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Nursing Students' Cue Recognition in Educational Simulation: A Scoping Review.

Mari Poledna¹, Abigail Gómez-Morales, Debra Hagler

¹Students (Mss Poledna and Gómez-Morales) and Clinical Professor and Faculty Honors Advisor (Dr Hagler), Edson College of Nursing and Health Innovation, Arizona State University, Phoenix.

|April 11, 2022

Summary

Undergraduate nursing students often miss critical patient cues during simulations, impacting clinical judgment. Further research is needed to enhance cue recognition skills in nursing education.

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Area of Science:

Nursing Education
Clinical Judgment Development
Simulation-Based Learning

Background:

New nurses face challenges in cue recognition and clinical judgment.
Simulation scenarios are used to develop these essential nursing skills.
Cue recognition is a foundational element of clinical judgment.

Purpose of the Study:

To systematically map research on undergraduate nursing students' cue recognition during simulation.
To identify existing knowledge gaps in this research area.

Main Methods:

A scoping review of studies published between 2010 and 2020.
Inclusion of 17 quantitative or qualitative studies.
Appraisal using Joanna Briggs Institute methodology and PRISMA-ScR guidelines.

Main Results:

Students frequently missed critical cues, including changes in respiratory rates and physical assessments.
Verbal cues from simulated patients were often overlooked or led to avoidance behaviors.
Varied frequencies of missed cues were observed across studies.

Conclusions:

Significant knowledge gaps exist regarding effective methods for teaching cue recognition.
Further research is required to develop and evaluate strategies for improving nursing students' cue recognition and analysis skills.
Enhanced cue recognition is crucial for safe patient care and effective clinical judgment.