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Related Experiment Videos

Using a computer simulation program to assess the decision-making process in child health care.

S Lauri1

  • 1Department of Nursing, University of Turku, Finland.

Computers in Nursing
|July 1, 1992
PubMed
Summary

This study developed a computer simulation to assess public health nurses' decision-making in child healthcare. Findings revealed a tendency to focus on child development over family needs, suggesting simulation improvements.

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Area of Science:

  • Nursing
  • Public Health
  • Educational Technology

Background:

  • Effective decision-making is crucial for public health nurses in child healthcare.
  • Existing assessment methods may not fully capture the complexities of clinical judgment.
  • Soft systems methodology and problem-solving theories inform best practices.

Purpose of the Study:

  • To develop and test a computer simulation program for assessing public health nurse decision-making in child health care.
  • To evaluate the program's utility and identify areas for improvement in nurse training.
  • To explore the application of soft systems methodology in simulation-based education.

Main Methods:

  • Development of an authoring program and two child health care simulations at the University of Turku.

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  • Inclusion of theories on problem-solving, decision-making, child development, and health care.
  • Testing with 61 public health nurses across 11 health centers in southwestern Finland.

    • Main Results:

    • The computer simulation program was well-received and functioned effectively.
    • Inconsistencies were identified in public health nurses' decision-making regarding child and family needs.
    • Decisions were more aligned with child developmental stages than individual family circumstances.

    Conclusions:

    • The simulation effectively assesses 'here and now' decision-making but not forward-thinking care.
    • Enhancements, such as post-simulation explanations and tape recording, can improve assessment.
    • Findings provide valuable insights for developing advanced computer simulation tools for nursing education.