Development of Clinical Judgment in Prelicensure Nursing Students Through Simulation: A Longitudinal Study.

Background: There is a lack of longitudinal studies measuring student progression in clinical judgment. Previous studies measured gains in clinical judgment after 1 intervention or over 1 semester. Purpose: This study evaluated the development and progression of clinical judgment in simulation throu...

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Publicado en:Nurse Educator Vol. 50; no. 3; pp. 117 - 123
Autores principales: Bussard, Michelle E., Jacobs, Lisa A., Mahoney, Sarah A., Davis, Lacey L., Oberhaus, Annette M., Lavoie, Patrick
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins May/Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2025
      vid: 50
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        184703460
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        10.1097/NNE.0000000000001790
        184703460
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        atl: Development of Clinical Judgment in Prelicensure Nursing Students Through Simulation: A Longitudinal Study.
      aug:
        au:
          Bussard, Michelle E.
          Jacobs, Lisa A.
          Mahoney, Sarah A.
          Davis, Lacey L.
          Oberhaus, Annette M.
          Lavoie, Patrick
        affil: Author Affiliations: Director and Associate Professor (Dr Bussard), Simulation Coordinator and Assistant Professor (Dr Jacobs), Assistant Professor (Dr Mahoney), Associate Clinical Professor & Clinical Coordinator (Mrs Davis), and Nursing Faculty and Assistant Professor (Dr Oberhaus), School of Nursing, Bowling Green State University, Bowling Green, Ohio
      sug:
        subj:
          Students, Nursing, Baccalaureate
          Clinical Reasoning
          Critical Thinking
          Simulations
          Program Development
          Program Evaluation
          Licensure, Nursing
          Human
          Male
          Female
          Adolescence
          Adult
          Prospective Studies
          Retrospective Design
          Random Assignment
          Descriptive Statistics
          Curriculum
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Background: There is a lack of longitudinal studies measuring student progression in clinical judgment. Previous studies measured gains in clinical judgment after 1 intervention or over 1 semester. Purpose: This study evaluated the development and progression of clinical judgment in simulation throughout a prelicensure bachelor of science in nursing (BSN) program using the Lasater Clinical Judgment Rubric (LCJR). Methods: This retrospective longitudinal study evaluated clinical judgment using the LCJR over 4 semesters, with a sample of 53 prelicensure nursing students. Each student had 18 simulation scores recorded during the study. A linear mixed model was employed to compare LCJR average scores from the beginning to the end of the program and across each semester. Results: Eighteen simulations were reviewed among 4 nursing courses. LCJR scores increased progressively from the first to the fourth semester. Conclusions: Students showed progression of clinical judgment throughout a BSN curriculum using the LCJR as an assessment tool.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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