Debriefing with the OPT Model of Clinical Reasoning during High Fidelity Patient Simulation

Kuiper, RuthAnne; Heinrich, Carol; Matthias, April D.; Graham, Meki J; Bell-Kotwall, Lorna

doi:10.2202/1548-923x.1466

Cited by 91 publications

(79 citation statements)

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“…Eight studies specifically addressed competence in basic knowledge and technical skills (Alinier, Hunt, & Gordon, 2004;Alinier, Hunt, Gordon, & Harwood, 2006;Feingold et al, 2004;Hoffmann, O'Donnell, & Kim, 2007;Kuiper, Heinrich, Matthias, Graham, & Bell-Kotwall, 2008;Radhakrishnan, Roche, & Cunningham, 2007;Scherer, Bruce, & Runkawatt, 2007; T. K. S. Wong & Chung, 2002). In general, these nurse researchers found improvement in clinical and assessment skills and basic knowledge.…”

Section: Low-fidelity To High-fidelity Mannequinsmentioning

confidence: 99%

“…Decker (2007) discussed the use of reflective thinking by Schon (1983). Kuiper et al (2008) explored the use of the outcome present state test model of clinical reasoning (Pesut & Herman, 1999) in their study on debriefing. Lasater (2007a) applied Tanner's (2006b) theory of clinical judgment in the development of a rubric by which clinical judgment can be assessed during a student's participation in a scenario involving high-fidelity patient simulation.…”

Section: Theoretical Foundations For Use In Nursing Educationmentioning

confidence: 99%

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Nursing Simulation: A Review of the Past 40 Years

Nehring

Lashley

2009

Simulation & Gaming

196

114

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Simulation, in its many forms, has been a part of nursing education and practice for many years. The use of games, computer-assisted instruction, standardized patients, virtual reality, and low-fidelity to high-fidelity mannequins have appeared in the past 40 years, whereas anatomical models, partial task trainers, and role playing were used earlier. A historical examination of these many forms of simulation in nursing is presented, followed by a discussion of the roles of simulation in both nursing education and practice. A viewpoint concerning the future of simulation in nursing concludes this article.T hroughout time, nursing educators have sought effective ways to help students to become competent nurses. Since learning takes place through cognitive, psychomotor, and affective domains, nursing education has taken place in the lecture room, the psychomotor laboratory, and in the health care delivery setting. To enhance theoretical learning, simulation, in its many forms, has been added. The types of simulation used in nursing education include anatomical models, task trainers, role playing, games, computer-assisted instruction (CAI), standardized patients, virtual reality, and low-fidelity to high-fidelity mannequins. For the most part, these types of simulation, with the exception of anatomical models, task trainers, and role playing, have been introduced to nursing education in the past 40 years, which coincides with the 40th anniversary of this journal. With increasing numbers of nursing students and decreasing numbers of available clinical sites and nursing faculty, the use of simulation has become an integral part of nursing education. In this article, each of these types of simulation and their use in nursing education is discussed. This is followed by a description of the roles of simulation in both nursing education

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Section: Low-fidelity To High-fidelity Mannequinsmentioning

confidence: 99%

Section: Theoretical Foundations For Use In Nursing Educationmentioning

confidence: 99%

Nursing Simulation: A Review of the Past 40 Years

Nehring

Lashley

2009

Simulation & Gaming

196

114

View full text Add to dashboard Cite

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“…Finally, the nursing actions that help patients to transition from problems state to desirable outcome states are defined as NIC (Nursing Interventions Classification). All the standardized nursing language (NANDA-I, NOC, NIC) represent relationships between and among nursing diagnosis, interventions and outcomes 28,31 .…”

Section: Discussionmentioning

confidence: 99%

Application of the Outcome Present State Test Model in a Patient with Liver Cirrhosis: A Case Study

2015

American Research Journal of Nursing

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This paper presents the case study of a 74 year old man with liver cirrhosis and consumptive syndrome. Data was collected in a Brazilian university hospital. The case study approach used was outcomepresent state test (OPT) model. The assessment was made by using the Conceptual Model of Wanda Horta. Also, the NANDA-I, Inc., Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC) linkages were used to capture accurate nursing care plan. The keystone nursing diagnosis was: Imbalanced nutrition: less than body requirements. The NOC outcomes chosen were Nutritional Status: Food and Fluid Intake; and Weight: Body Mass Control. The NIC interventions chosen for the patient were: Enteral Tube Feeding and Fluid Monitoring. The findings support that the use of a clinical reasoning web helps nurses to identify the priority focus of care in patients with complex health problem, and to prevent future complications associated with the evolution of disease. Future researches are needed to determine the NANDA-I, NOC, and NIC linkages based on a clinical reasoning model to capture accurate nursing care plan for all patients with chronic condition, in order to provide competent and safe care, thus improving patient outcomes.

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“…Pojetí a výsledky jejich studií (viz bibliografi cké citace níže) byly pro design předklá-daného výzkumu vstupem. Bartlett et al, 2008;Bland et al, 2009;Kautz et al, 2005, 2006a Kuiper et al, 2008. Ve druhé fázi vyhledávání, za uži-tí českých klíčových slov, byla vyhledávačem Google Scholar nalezena knižní kapitola Sikorové s Bockovou (2012, s. 70-89), která předkládá pojetí OPT modelu české veřejnosti.…”

Section: Introductionunclassified

Opt Model of Clinical Reasoning and Students Erudition in the Use of Terms Alliance 3n

Marečková¹,

Bocková²,

Stefanová³

et al. 2013

Profese on-line

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Metodika:Aplikován byl design přirozeného experimentu u dvou skupin studentů s použitím pretestu a posttestu. Výzkumné nástroje byly nově pro tuto studii připraveny na podkladě publikovaných článků Herman a Bartlett. Jednalo se o pracovní protokoly pro studenty a nástroj k hodnocení erudice klinické rozvahy. Proběhla obsahová validizace protokolů a u hodnotícího nástroje byla ověřena reliabilita. Sběr dat proběhl u souboru šedesáti tří studentů formou záznamů do pracovních protokolů. Data, extrahovaná z protokolů, byla zpracována na hladině signifi kance 0,05 pomocí Studentova párového t-testu a Wilcoxonova párového testu. Výsledky: Medián celkového skóre erudice klinické rozvahy byl, při maximálním dosažitelném počtu 29 bodů, u studentů prezenční formy v pretestu 18,9 a v posttestu 19,5 bodů. U kombinované formy byl před a po cvičení 18,0 a 17,0 bodů. Závěry: U prezenční formy studia byla erudice klinické rozvahy s pojmy Aliance 3N po procvičování zlepšena, ale rozdíl nebyl statisticky signifi kantní. U kombinované formy studia prokázal Wilcoxonův párový test signifi kantní zhoršení. Využití NANDA diagnóz bylo u obou skupin subjektů explicitní, zásadní nedostatky byly shledány ve volbě optimálních NOC a NIC. ABSTRACT Main aim:To determine the eff ect of practicing nursing process by OPT model of clinical reasoning on the expertise of students of General Nursing study in the use of concepts Alliance 3N. Methods:Applied design was a natural experiment on two groups of students using pretest and posttest. Research instruments for this study were new and prepared on the basis Herman and Bartlett's published articles. Th ese were working protocols for students and a tool to assess erudition of clinical reasoning. Content validation was carried out and evaluation tool was tested on reliability. Th e data were collected in a group of sixty-three students in the form of records to work protocols. Th e data extracted from the protocols were processed at 0.05 level of signifi cance using Student's paired t -test and Wilcoxon paired test. Results: Th e median of total score sheet clinical erudition was at full-time students in the pretest (before practicing) 18.9 points aft er exercise 19.5 (posttest). Th e median of total score before and aft er exercise was 18.0 and 17.0 points at part-time study students. Conclusions: For full-time students' erudition in clinical reasoning with 3N Alliance terms aft er exercises has improved, but the diff erence was not statistically signifi cant. For part-time study students Wilcoxon paired test showed a signifi cant deterioration in student achievement. Use of NANDA diagnoses in both groups of subjects was explicit, major fl aws were found in the choice of optimal NOC and NIC.

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Debriefing with the OPT Model of Clinical Reasoning during High Fidelity Patient Simulation

Cited by 91 publications

References 0 publications

Nursing Simulation: A Review of the Past 40 Years

Nursing Simulation: A Review of the Past 40 Years

Application of the Outcome Present State Test Model in a Patient with Liver Cirrhosis: A Case Study

Opt Model of Clinical Reasoning and Students Erudition in the Use of Terms Alliance 3n

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