Designing Simulation Scenarios to Enhance Nursing Students' Clinical Judgment: A Qualitative Study.

Clinical judgment is the cognitive process that emerges from critical thinking or clinical reasoning that affects patient safety. For example, not noticing clients' deterioration signs while making a clinical judgment may cause inaction errors. Therefore, nursing students must have sound clinical ju...

Full description

Bibliographic Details
Published in:Pacific Rim International Journal of Nursing Research Vol. 27; no. 3; pp. 445 - 457
Main Authors: Wassana Uppor, Areewan Klunklin, Nongkran Viseskul, Sombat Skulphan, Turale, Sue
Format: research tables/charts Journal Article
Published: Thailand Nursing & Midwifery Council Jul-Sep2023
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172261843&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 172261843
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        19068107
        B7IM
      jtl: Pacific Rim International Journal of Nursing Research
      issn: 19068107
      maglogo: N
    pubinfo:
      dt: Jul-Sep2023
      vid: 27
      iid: 3
      pid: 26313
      pub: Thailand Nursing & Midwifery Council
    artinfo:
      ui:
        172261843
        172261843
        172261843
        10.60099/prijnr.2023.262001
        172261843
      ppf: 445
      ppct: 12
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Designing Simulation Scenarios to Enhance Nursing Students' Clinical Judgment: A Qualitative Study.
      aug:
        au:
          Wassana Uppor
          Areewan Klunklin
          Nongkran Viseskul
          Sombat Skulphan
          Turale, Sue
        affil: Faculty of Nursing, Chiang Mai University, Thailand
      sug:
        subj:
          Students, Nursing
          Clinical Reasoning Education
          Simulations
          Faculty, Nursing
          Faculty Attitudes
          Thailand
          Human
          Qualitative Studies
          Descriptive Research
          Content Analysis
          Thematic Analysis
          Patient Safety
          Quality of Health Care
          Conceptual Framework
          Education, Nursing
          Purposive Sample
          Semi-Structured Interview
          Focus Groups
          Audiorecording
          Data Analysis Software
          Male
          Female
          Adult
          Middle Age
          Nursing Practice
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Clinical judgment is the cognitive process that emerges from critical thinking or clinical reasoning that affects patient safety. For example, not noticing clients' deterioration signs while making a clinical judgment may cause inaction errors. Therefore, nursing students must have sound clinical judgment before entering professional nursing practice. Simulation-based learning has become a vital pedagogy used widely to develop students' clinical judgment. However, to date, simulation-based learning in Thailand has focused on theoretical content and clinical practices rather than the development of cognitive ability. Nursing instructors are vital in developing the thinking process of nursing students. Therefore, a deep understanding of nursing instructors' perspectives on the essential components of designing a simulation scenario for enhancing clinical judgment among nursing students remains important. This qualitative descriptive study aimed to explore the critical components in the design characteristics of nursing simulation scenarios for improving nursing students' clinical judgment based on the perception of nursing instructors. Participants were 23 nursing instructors purposively selected from a nursing college in Thailand. Data were collected during March 2021 in focus group discussions with all participants, then five participants with simulation-based learning expertise undertook individual in-depth interviews. Data were analyzed using content analysis. From the findings, four themes emerged: 1) fostering instructor support, 2) recognizing students' strengths, 3) enhancing specificity in scenarios, and 4) promoting cognitive development. Nursing instructors can apply the findings in creating simulation-based activities to develop their clinical judgment to support nursing students' cognitive processes. Such actions will help to ensure patient safety and quality of care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N