Abstract

Simulation has been considered a valid pedagogy for health professionals in education and actual practice. Its proper execution is vital for proper assimilation of knowledge, skills, and attitudes within the pre-licensure students throughout their curricular journey. High fidelity and multi-patient simulation scenarios were employed for beginner fundamental and advanced senior level nursing students with significant quantitative increases in clinical judgment found between groups using an independent t test and the Lasater Clinical Judgment Rubric (LCJR). The LCJR is based upon the Tanner's clinical judgment model and has been extensively used throughout the world demonstrating solid reliability and validity. Qualitative responses were also compared between groups for each subset within the LCJR. Additional qualitative data was found to support the LCJR qualitative subset findings using post simulation reflection logs. Recommendations for educators and administrators will include the promotion, design, and execution of simulation across the nursing curriculum by well-trained nursing educators. Sincere intention to implement and sustain long lasting program change will be for the benefit of nursing students to help them be better prepared in the area of clinical judgment upon graduation prior to entry to practice.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 30317637; ProQuest document ID: 2795066422. The author still retains copyright.

Author Details

Lizabeth J. Reents, EdD, MSN, CNE, CHSE, CCRNK

Sigma Membership

Psi Alpha at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

Mixed/Multi Method Research

Keywords:

Clinical Reasoning, Nursing Curriculum, High Fidelity Simulation

Advisor

Maureen Moriarty

Second Advisor

Catherine Hillberry

Third Advisor

Clara Hauth

Fourth Advisor

Carol Smyth

Degree

Doctoral-Other

Degree Grantor

Marymount University

Degree Year

2023

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

2023-05-24

Full Text of Presentation

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