The Impact of Structured Debriefing, Following Simulation, on BSN Student Development of Clinical Reasoning and Clinical Judgment Skills
The necessity of appropriate clinical reasoning and clinical judgment skills is recognized as essential for the development of a competent practitioner. In response to the Institute of Medicine (IOM) report which called for a re-evaluation of the educational processes used to prepare practitioners,...
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| Format: | Text |
| Language: | English |
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Duquesne Scholarship Collection
2014
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| Online Access: | https://dsc.duq.edu/etd/1343 https://dsc.duq.edu/cgi/viewcontent.cgi?article=2359&context=etd |
| Summary: | The necessity of appropriate clinical reasoning and clinical judgment skills is recognized as essential for the development of a competent practitioner. In response to the Institute of Medicine (IOM) report which called for a re-evaluation of the educational processes used to prepare practitioners, nursing educators have embraced the use of simulation technology as an innovative approach to enhance student learning. Simulation has been recognized as a vehicle to support student development of knowledge, skills, and attitudes necessary to become a competent practitioner. Recognized in the literature as the most essential element of simulation, debriefing practices vary throughout nursing education. Recently an increasing presence, yet still minimal amount of evidenced-based literature, is available to guide debriefing practice. This quasi-experimental pretest, post-test design study with subsequent open-ended follow-up questions analyzed the impact a specific structured debriefing approach had on student development of clinical reasoning and clinical judgment skills. The theoretical underpinnings of this study include Kolb's Experiential Learning Theory, as well as, Gibb's reflective cycle. The structured debriefing method utilized for this study was Dreifuerst's (2009) Debriefing for Meaningful Learning© (DML). The study was conducted with (N=93) participants enrolled in a medical-surgical nursing course within their junior year in a northeastern Pennsylvania Baccalaureate nursing program. Changes in clinical reasoning and clinical judgment were measured based upon scores achieve on the Health Sciences Reasoning Test© (HSRT) and the California Critical Thinking Disposition Inventory © (CCTDI) test. In addition, four supplemental questions were posed to students within the experimental group to obtain feedback regarding their perception of the DML© method. The intent of the study was to determine if an improvement in critical thinking, clinical reasoning, and clinical judgment skills would result if students were ... |
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