. (2005). A framework for designing, implementing, and evaluation simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26, 96-103.