Structured Prebrief for Clinical Judgment in Nursing Simulation: A Quasi-Experimental Study

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-09-23 DOI:10.1016/j.ecns.2025.101826

Elizabeth Parker EdD, RN, CNE, CHSE , Jane K. Dickinson RN, PhD, CDCES, FAAN , Cynthia Crews DNP, RN, CNE, CHSE , Elizabeth Zirkle MSN, RN, FNP-C

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Abstract

Background

The literature on simulation prebriefing is limited. This study explored the impact of structured prebriefing on nursing students’ clinical judgment and self-perceived patient care ability.

Methods

A quasi-experimental design compared standard (control) and structured (intervention) prebriefing in 55 undergraduate nursing students. Outcome measurements the Laseter Clinical Judgment Rubric (LCJR) and the Perceptions to Care in Acute Situations (PCAS).

Results

Both groups showed improvement in mean scores on PCAS, with no significant difference in LCJR scores between groups.

Conclusion

Structured prebriefing did not yield statistically significant improvements. This study's limitations, including a relatively small sample, a rise in student attrition rate, the use of one site, and one-time exposure to the intervention, highlight the need for further research to determine the impact of structured prebriefing on clinical judgment and development of a prebriefing model.

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护理模拟临床判断的结构化预摘要：一项准实验研究

背景：关于仿真预简报的文献有限。本研究旨在探讨结构化预简报对护生临床判断及自我感知病人护理能力的影响。方法采用准实验设计，对55名本科护生进行标准（对照）和结构化（干预）预讲。结果测量的激光临床判断量表（LCJR）和感知护理在急性情况（PCAS）。结果两组患者PCAS平均得分均有改善，LCJR得分无显著差异。结论：结构化的事前简报没有显著的统计学意义。本研究的局限性，包括样本相对较小，学生流失率上升，使用一个站点，以及一次性接触干预，突出了进一步研究的必要性，以确定结构化预简报对临床判断的影响，并开发预简报模型。

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.