Clinical Simulation in Nursing最新文献

{"title":"Enhancing Psychological Safety in Advanced Practice Nursing Student Simulation Using an Innovative Visual Tool","authors":"Jacqueline Vaughn PhD, RN, CHSE-A ,&nbsp;Shannon H. Ford PhD, APRN, CPNP-PC, CNE ,&nbsp;April Braswell PhD, APRN, CPNP-PC, CNE ,&nbsp;Anka Roberto DNP, MPH, PMHNP-BC, APRN ,&nbsp;Tamara Link DNP, APRN, FNP-BC ,&nbsp;Laura A. Killam RN, MScN","doi":"10.1016/j.ecns.2024.101558","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101558","url":null,"abstract":"<div><h3>Background</h3><p>Psychological safety is a foundational element for effective simulation-based experiences across all healthcare education. This project describes a novel tool the authors developed to visually enhance psychological safety for advanced practice nursing students. The “Simulation Tool to Enhance Psychological Safety” (STEPS) is essentially a photo cube with images that depict evidence-based constructs related to psychological safety. STEPS was designed and evaluated by simulation education experts.</p></div><div><h3>Methods</h3><p>STEPS was employed in simulation for advanced practice nursing students (<em>N</em> = 56). Pre and post surveys were conducted using the Psychological Safety Survey and open-ended responses.</p></div><div><h3>Results</h3><p>Findings revealed students’ responses on psychological safety improved post the STEPS intervention. Students’ comments also reflected they found STEPS valuable for enhancing psychological safety.</p></div><div><h3>Conclusions</h3><p>STEPS is an innovative visual aid that in combination with facilitators’ actions can foster psychological safety for learners in simulation-based experiences. We plan to further evaluate the tool in simulations across nursing programs.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141250058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Simulation in the Acquisition of Socioemotional Skills Related to Health Care: A Systematic Review of Systematic Reviews","authors":"María Lanza-Postigo RN ,&nbsp;Rebeca Abajas-Bustillo PhD, RN ,&nbsp;Roberto Martin-Melón ,&nbsp;Noelia Ruiz-Pellón RN ,&nbsp;Carmen Ortego-Maté PhD, RN","doi":"10.1016/j.ecns.2024.101547","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101547","url":null,"abstract":"<div><h3>Aim</h3><p>The objective of this SR of SR is to answer the question: Is simulation effective for the acquisition of socio-emotional skills related to health care?</p></div><div><h3>Background</h3><p>Simulation has become a relevant methodology for the training of socioemotional skills; however, the effectiveness of this methodology is difficult to interpret due to the diversity of results obtained to date.</p></div><div><h3>Methods</h3><p>Searches were conducted in Medline, Scopus, Web of Science, and Cochrane Library databases for systematic reviews with meta-analyses published from 2011 to 2022. The searches were completed between December 2021 and January 2022. Study quality was assessed using the AMSTAR-2 scale. The protocol was registered in PROSPERO (CRD42022339156).</p></div><div><h3>Results</h3><p>A total of 1285 studies were examined, of which seven systematic reviews were selected, yielding 88 studies with 8658 participants. The most commonly used methodologies were standardized patient (28.4%) and high-fidelity simulation (26.1%). The training consisted of an average of 3.6 sessions, with a mean duration of 153.8 minutes. The most trained socioemotional skills were communication (34.4%), self-efficacy (30.5%), and self-confidence (13.3%). Most studies (78.4%) reported statistically significant results favorable to the intervention group in all skills trained.</p></div><div><h3>Conclusion</h3><p>Simulation is an effective methodology for training a wide range of social and emotional competencies in students and health science professionals.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000392/pdfft?md5=fa3a4331b92be0a1a041fb03b242534a&pid=1-s2.0-S1876139924000392-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141239961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Efficacy and Usability of Screen-Based Simulation in Difficult Airway Algorithm Training for Certified Registered Nurse Anesthesiologists","authors":"Cheng Tan BSN, RN ,&nbsp;Suzan Kardong-Edgren PhD, RN, ANEF, CHSE, FSSH, FAAN ,&nbsp;Nicole Petsas Blodgett PhD, RN, CHSE ,&nbsp;Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN","doi":"10.1016/j.ecns.2024.101550","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101550","url":null,"abstract":"<div><h3>Background</h3><p>\"Cannot ventilate, cannot intubate\" is a challenging airway emergency that can lead to negative patient outcomes. Screen-based simulation (SBS) as a learning adjunct could help anesthesia providers improve decision-making skills in difficult airway situations. The goal of this project was to evaluate the usability of a newly designed SBS for learning and reinforcing difficult airway management.</p></div><div><h3>Methods</h3><p>Seven anesthesia and simulation experts were recruited for this pre-post design project. Participants were pre-briefed, watched scenario one, selected interventions for difficult airway, and time-to-decision was recorded. After debriefing, participants completed a second scenario and time-to-decision was recorded again. A post-simulation survey was conducted to evaluate application usability and gather participant feedback.</p></div><div><h3>Results</h3><p>All seven participants (100%) completed simulations with a mean System Usability Score of 90.83 (SD = 6.65) and median score of 90, both of which indicated superior usability. The time-to-decision in scenario two decreased significantly (<em>p</em> &lt; .05) between the two scenarios.</p></div><div><h3>Conclusion</h3><p>In approximately 40 hours and on a low budget, a user-friendly SBS was developed to effectively improve time-to-decision in difficult airway situations.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141239962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Experiential Learning Simulation-Based Learning Program on Clinical Judgment Among Obstetric Nursing Students","authors":"Wassana Uppor RN, PhD ,&nbsp;Areewan Klunklin RN, PhD ,&nbsp;Nongkran Viseskul RN, PhD ,&nbsp;Sombat Skulphan RN, PhD","doi":"10.1016/j.ecns.2024.101553","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101553","url":null,"abstract":"<div><h3>Background</h3><p>Obstetric nursing students have less opportunity to practice due to limited clinical placement sites and safety concerns, which leads to inadequate clinical judgment. Previous studies used simulation as a learning method but there was a lack of structured activities for learning, which is a vital aspect to support clinical judgement development. The study aim was to investigate the effect of an Experiential Learning Simulation-Based Learning Program on clinical judgment among nursing students.</p></div><div><h3>Methods</h3><p>A quasi-experimental two-group pre-test post-test design was employed. The participants were 44 nursing students. The intervention comprised three obstetrics nursing clinical scenarios in antepartum, peripartum, and postpartum periods guided by Kolb's Experiential Learning Theory that included concrete experiences, reflective observations, abstract conceptualization, and active experimentation. Clinical judgment was assessed through a questionnaire.</p></div><div><h3>Results</h3><p>After the program, the experimental group had higher scores of clinical judgment than the control group. Significant differences in the clinical judgment scores were noted between groups.</p></div><div><h3>Conclusions</h3><p>The Experiential Learning Simulation-Based Learning Program demonstrated effectiveness in increasing clinical judgment among nursing students.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141163344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and Acceptability of Virtual Escape Room Simulations for Novice Anesthesia Learners in Augmented vs. Virtual Reality","authors":"Greta M. Vladinov DNP, CRNA, CHSE, FAANA,&nbsp;Cynthia Foronda PhD, RN","doi":"10.1016/j.ecns.2024.101555","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101555","url":null,"abstract":"<div><h3>Background</h3><p>The operating room (OR) is an intimidating environment for novice anesthesia learners. This study aimed to evaluate the feasibility and acceptability of introduction to commonly-used anesthesia equipment in virtual escape room simulations through augmented reality (AR) in comparison to virtual reality (VR).</p></div><div><h3>Sample</h3><p>Eighty-seven first-year graduate student registered nurse anesthetists completed a virtual simulated escape room experience.</p></div><div><h3>Methods</h3><p>A descriptive study was conducted over three years with data from three cohorts.</p></div><div><h3>Results</h3><p>In the AR cohort, 98% of learners found the AR user-friendly while 84% of learners found the application effective to become familiar with anesthesia equipment. With the VR cohort, 95% of learners found the VR user-friendly while 98% of learners indicated the application helped them understand use of the equipment.</p></div><div><h3>Conclusion</h3><p>Both AR and VR were reported as feasible and demonstrated comparable acceptability. Faculty should have a back-up plan for those who may experience cybersickness.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141096140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Consensus Statement on Simulation-Based Practice in Healthcare","authors":"","doi":"10.1016/j.ecns.2024.101552","DOIUrl":"10.1016/j.ecns.2024.101552","url":null,"abstract":"<div><p>Simulation plays a pivotal role in addressing universal healthcare challenges, reducing education inequities, and improving mortality, morbidity and patient experiences. It enhances healthcare processes and systems, contributing significantly to the development of a safety culture within organizations. It has proven to be cost-effective and successful in enhancing team performance, fostering workforce resilience and improving patient outcomes. Through an international collaborative effort, an iterative consultation process was conducted with 50 societies operating across 67 countries within six continents. This process revealed common healthcare challenges and simulation practices worldwide. The intended audience for this statement includes policymakers, healthcare organization leaders, health education institutions, and simulation practitioners. It aims to establish a consensus on the key priorities for the broad adoption of exemplary simulation practice that benefits patients and healthcare workforces globally.</p><p><strong>Key recommendations:</strong> Advocating for the benefits that simulation provides to patients, staff and organizations is crucial, as well as promoting its adoption and integration into daily learning and practice throughout the healthcare spectrum. Low-cost, high-impact simulation methods should be leveraged to expand global accessibility and integrate into system improvement processes as well as undergraduate and postgraduate curricula. Support at institutional and governmental levels is essential, necessitating a unified and concerted approach in terms of political, strategic and financial commitment.</p><p>It is imperative that simulation is used appropriately, employing evidence-based quality assurance approaches that adhere to recognized standards of best practice. These standards include faculty development, evaluation, accrediting, credentialing, and certification.</p><p>We must endeavor to provide equitable and sustainable access to high-quality, contextually relevant simulation-based learning opportunities, firmly upholding the principles of equity, diversity and inclusion. This should be complemented with a renewed emphasis on research and scholarship in this field.</p><p><strong>Call for action:</strong> We urge policymakers and leaders to formally acknowledge and embrace the benefits of simulation in healthcare practice and education. This includes a commitment to sustained support and a mandate for the application of simulation within education, training, and clinical environments.</p><p>We advocate for healthcare systems and education institutions to commit themselves to the goal of high-quality healthcare and improved patient outcomes. This commitment should encompass the promotion and resource support of simulation-based learning opportunities for individuals and interprofessional teams throughout all stages and levels of a caregiver's career, in alignment with best practice standards.</p><p>We cal","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000446/pdfft?md5=1777a497f93f21f6e24de790aedd44fa&pid=1-s2.0-S1876139924000446-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141172493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovation and Restructuring of Laboratory and Clinical Simulation in Undergraduate Nursing Programs During the COVID-19 Pandemic: An Integrative Review","authors":"Shehnaaz Mohamed ,&nbsp;Tawny Lowe ,&nbsp;Melody Blanco ,&nbsp;Sumayya Ansar ,&nbsp;Kim Leighton ,&nbsp;Jessie Johnson","doi":"10.1016/j.ecns.2024.101549","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101549","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic forced nursing education institutions to abruptly shift away from traditional in-person learning and find alternative approaches to fulfill program requirements. This integrative review explores the various innovative and restructured simulation strategies used by undergraduate nursing programs for lab and clinical courses in response to the pandemic.</p></div><div><h3>Methods</h3><p>Whittemore and Knafl's (2005) five-step framework guided this review. A systematic search of six academic databases and quality appraisal using the Mixed Methods Appraisal Tool yielded 10 studies for the review.</p></div><div><h3>Results</h3><p>Strategies identified primarily employed virtual simulation methods using avatars or real people. Additional approaches included flipcharts and simulation-based flipped classrooms. Key themes pertaining to language and culture, immersion, facilitation and skills emerged.</p></div><div><h3>Conclusion</h3><p>Virtual simulation was a valuable tool during the pandemic, though not without challenges. Future implications are discussed. This review highlights the need for standardized terminology and considerations for cultural diversity in simulation. Additionally, further research into the effectiveness of virtual simulation as a replacement for in-person nursing clinical and lab experiences is warranted.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000410/pdfft?md5=fc68a8c0adb3014372f628eb5dabec3b&pid=1-s2.0-S1876139924000410-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141084653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collaborative Healthcare: Exploring Interprofessional Simulation Among Nursing and Child Life Students","authors":"Janet Brown PhD, MSN, RN, CPN ,&nbsp;Heather Cole PhD, MSN, RN, CHSE, CNEn ,&nbsp;Sherwood Burns-Nader PhD, CCLS ,&nbsp;Jessica Johnson MSN, RN, PNP","doi":"10.1016/j.ecns.2024.101556","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101556","url":null,"abstract":"<div><h3>Background</h3><p>Interprofessional partnerships are a core competency of registered nursing and child life curricula. Despite the need for interprofessional education (IPE), gaps in using IPE simulation for both disciplines still need to be addressed.</p></div><div><h3>Methods</h3><p>This cross-sectional study used survey methodology to examine nursing and child life students’ attitudes toward working in interdisciplinary teams, satisfaction and confidence in learning, and satisfaction with the overall design, following a high-fidelity Simulation Interprofessional Education (Sim-IPE) experience.</p></div><div><h3>Results</h3><p>Nursing and child life students reported positive attitudes regarding the Sim-IPE healthcare team, satisfaction and confidence in learning, and satisfaction with the Sim-IPE design.</p></div><div><h3>Conclusion</h3><p>Sim-IPE is an effective teaching strategy for nursing and child life students.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141073149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultivating Inclusivity: A Pilot Study Utilizing Simulation-Based Approaches for Weight Bias Mitigation","authors":"Tracy L. Oliver PhD, RDN, LDN ,&nbsp;Gail E. Furman PhD, RN, CHSE-A ,&nbsp;Rebecca Shenkman MPH, RDN, LDN ,&nbsp;Lisa K. Diewald MS, RDN, LDN ,&nbsp;Margaret Brace PhD ,&nbsp;Bette Mariani PhD, RN, ANEF, FAAN","doi":"10.1016/j.ecns.2024.101551","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101551","url":null,"abstract":"<div><h3>Background</h3><p>The purpose of this study was to explore the efficacy of a weight bias reduction (WBR) intervention, including simulation-based experiences (SBEs) with standardized participants (SP) living with obesity, to reduce weight bias in nurse practitioner (NP) students.</p></div><div><h3>Methods</h3><p>NP students (n = 18) participated in three SBEs over the course of three academic semesters. Each SBE session was accompanied by an interactive WBR intervention and debriefing for meaningful learning (DML) segment, which focused on increasing awareness of weight bias in healthcare, using person first language, and fostering communication skills and interactive dialogue related to motivational interviewing and shared-decision making. Students completed the attitudes towards obese persons (ATOP), beliefs about obese persons (BAOP), and Nurses Attitudes Towards Obese and Obese Patients Scale (NATOOPS) questionnaires, pre- and post-intervention. Clinical communication skills were assessed using the self-efficacy scale (SE-12) and the SEGUE Framework, pre- and post-intervention.</p></div><div><h3>Results</h3><p>ATOP, BAOP, and NATOOPS scores all improved from pre-intervention and nine months post-intervention; however, they did not meet the threshold for statistical significance. The SE-12 showed a statistically significant increase from baseline (<em>M</em> = 73.9, <em>SE</em> = 5.2) to post-intervention (<em>M</em> = 88.6, <em>SE</em> = 4.5, <em>p</em> = .045), indicating improvements in students’ self-evaluation of communication skills.</p></div><div><h3>Conclusions</h3><p>Despite not achieving statistically significant improvements, NP students achieved increased self-efficacy in navigating weight-related conversations, suggesting the inclusion of WBR interventions as part of the NP curriculum.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141067020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nailing the Diagnosis: Using Screen-Based Simulation to Improve Factors of Diagnostic Reasoning in Family Nurse Practitioner Education","authors":"Sarah L. Beebe PhD, APRN, CNM, WHNPr, CHSE ,&nbsp;Angela M. McNelis PhD, RN, CNE, ANEF, FAAN ,&nbsp;Majeda El-Banna PhD, RN, CNE, ANEF ,&nbsp;Kristina T Dreifuerst PhD, RN, CNE, ANEF, FAAN ,&nbsp;Qiuping Pearl Zhou PhD, RN","doi":"10.1016/j.ecns.2024.101528","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101528","url":null,"abstract":"<div><h3>Background</h3><p>Providers’ diagnostic skills and reasoning are essential to the health and safety of patients and the healthcare system. Simulation is a promising modality for improving diagnostic reasoning, with the ability to practice, receive feedback, and reflect in a safe learning environment.</p></div><div><h3>Methods</h3><p>This study used a quasi-experimental, pretest/posttest one group design to investigate the effect of a 5-week intervention screen-based simulation intervention on metacognitive awareness, knowledge, and diagnostic reasoning factors in family nurse practitioner students in their final semester of clinical coursework. Univariate descriptive statistics were used to describe demographic data and study variables. Paired sample t-tests were used to examine differences in the three study variables pre- and postintervention.</p></div><div><h3>Results</h3><p>In the study sample of 72 students, there were statistically significant increases (<em>p</em> &lt; .001) in knowledge, metacognitive awareness, and diagnostic reasoning scores from pretest to posttest after a screen-based simulation intervention.</p></div><div><h3>Conclusions</h3><p>Findings of this study suggest that the overall improvement in students’ metacognition and knowledge led to an improvement in diagnostic reasoning, which could lead to accurate diagnosis and prevent errors.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}