Development of a Clinical Judgment Measurement Model-Based Simulation Module for Ileus: A Mixed-Methods Study

Abstract

Background: Despite the increasing prevalence of simulation education, a specific clinical judgment measurement model-based simulation module for ileus has yet to be developed. Method: Using a mixed-methods research design, quantitative data were collected through a survey, and qualitative data were collected through reflective journals. Collected data were used to develop a simulation module, which subsequently was implemented with 88 nursing students from Korea. Results: Quantitative analyses confirmed the module effectively improved participants' knowledge of ileus, clinical skill, and performance ability. Qualitative analysis of the journals identified five themes and 11 subthemes in three domains. Conclusion: The developed scenario effectively enhanced nursing students' learning, implying that similar modules for various diseases may help students to acquire necessary nursing skills. However, current results cannot be generalized; a more accurate analysis of its effects requires further and repeated studies to compare clinical decision-based simulation modules with modules that apply different learning methods. [ J Nurs Educ . 2020;59(7):382–387.]

A concept analysis of clinical judgment in undergraduate nursing students

“…Reflection 6,7,15,19–21,29–32,39 refers to the evaluation of the patients' health outcomes 40 concerning the provided nursing action or intervention 25 . As proposed by Tanner, 4 a nurse uses reflection‐in‐action while confronting a circumstance for evaluating how effective his or her actions are.…”

“…Responding 7,[19][20][21][25][26][27][28]39 involves the nurse's decision about action, which can also include not taking immediate actions, 7 through nursing action 25 directly related to the patient's condition, 28 communication, and intervention. 15,21 Nurses' proper responses to the identified remarkable issues are influenced by empirical knowledge, their experiences in clinic, intuition, and belief related to ethics and morals.…”

“…Reflection 6,7,15,[19][20][21][29][30][31][32]39 refers to the evaluation of the patients' health outcomes 40 concerning the provided nursing action or intervention. 25 As proposed by Tanner, 4 This case has integrated all the attributes.…”

Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study

“…Although several simulation-related studies have used Tanner's model, such research focused on post-simulation debriefing or assessment rubric development [14][15][16]. However, improving the nurses' clinical judgment requires a simulation scenario based on clinical judgment [17]. In this area, studies based on Tanner's model are lacking.…”