Abstract

The purpose of this existential-phenomenological study was to address the first-person perspective of what it is like to experience clinical reasoning during a simulation. It was not known how a novice nurse would describe the experience of actualizing clinical reasoning during the academic simulation experience. In order to maintain the firstperson perspective, all presuppositions were eliminated. There were no instruments used in the data collection process, and no theories or models that guided this research. The researcher integrated Amedeo Giorgi's method of analysis to discover the psychological acts of the first person (novice nurse) to address the unknown. The research questions for this study focused on the lived experience of the novice nurses actualizing clinical reasoning acquisition during the academic simulation experience, and the aspects of the experience of clinical reasoning acquisition during an academic simulation experience novice nurses described as being valuable. Raw descriptive data were collected from five novice nurses through the face-face interview process in Northeast Pennsylvania. The analysis revealed that clinical simulation was the better teaching environment for complex decision making than the real clinical environment. The simulation environment gave the freedom to engage in complex decision-making during a high stakes clinical situation. This freedom, coupled with inexperience in complex decision-making, created much ambiguities of the complexity of the nursing practice. Implications of the study included potential best practices into the simulation design to decrease ambiguities.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: ED570802; ProQuest document ID: 1968422563. The author still retains copyright.

Author Details

Mary Catherine Brinker, EdD, MSN, BSN

Sigma Membership

Mu Omicron

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Phenomenology

Research Approach

Qualitative Research

Keywords:

Nursing Simulation, Nursing Students, Novice Nurses, Clinical Reasoning

Advisor

Robert E. Broome

Second Advisor

Matt Stimpson

Third Advisor

Mary Ellen Miller

Degree

Doctoral-Other

Degree Grantor

Grand Canyon University

Degree Year

2016

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

2021-12-16

Full Text of Presentation

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