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

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This study developed a nursing simulation for upper gastrointestinal bleeding, significantly improving student knowledge and skills. Further practice is needed to boost confidence and focus on reflection and emotional care.

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Area of Science:

  • Nursing Education
  • Clinical Skills Development
  • Patient Simulation

Background:

  • Nurses play a vital role in managing upper gastrointestinal bleeding.
  • Developing clinical judgment in nursing students is essential for patient care.
  • Existing simulation scenarios for upper gastrointestinal bleeding are limited.

Purpose of the Study:

  • To develop, implement, and evaluate a nursing simulation scenario for upper gastrointestinal bleeding.
  • To enhance undergraduate nursing students' clinical judgment using Tanner's model.
  • To assess the impact of simulation on theoretical knowledge, clinical skills, and self-confidence.

Main Methods:

  • A mixed-methods study involving 80 undergraduate nursing students.
  • High-fidelity patient simulation divided into control and experimental groups.
  • Evaluation through questionnaires and video recording analysis.

Main Results:

  • Statistically significant increases in theoretical knowledge (p=0.001) and clinical performance skills (p<0.001).
  • No significant increase in self-confidence (p=0.291).
  • Video analysis revealed 'noticing' as the most frequent clinical judgment phase and 'education' as the most frequent nursing domain.

Conclusions:

  • The developed simulation scenario is effective in improving nursing students' knowledge and skills for upper gastrointestinal bleeding management.
  • Further simulation repetitions are recommended to enhance self-confidence.
  • Future scenario development should focus on strengthening clinical judgment, particularly 'reflection' and 'emotional care'.