Abstract

Nurses' decision-making abilities and clinical judgment skills impact their patients' lives and are critical to their survival rates. Although new nurse graduates are expected to have these skills, they do not enter into their new practice with this ability. (Hart et al, 2013; Thompson, Aitken, Doran & Dowding, 2013; Bussard, 2014; Benner, Sutphen, Leonard, & Day, 2009). Reflective journaling is a teaching strategy identified to help students develop clinical judgment and decision-making skills and its practice have been associated with improved clinical decision making. (Lasater & Nielsen, 2009, Tanner, 2006; Wainwright et al, 2010; Goethals, deCasterle & Gastmans, 2012; Lavoie, Pepin & Boyer, 2013; Sedgwick, Grigg & Dersch, 2014; Endacott et al, 2012; Murphy, 2004, Bussard, 2014). Virtual simulation provides active learning to teach students the utilization of clinical judgment and decision-making and then allows them to reflect on their actions (Billings, 2009). A paucity of research exists linking self-reflection with clinical-decision making skills within a virtual simulation environment.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3662742; ProQuest document ID: 1676468492. The author still retains copyright.

Author Details

Joan Richards, DNP, RN, CHSE, CNE

Sigma Membership

Phi Sigma

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Quantitative Research

Keywords:

Nursing Students, Decision Making Abilities, Clinical Judgment Skills, Patient Care

Advisor

Teresa Moore

Second Advisor

Minerva Guttman

Third Advisor

Sylvia Colon Cabassa

Degree

DNP

Degree Grantor

Fairleigh Dickinson University

Degree Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-09-01

Full Text of Presentation

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