A Rubric to Assess Students' Clinical Reasoning When Encountering Virtual Patients

Georg, Carina; Karlgren, Klas; Ulfvarson, Johanna; Jirwe, Maria; Henriksson, Elisabet Welin

doi:10.3928/01484834-20180618-05

Cited by 16 publications

(13 citation statements)

References 100 publications

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“…Finally, across all the included papers, published models of clinical judgement [ 49 ], clinical decision making, and clinical reasoning processes [ 45 , 50 , 51 ] were cited as directly or indirectly underpinning the Lasater Clinical Judgement Rubric [ 17 ] and variants [ 52 , 53 , 54 , 55 , 56 ], as well as several evaluations of clinical decision making [ 48 ] and clinical reasoning [ 57 , 58 ]. These represented the most direct link between conceptual models and student evaluations.…”

Section: Resultsmentioning

confidence: 99%

Evaluating the Clinical Reasoning of Student Health Professionals in Placement and Simulation Settings: A Systematic Review

Brentnall

Thackray

Judd

2022

IJERPH

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(1) Background: Clinical reasoning is essential to the effective practice of autonomous health professionals and is, therefore, an essential capability to develop as students. This review aimed to systematically identify the tools available to health professional educators to evaluate students’ attainment of clinical reasoning capabilities in clinical placement and simulation settings. (2) Methods: A systemic review of seven databases was undertaken. Peer-reviewed, English-language publications reporting studies that developed or tested relevant tools were included. Searches included multiple terms related to clinical reasoning and health disciplines. Data regarding each tool’s conceptual basis and evaluated constructs were systematically extracted and analysed. (3) Results: Most of the 61 included papers evaluated students in medical and nursing disciplines, and over half reported on the Script Concordance Test or Lasater Clinical Judgement Rubric. A number of conceptual frameworks were referenced, though many papers did not reference any framework. (4) Conclusions: Overall, key outcomes highlighted an emphasis on diagnostic reasoning, as opposed to management reasoning. Tools were predominantly aligned with individual health disciplines and with limited cross-referencing within the field. Future research into clinical reasoning evaluation tools should build on and refer to existing approaches and consider contributions across professional disciplinary divides.

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Section: Resultsmentioning

confidence: 99%

Evaluating the Clinical Reasoning of Student Health Professionals in Placement and Simulation Settings: A Systematic Review

Brentnall

Thackray

Judd

2022

IJERPH

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“…Effective responding involves clear documentation of patient assessment, condition, and history; identification of nursing problems; and implementation of evidence-based nursing interventions. The phase of responding in VRS differs considerably from high-fidelity simulation as the participant does not demonstrate actual psychomotor performance 14,15,17. Skillful and timely nursing action is essential for the provision of safe, high-quality care.…”

Section: Resultsmentioning

confidence: 99%

“…Effective reflecting includes thoughtful self-appraisal and analysis of clinical performance with a commitment to personal improvement 14,15,17. The researchers also characterized “thinking about one's thinking” as a key attribute in reflecting.…”

Section: Resultsmentioning

confidence: 99%

Exploring the Development of Nursing Clinical Judgment Among Students Using Virtual Reality Simulation

et al. 2022

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Background: Virtual reality simulation (VRS) is an emerging pedagogy in nursing education. Purpose: The purpose of this qualitative exploratory study was 2-fold: to determine nursing students' learning experiences when engaged in VRS, and to explore learners' problem-solving/clinical reasoning approach after participation in a VRS clinical scenario. This article reports student descriptions of clinical reasoning/clinical judgment when considering their VRS experience. Methods: Qualitative description provided a methodological orientation for the study. Widely accepted frameworks for nursing clinical judgment provided a theoretical basis. Results: Focus group participant narratives reveal evidence about nursing clinical judgment when applied to established descriptions and phases. Conclusion: Study findings suggest that VRS experiences promote development of nursing clinical judgment among students.

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“…Currently, the predominant methods for assessing learning outcomes are combinations of paper-based exams and observations from clinical teachers [41], effective and objective assessment methods related to learning outcomes are still lacking [42][43][44]. Despite Carina,Georg [45]developed the modi ed visual patient Lasater Clinical Judgment Rubric (vpLCJR) to evaluate nursing students' clinical reasoning, limited studies investigated the method of assessing outcome of nursing students' non-technical skills. Thus, we speculate that virtual patients simulated more clinical situations to train nursing students, develop more reliable and objective assessment methods to validate learning outcomes, maybe the recent and future topics.…”

Section: Discussionmentioning

confidence: 99%

Mapping Trends and Hot-spots of Virtual Simulation Research in Nursing: a Bibliometric Analysis

Zhang

Chen

Liu

2021

Preprint

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Background: Virtual simulation has been widely used in nursing education and nursing training. This study aims to characterize publications in terms of countries, institutions, journals, authors, and collaboration relationships, and analyze the trends and hot-spots of virtual simulation in nursing.Methods: Publications concerning virtual simulation in nursing were retrieved from Web of Science. Microsoft Excel 2010, VOSviewer, and Citespace were used to analyze the characteristics of this field. Results: We identified 611 papers between 1999 and 2021. The number of publications grew slowly until 2019, and got a sharp increase in 2020 and 2021. The USA, Canada and Australia were three key contributors to this field. Centennial College, University of Ottawa, and Ryerson University were three major institutions with a larger number of publications. Verkuyl M was the most productive and highest cited author. Clinical Simulation in Nursing, Nurse Education Today, Journal of Nursing Education were the three productive journals. "virtual patients," "nursing students," "clinical simulation," and "communication skills" were the frontier topics in recent years.Conclusion: Virtual patients simulated more clinical situations to train nursing students, developing more reliable and objective assessment methods to validate learning outcomes might be the recent and future hot-topics.

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A Rubric to Assess Students' Clinical Reasoning When Encountering Virtual Patients

Cited by 16 publications

References 100 publications

Evaluating the Clinical Reasoning of Student Health Professionals in Placement and Simulation Settings: A Systematic Review

Evaluating the Clinical Reasoning of Student Health Professionals in Placement and Simulation Settings: A Systematic Review

Exploring the Development of Nursing Clinical Judgment Among Students Using Virtual Reality Simulation

Mapping Trends and Hot-spots of Virtual Simulation Research in Nursing: a Bibliometric Analysis

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