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Related Experiment Videos

Innovation in Clinical Course Delivery and Impact on Students' Clinical Decision-Making and Competence.

Aimee Woda1, Theresa Schnable, Penny Alt-Gehrman

  • 1About the Authors Aimee Woda, PhD, RN, BC, is an assistant professor, Marquette University College of Nursing, Milwaukee, Wisconsin. Theresa Schnable, MS, RN, ACNS-BC, is a clinical instructor and simulation coordinator, Marquette University College of Nursing. Penny Alt-Gehrman, MSN, RN, is an assistant professor, Alverno College, Milwaukee, Wisconsin. Marilyn Meyer Bratt, PhD, RN, is associate professor, and Mauricio Garnier-Villarreal, PhD, is a research assistant professor, Marquette University College of Nursing. The authors acknowledge the Marquette College of Nursing Research Office for funding this study, the Wheaton Franciscan Healthcare Center for Clinical Simulation staff for their assistance, and the students who volunteered their time to participate. For more information, contact Dr. Woda at aimee.woda@marquette.edu.

Nursing Education Perspectives
|August 28, 2018
PubMed
Summary

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Nursing students using simulation alongside traditional clinicals showed improved patient assessment skills. This supplementary simulation approach enhanced clinical competence in prelicensure baccalaureate nursing education.

Area of Science:

  • Nursing Education
  • Healthcare Simulation
  • Clinical Competence Assessment

Background:

  • Traditional clinical experiences are essential for nursing education.
  • Simulation is increasingly used as a pedagogical tool in healthcare.
  • Evaluating the impact of simulation on clinical decision-making and competence is crucial.

Purpose of the Study:

  • To compare clinical decision-making and competence between two nursing student cohorts.
  • To investigate the effect of simulation as a substitute versus a supplement to traditional clinicals.
  • To assess the impact of different simulation integration methods on nursing student outcomes.

Main Methods:

  • A quasi-experimental design was employed.
  • Two cohorts of graduating baccalaureate nursing students were compared.

Related Experiment Videos

  • Cohort 1 substituted traditional medical-surgical clinicals with simulation (n=35).
  • Cohort 2 supplemented traditional clinicals with simulation (n=36).

    • Main Results:

    • Participants who supplemented traditional clinicals with simulation performed better patient assessments.
    • No significant differences were noted in clinical decision-making between the groups.
    • Simulation as a supplement showed a positive impact on specific clinical skills.

    Conclusions:

    • Integrating simulation as a supplement to traditional clinical experiences can enhance nursing students' patient assessment abilities.
    • Simulation offers a valuable adjunct to traditional clinicals in prelicensure nursing programs.
    • Further research is warranted to explore simulation's role in developing clinical decision-making.