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Development and Effects of Leukemia Nursing Simulation Based on Clinical Reasoning
Aeri Jang1, Miok Song1, Suhyun Kim1
1Department of Nursing, Nambu University, Gwangju 62271, Korea.
Summary
This study developed a simulation program for acute myelocytic leukemia (AML) patient care, significantly improving nursing students' knowledge and clinical skills. The program fostered self-directed learning and enhanced clinical reasoning abilities.
Area of Science:
- Medical Education
- Nursing Education
- Simulation-Based Learning
Background:
- Clinical reasoning is crucial in nursing, yet specific simulation programs for acute myelocytic leukemia (AML) patient care are lacking for student training.
- Existing literature highlights the value of simulation education and clinical reasoning but lacks a dedicated AML patient-care simulation model for students.
Purpose of the Study:
- To develop and implement a clinical reasoning-based simulation program for acute myelocytic leukemia (AML) patient care.
- To evaluate the program's impact on nursing students' learning outcomes and describe their learning experiences.
Main Methods:
- A mixed-methods approach was employed, combining quantitative measurement of knowledge with qualitative analysis of student self-reflection journals.
- The study compared an experimental group using the AML simulation program with a control group.
Main Results:
- Statistically significant improvements were observed in theoretical knowledge and clinical performance for the experimental group compared to the control group.
- Qualitative analysis of journals revealed themes of transformation into self-directed learners, increased clinical reasoning awareness, and embodiment of the clinical reasoning process.
- Standardized scenarios promoted participant engagement and effective achievement of learning outcomes.
Conclusions:
- The developed AML simulation program effectively enhances nursing students' theoretical knowledge, clinical performance, and clinical reasoning skills.
- The program provides a standardized method for assessing nursing interventions and establishing objective criteria based on clinical reasoning.
- Expansion of similar simulation programs to other clinical cases beyond leukemia is recommended.
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