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Book Exploring how Simulation Design and Participant Characteristics Impact Novice Nurses  Clinical Judgement in Simulation based Learning Experiences

Download or read book Exploring how Simulation Design and Participant Characteristics Impact Novice Nurses Clinical Judgement in Simulation based Learning Experiences written by Beth Ann Rogers and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Novice nurses are graduating without adequate clinical judgment to care for patients' increasingly complex health needs. Nursing programs frequently use simulation-based learning experiences (SBLE) to develop clinical judgment. However, the increased demand for SBLE has led nurse educators to modify simulation designs and assign novice nurses to either active or observer roles, thereby increasing simulation capacity. There is conflicting evidence related to the impact of role assignments on simulation outcomes. Cognitive load may explain differences in simulation outcomes of active versus observer participants. The purpose of this body of research was to examine how simulation design and participant characteristics impact novice nurses' clinical judgment. Methods: Four analyses were performed. First, a scoping review described evidence presented in 28 articles related to simulation observers' learning outcomes. Next, an integrative review synthesized evidence presented 20 studies related to measurement and cognitive load experienced in nursing simulation. Third, a descriptive, longitudinal study described the clinical judgment trajectory of novice nurses who observed eight expert modeling video simulations and responded to clinical judgment prompts. Finally, a descriptive study explained reliability, feasibility, and usability of scoring written reflections with the Lasater Clinical Judgment Rubric after asynchronous simulation. Participants were simulation na?e, junior, undergraduate students in their first medical-surgical course at a nursing school in the southwestern region of the United States. Results: The scoping review identified eight major learning outcomes of the observer role. The integrative review synthesized the literature about cognitive load as a possible mediator of simulation outcomes. Regardless of clinical judgment ability, we found observers develop clinical judgment after viewing expert modeling videos asynchronously, and we identified writing characteristics differentiating novice nurses' knowledge, thinking, and approach according to clinical judgment ability categories. Finally, the Lasater Clinical Judgment Rubric was reliable, feasible, and usable to score novice nurses' written reflection after asynchronous simulation. Conclusion: Our body of work highlights how simulation design and participant characteristics impact learning outcomes. This work highlights the importance of using reliable measures to evaluate participant outcomes. Together, this body of research informs nurse educators' simulation design decisions which optimize learning and increase simulation program capacity.

Book The Essentials of Clinical Reasoning for Nurses

Download or read book The Essentials of Clinical Reasoning for Nurses written by RuthAnne Kuiper and published by SIGMA Theta Tau International. This book was released on 2017 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Factors Contributing to Clinical Judgment Development in Nursing Students During Simulation Using the Creighton Competency Evaluation Instrument

Download or read book Factors Contributing to Clinical Judgment Development in Nursing Students During Simulation Using the Creighton Competency Evaluation Instrument written by Susan Etheridge Kidd and published by . This book was released on 2017 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is imperative that nurse educators find inventive ways to advance nursing practice by developing a dynamic and divergent nursing workforce. Health care environments can be unpredictable and unsettling due to high acuity levels of patients. The development of excellent clinical judgment is necessary for nurses to meet the workforce demands that this type of environment poses. Nurse leaders report dissatisfaction with new graduates' ability to adequately perform competencies such as critical thinking. Nurse educators must establish approaches that teach, enforce, and evaluate the development of higher level thinking in nursing students. This non-experimental descriptive correlational study explored factors that affect the development of clinical judgment in Bachelor of Science nursing students during a synthesis simulation. The Creighton Competency Evaluation Instrument (CCEI) was used to measure clinical judgment. Tanner's Clinical Judgment Model provided the theoretical foundation for this study. The clinical judgment of 108 BSN students in their fourth semester of a traditional nursing program was assessed by the researcher using the CCEI in the lab during a synthesis simulation. Students also completed a demographic questionnaire. Statistical methods used to analyze the data included descriptive statistics, independent samples t-tests, one way analysis of variance, and Pearson product correlation. Males were found to have significantly higher overall clinical judgment. Males also scored statistically higher on the communication subscale. There were no other statistical differences in demographics or the subscale scores of the CCEI. Work experience had no significant impact on total clinical judgment scores. Participants that reported working in healthcare scored significantly higher on the patient safety subscale of the CCEI that those reporting working but not in healthcare. The unemployed group did not differ significantly from the employed in healthcare or the employed not in healthcare groups on the patient safety subscale. Small correlations were found between HESITM (E2) raw scores and CCEI total as well as communication and clinical judgment subscale scores. The findings of this study contributed to the overall knowledge about clinical judgment and the CCEI as a means to evaluate clinical judgment. Application of findings could be used to increase the use of simulation and foster the development of clinical judgment in nursing students. Clinical judgment terminology should be a standard part of every nursing curriculum. Simulation, with an emphasis on clinical judgment, could be used to increase HESI[trademark] (E2) scores of students thus better preparing them for NCLEX. It is recommended that future studies use a longitudinal approach to measuring clinical judgment. This would provide more discernible data to evaluate the development of clinical judgment over time. It is also recommended that more research be done to establish the CCEI as a valid and reliable tool to measure clinical judgment as well as faculty perceptions of the CCEI.

Book Qualitative Research in Nursing

Download or read book Qualitative Research in Nursing written by Helen Streubert Speziale and published by Lippincott Williams & Wilkins. This book was released on 2011 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Qualitative Research in Nursing is a user-friendly text that systematically provides a sound foundation for understanding a wide range of qualitative research methodologies, including triangulation. It approaches nursing education, administration, and practice and gives step-by-step details to instruct students on how to implement each approach. Features include emphasis on ethical considerations and methodological triangulation, instrument development and software usage; critiquing guidelines and questions to ask when evaluating aspects of published research; and tables of published research that offer resources for further reading"--Provided by publisher.

Book The Effect of Simulation on the Development of Clinical Judgment in Second Degree Nursing Students

Download or read book The Effect of Simulation on the Development of Clinical Judgment in Second Degree Nursing Students written by Mary Ellen Rush and published by . This book was released on 2019 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses are challenged to use critical thinking skills and make sound clinical judgment in achieving optimal patient outcomes and improving patient safety (Alfaro-LeFevre, 2017). Clinical judgment is the ability to interpret patient data, and develop appropriate and timely interventions (Bussard, 2018). The effect of simulation on the development of clinical judgment has been investigated extensively in traditional nursing students. The rapid development of second-degree nursing students to address the nursing shortage (Sedgwick, Kellet, & Kalischuck, 2014), requires further investigation of the effect of simulation on the development of clinical judgment in second-degree nursing students. Opportunities for simulation experiences promote the development of clinical judgment in second-degree nursing students (Mariani, Cantrell, Meakin, & Jenkinson, 2015). This study encompassed a regularly scheduled simulation experience for students enrolled in a gerontology course in a second-degree nursing program. The study used a cross sectional design and encompasses an educational preparation video and demographic survey prior to the simulation. The Lasater Clinical Judgment Rubric (Lasater, 2007) was used post debriefing and reflection to assess the effect of the simulation on the development of clinical judgment. Statistical analysis using SPSS software was used for data analysis, results, and understanding the implications for translating the evidence into practice.

Book The Effect of the Developing Nurses  Thinking Model on Clinical Judgment in Nursing Students

Download or read book The Effect of the Developing Nurses Thinking Model on Clinical Judgment in Nursing Students written by Kristie Faith Douglass and published by . This book was released on 2014 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical thinking and clinical judgment are essential competencies for professional nursing practice. These abilities are used continually, enabling nurses to provide safe nursing care to increasingly complex patients in a variety of healthcare settings. The challenge that faces baccalaureate nursing programs as they prepare nursing students to function competently upon graduation, is how best to facilitate the development of these skills in our students. The purpose of this capstone project was to test the effect of the middle range theory of the Developing Nurses' Thinking (DNT) Model on clinical judgment in nursing students. Tanner's Clinical Judgment Model formed the conceptual framework for this project. An experimental, pretest/posttest study was conducted using a convenience sample of 44 senior students at one southeastern baccalaureate nursing program. Two clinical groups received the intervention in post conferences, while three groups served as the control group. Student clinical judgment was measured in high fidelity patient simulation, using the Lasater Clinical Judgment Rubric. Paired t-tests evaluated the differences between clinical judgment scores and an independent t-test was utilized to evaluate the difference between groups. Both groups showed statistically significant improvements on the posttest, but there was no statistically significant difference between groups. Therefore, the findings of this study did not support the use of the DNT Model to facilitate the development of clinical judgment in nursing students. However, small sample size and inadequate exposure to the intervention were likely contributors to these outcomes.

Book Clinical Decision Making and Judgement in Nursing

Download or read book Clinical Decision Making and Judgement in Nursing written by Carl Thompson and published by Elsevier Health Sciences. This book was released on 2002 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book will give a critical overview of the current research literature regarding the topic of clinical decision making and judgement in nursing. This is in contrast to other texts which either rely on anecdotal evidence to justify their approach, or focus on medical (rather than nurse) decision making. The text aims to help individuals apply different techniques to practice, aiming for a 'non-academic' style which will be easy for readers to understand. Both the editors are researchers in the field of nurse decision making and have considerable experience teaching the subject on third level diploma/degree, masters level and post-registration nursing courses. This text is therefore unique in drawing together both the research (current as well as that which has already been published) and practical experience of implementing techniques in practice.

Book Simulation Scenarios for Nursing Educators  Second Edition

Download or read book Simulation Scenarios for Nursing Educators Second Edition written by Suzanne Campbell and published by Springer Publishing Company. This book was released on 2013 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart

Book Clinical Reasoning

Download or read book Clinical Reasoning written by Tracy Levett-Jones and published by . This book was released on 2017-09-08 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: An Australian text designed to address the key area of clinical reasoning in nursing practice. Using a series of authentic scenarios, Clinical Reasoning guides students through the clinical reasoning process while challenging them to think critically about the nursing care they provide. With scenarios adapted from real clinical situations that occurred in healthcare and community settings, this edition continues to address the core principles for the provision of quality care and the prevention of adverse patient outcomes.

Book Exploring The Impact Of Simulation Anxiety On Clinical Judgment For Nursing Students

Download or read book Exploring The Impact Of Simulation Anxiety On Clinical Judgment For Nursing Students written by Janet Marie Reed and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research literature provides evidence that new graduate nurses are often deficient in clinical judgment (CJ). One way to increase CJ is by using simulations. However, the literature is replete with descriptions of the high anxiety that simulation triggers. It is not currently known how anxiety in simulation affects clinical judgment for undergraduate nursing students. Therefore, the purpose of this study was to explore the effect of different types of anxiety on the clinical judgment of undergraduate nursing students in simulation. This research project used a one-group repeated measures quantitative design to answer the research questions using the conceptual framework of Tanner's (2006) model of clinical judgment. A convenience sample of 45 sophomore-level undergraduate nursing students participated in a study to explore how state and trait anxiety impacted their clinical judgment within an introductory simulation. The results indicated that anxiety did not have a significant impact on clinical judgment. When controlling for baseline state and trait anxiety, pre-simulation anxiety level did not significantly predict scores on the Lasater Clinical Judgment Rubric (LCJR) within the simulation. State anxiety did change significantly between the three time measurements, going up to significantly high levels at pre-simulation. These anxiety levels remained high at post-simulation. The findings imply a changed focus to reframe how anxiety is thought about and its effects. Some anxiety is good and facilitative, and therefore, faculty should not be so worried about reducing anxiety for all students. Rather, nursing educators should help students function despite anxiety, in order to prepare them for real world nursing practice.

Book Game Based Teaching and Simulation in Nursing and Health Care

Download or read book Game Based Teaching and Simulation in Nursing and Health Care written by Eric B. Bauman, PhD, RN and published by Springer Publishing Company. This book was released on 2012-07-27 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This is a comprehensive resource for anyone interested in integrating gaming and simulation into a course or the entire curricula. It presents the theory and the associated practical application. The extensive reference list and resource/product list encourage and support readers with implementation." Score: 98, 5 Stars.--Doody's Medical Reviews "Game-Based Teaching and Simulation in Nursing and Healthcare is a timely, exhaustive look at how emerging technologies are transforming clinical education. Anyone looking for firsthand, direct account of how game-based learning technologies are reshaping clinical practice needs this book." Kurt Squire, PhD Associate Professor Games+Learning+Society [GLS] School of Education University Of Wisconsin - Madison This innovative text provides practical strategies for developing, integrating, and evaluating new and emerging technology, specifically game-based learning methods, useful in nursing and clinical health sciences education. The text draws upon existing models of experiential learning such as Benner's "thinking-in-action" and "novice-to-expert" frameworks, and introduces current theories supporting the phenomenon of the created learning environment. Chapters explain how simulation and game-based learning strategies can be designed, implemented, and evaluated to improve clinical educational thinking and outcomes and increase exposure to critical experiences to inform clinicians during the journey from novice to expert. The text also describes how game-based learning methods can support the development of complex decision-making and critical thinking skills. Case studies throughout demonstrate the practical application of harnessing technology as a teaching/learning device. Key Features: Provides strategies for developing, integrating, and evaluating game-based learning methods for nursing and healthcare educators Prepares teachers for the paradigm shift from static "e-learning" to dynamic distance experiential learning in virtual and game-based environments Illustrates how to integrate game-based learning into existing curricula Offers theoretical and practical examples of how game-based learning technologies can be used in nursing and clinical education

Book THINK Like a Nurse

    Book Details:
  • Author : Keith A. Rischer
  • Publisher :
  • Release : 2013-09-03
  • ISBN : 9780989936903
  • Pages : 182 pages

Download or read book THINK Like a Nurse written by Keith A. Rischer and published by . This book was released on 2013-09-03 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: About: To prepare you for real world practice, this book will highlight content areas most relevant to the bedside and why they must be mastered and understood. To help visualize the professional development that is needed as you transition to the responsibilities of the professional nurse, I use the metaphor of building a house; not a static structure, but a unique, vibrant "living" house that is a reflection of how you choose to build and add to it over time. Nursing is a living and vibrant practice that requires your personal involvement and engagement to promote the well-being of those you care for. The components of this "living" home include: Foundation: A house must have a firm and stable foundation. The ethical comportment or the art of nursing is this foundation for every nurse. Caring behaviors, nurse engagement, and professionalism in practice must be present or your nursing practice could be on shaky ground before it even begins! Walls: The applied sciences of nursing: pharmacology, fluid and electrolytes, and anatomy and physiology. I contextualize these sciences to the bedside so the relevance of mastering this content becomes apparent. Roof: Critical thinking and clinical reasoning, which is the thinking that is required by the nurse that completes the house and ties everything together. Skeletons in the closet: Every house has closets and some have a few skeletons in them! Incivility and men in nursing will be explored in detail!

Book Creativity and Giftedness

Download or read book Creativity and Giftedness written by Roza Leikin and published by Springer. This book was released on 2016-08-24 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides readers with a broad view on the variety of issues related to the educational research and practices in the field of Creativity in Mathematics and Mathematical Giftedness. The book explores (a) the relationship between creativity and giftedness; (b) empirical work with high ability (or gifted) students in the classroom and its implications for teaching mathematics; (c) interdisciplinary work which views creativity as a complex phenomena that cannot be understood from within the borders of disciplines, i.e., to present research and theorists from disciplines such as neuroscience and complexity theory; and (d) findings from psychology that pertain the creatively gifted students. As a whole, this volume brings together perspectives from mathematics educators, psychologists, neuroscientists, and teachers to present a collection of empirical, theoretical and philosophical works that address the complexity of mathematical creativity and giftedness, its origins, nature, nurture and ways forward. In keeping with the spirit of the series, the anthology substantially builds on previous ZDM volumes on interdisciplinarity (2009), creativity and giftedness (2013).

Book Examining The Impact Of Expert Modeling Videos On Nursing Students  Simulation Competency

Download or read book Examining The Impact Of Expert Modeling Videos On Nursing Students Simulation Competency written by Tracy Michelle Dodson and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to examine the impact of expert modeling videos on nursing students' simulation competency. Students in the course Nursing of Adults were provided with a nursing process video in the prebriefing period of their scheduled simulation on Congestive Heart Failure (CHF). The experimental group (n = 22) viewed an expert modeling video, while the control group (n = 22) viewed a video discussion. Immediately following the simulation, students participated in a debriefing. Student simulation outcomes were measured by the Creighton Competency Evaluation Instrument (CCEI). Prior to students debriefing session with simulation and clinical faculty, students individually completed a Video Enjoyment Survey to assess their enjoyment of the video interventions. The results found that students in the experimental group performed significantly better in the CHF simulation when evaluated by the CCEI (p=0.001). Evaluation of four domains found a significant difference between control and experimental in the domains of Communication (p = 0.009) and Patient Safety (p = 0.002). Descriptive trends identified that the experimental group performed one or more levels higher in 11 of the 17 domain behaviors. While no statistically significant differences were found between groups on the Video Enjoyment Survey, when analyzed by factor, the experimental group had a statistically significant difference in the factor of engagement (p = 0.005). This study identified that expert modeling videos may be used in nursing education to improve students' overall simulation competencies and engagement in learning. This contributes to the body of literature on how nursing educators can use expert modeling videos to improve students' clinical competency.

Book Clinical Education for the Health Professions

Download or read book Clinical Education for the Health Professions written by Debra Nestel and published by Springer Nature. This book was released on 2023-07-19 with total page 1757 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book compiles state-of-the art and science of health professions education into an international resource showcasing expertise in many and varied topics. It aligns profession-specific contributions with inter-professional offerings, and prompts readers to think deeply about their educational practices. The book explores the contemporary context of health professions education, its philosophical and theoretical underpinnings, whole of curriculum considerations, and its support of learning in clinical settings. In specific topics, it offers approaches to assessment, evidence-based educational methods, governance, quality improvement, scholarship and leadership in health professions education, and some forecasting of trends and practices. This book is an invaluable resource for students, educators, academics and anyone interested in health professions education.