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

Assisting patients with upper gastrointestinal bleeding is a crucial role for nurses, and as future nurses, students should demonstrate sound clinical judgment. Well-structured, high-quality simulations are useful alternatives to prepare students for clinical practice. However, nursing simulation sc...

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Detalles Bibliográficos
Autores principales: Jang, AeRi, Park, Hyunyoung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8092762/
https://www.ncbi.nlm.nih.gov/pubmed/33939752
http://dx.doi.org/10.1371/journal.pone.0251029
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author Jang, AeRi
Park, Hyunyoung
author_facet Jang, AeRi
Park, Hyunyoung
author_sort Jang, AeRi
collection PubMed
description Assisting patients with upper gastrointestinal bleeding is a crucial role for nurses, and as future nurses, students should demonstrate sound clinical judgment. Well-structured, high-quality simulations are useful alternatives to prepare students for clinical practice. However, nursing simulation scenarios focused on enhancing clinical judgment in managing upper gastrointestinal bleeding are limited. This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner’s clinical judgment model using a mixed methods study design. A high-fidelity patient simulation was conducted among 80 undergraduate nursing students divided into a simulated control group (n = 39) and an experimental group (n = 41). Subsequent student performance evaluations used questionnaires and video recordings. After scenario simulations, the students showed a statistically significant increase in theoretical knowledge (p = 0.001) and clinical performance skills (p < 0.001), but there was no significant increase in self-confidence (p = 0.291). According to the video analysis, the “noticing” clinical judgment phase was the most frequently observed phase, while “reflection” was the least frequently observed phase. Additionally, “education” was the most frequently observed nursing domain, and “anxiety” was the least frequently observed domain. Although further simulation repetitions are required to reinforce students’ self-confidence when caring for patients with upper gastrointestinal bleeding, the scenario was deemed effective. Moreover, emphasis should be placed on developing various scenarios to strengthen students’ clinical judgment skills, especially “reflecting” and “emotional care.”
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spelling pubmed-80927622021-05-07 Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study Jang, AeRi Park, Hyunyoung PLoS One Research Article Assisting patients with upper gastrointestinal bleeding is a crucial role for nurses, and as future nurses, students should demonstrate sound clinical judgment. Well-structured, high-quality simulations are useful alternatives to prepare students for clinical practice. However, nursing simulation scenarios focused on enhancing clinical judgment in managing upper gastrointestinal bleeding are limited. This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner’s clinical judgment model using a mixed methods study design. A high-fidelity patient simulation was conducted among 80 undergraduate nursing students divided into a simulated control group (n = 39) and an experimental group (n = 41). Subsequent student performance evaluations used questionnaires and video recordings. After scenario simulations, the students showed a statistically significant increase in theoretical knowledge (p = 0.001) and clinical performance skills (p < 0.001), but there was no significant increase in self-confidence (p = 0.291). According to the video analysis, the “noticing” clinical judgment phase was the most frequently observed phase, while “reflection” was the least frequently observed phase. Additionally, “education” was the most frequently observed nursing domain, and “anxiety” was the least frequently observed domain. Although further simulation repetitions are required to reinforce students’ self-confidence when caring for patients with upper gastrointestinal bleeding, the scenario was deemed effective. Moreover, emphasis should be placed on developing various scenarios to strengthen students’ clinical judgment skills, especially “reflecting” and “emotional care.” Public Library of Science 2021-05-03 /pmc/articles/PMC8092762/ /pubmed/33939752 http://dx.doi.org/10.1371/journal.pone.0251029 Text en © 2021 Jang, Park https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Jang, AeRi
Park, Hyunyoung
Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study
title Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study
title_full Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study
title_fullStr Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study
title_full_unstemmed Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study
title_short Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study
title_sort clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: a mixed methods study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8092762/
https://www.ncbi.nlm.nih.gov/pubmed/33939752
http://dx.doi.org/10.1371/journal.pone.0251029
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