Effectiveness of Simulation in Nursing Students' Critical Thinking Scores: A Pre-/Post-Test Study

IF 3.4 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2024-03-12 DOI:10.1016/j.ecns.2023.101500

Farida Saghafi RN, PhD , Nicole Blakey RN, MSN , Stephen Guinea RN, PhD , Tracy Levett-Jones RN, PhD

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Abstract

Background

This study investigated how final-year undergraduate nursing students’ critical thinking skills were impacted after attending a purposefully designed 15 hour program with nine hours of simulation-based learning activities aligned with a theoretical framework of clinical reasoning comprising the Clinical Reasoning Cycle and Debriefing for Meaningful Learning.

Method

A one-group pre-test post-test design was used. Fifty-six final semester undergraduate nursing students from five campuses of one Australian university participated in this study. Data were collected before and after the simulation program using the Health Sciences Reasoning Test.

Results

Analysis of data using paired sample t-tests demonstrated a positive change in critical thinking scores after completing the program (95% confidence interval 0.206-2.079). A total of 62.5% of participants achieved two scores higher after completing the simulation program.

Conclusions

Implementing a simulation program designed according to the Clinical Reasoning Cycle and using the Debriefing for Meaningful Learning model is associated with enhancing the critical thinking skills of nursing students.

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模拟对护理专业学生批判性思维得分的影响：前后测试研究

背景本研究调查了护理学专业的最后一年本科生在参加了一个有目的设计的 15 小时课程后，其批判性思维能力受到了怎样的影响，该课程包含 9 小时的模拟学习活动，与临床推理理论框架（包括临床推理循环和有意义学习汇报）相一致。来自澳大利亚一所大学五个校区的 56 名护理专业本科生参加了这项研究。结果使用配对样本 t 检验对数据进行分析，结果表明，完成模拟课程后，批判性思维的得分发生了积极变化（95% 置信区间为 0.206-2.079）。结论根据 "临床推理周期 "设计的模拟课程和 "有意义学习汇报 "模式的实施与提高护理专业学生的批判性思维能力有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.

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