Other Titles

Critical Thinking and Simulation

Abstract

Session presented on: Friday, April 4, 2014:

Background: There is little studies to prove the effect of simulation method on the advancement of critical thinking and clinical judgment. Purpose: This study aims to develop the integrated pediatric nursing simulation courseware and evaluate learning outcomes of the courseware when implemented in nursing students. Method: This study used one group, pre-test, post-post design to evaluate the developed courseware. A convenient sample (n=95) of senior nursing students was recruited from a university between Feb. to Nov. 2012. The simulation took place as a required class activity, but the pre/post-surveys were done on a voluntary basis. The developed courseware was composed of four major components including pre-learning checklist, scenario templates, evaluation tools and scripts. The courseware has four scenarios including infant vital measuring, rapport building, febrile infant simulation and emergency measure for high risk newborn with apnea. We examined learning outcomes with Yoon(2008)'s critical thinking pre and post practicum and Lasatar Clinical Judgment Rubric(LCJR, 2006) after each session. The reliability of LCJR was reported as a Cronbach's alpha of .884 in this study. Findings: Average score of clinical judgment using LCJR was 27.9 out of 44, which showed presenting of average clinical judgment among nursing students. Students showed significant improvement in their LCJR score from the first to second simulation experience. Total scores of critical thinking before and after the courseware were 95.97(5.86) and 101.49(8.02), respectively. The critical thinking score significantly increased. Most students agreed that they were satisfied with the simulation and were generally satisfied with the overall experience on the courseware. There are several limitations including not having control group for comparison but the findings of this study present enhanced critical thinking and clinical judgment in nursing students after implementing the courseware.

Author Details

Hyunsook Shin, PhD; Dahae Lim, BSN; Kaka Shim, MSN; Hyunhee Ma, BSN; Hyojin Kim, BSN; Yuna Lee, MSN

Sigma Membership

Lambda Alpha at-Large

Lead Author Affiliation

Kyung Hee University, Seoul, Korea, Republic of (South)

Type

Presentation

Format Type

Text-based Document

Research Approach

N/A

Keywords:

Nursing Simulation, Critical Thinking, Clinical Judgment

Conference Name

Nursing Education Research Conference 2014

Conference Host

Sigma Theta Tau International,National League for Nursing

Conference Location

Indianapolis, Indiana, USA

Conference Year

2014

Rights Holder

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Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Implementing simulation courseware in a pediatric nursing practicum

Indianapolis, Indiana, USA

Session presented on: Friday, April 4, 2014:

Background: There is little studies to prove the effect of simulation method on the advancement of critical thinking and clinical judgment. Purpose: This study aims to develop the integrated pediatric nursing simulation courseware and evaluate learning outcomes of the courseware when implemented in nursing students. Method: This study used one group, pre-test, post-post design to evaluate the developed courseware. A convenient sample (n=95) of senior nursing students was recruited from a university between Feb. to Nov. 2012. The simulation took place as a required class activity, but the pre/post-surveys were done on a voluntary basis. The developed courseware was composed of four major components including pre-learning checklist, scenario templates, evaluation tools and scripts. The courseware has four scenarios including infant vital measuring, rapport building, febrile infant simulation and emergency measure for high risk newborn with apnea. We examined learning outcomes with Yoon(2008)'s critical thinking pre and post practicum and Lasatar Clinical Judgment Rubric(LCJR, 2006) after each session. The reliability of LCJR was reported as a Cronbach's alpha of .884 in this study. Findings: Average score of clinical judgment using LCJR was 27.9 out of 44, which showed presenting of average clinical judgment among nursing students. Students showed significant improvement in their LCJR score from the first to second simulation experience. Total scores of critical thinking before and after the courseware were 95.97(5.86) and 101.49(8.02), respectively. The critical thinking score significantly increased. Most students agreed that they were satisfied with the simulation and were generally satisfied with the overall experience on the courseware. There are several limitations including not having control group for comparison but the findings of this study present enhanced critical thinking and clinical judgment in nursing students after implementing the courseware.