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Hybrid Concept Analysis: Peer Collaborative Clinical Decision-Making in Nursing Simulation.

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Peer collaborative clinical decision-making (PCCDM) in nursing simulation involves group communication, awareness, and regulation of reasoning and emotion. This study defines PCCDM as a dynamic, group-level process among nursing students.

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Area of Science:

Nursing Education
Healthcare Simulation
Clinical Decision-Making

Background:

Nursing students engage in collaborative clinical decision-making within simulation scenarios.
The concept of peer collaborative clinical decision-making (PCCDM) lacks a clear definition in existing literature.
This study addresses the need for a defined concept of PCCDM in nursing simulations.

Purpose of the Study:

To explore and establish a clear conceptual definition of peer collaborative clinical decision-making (PCCDM).
To define PCCDM specifically within the context of nursing student simulations.
To provide a foundation for developing theoretical frameworks and instruments related to PCCDM.

Main Methods:

A hybrid concept analysis approach was employed.
A comprehensive review of 19 relevant articles was conducted.
Interviews were held with 11 dyads of nursing students post-virtual reality simulation.

Main Results:

Five key themes emerged: group communication, awareness, regulation, reasoning, and emotion.
PCCDM was defined as a dynamic, nonhierarchical, group-level process.
It involves cognitive and socioemotional interactions regarding clinical situations, encompassing communication, awareness, and regulation of reasoning and emotion.

Conclusions:

A conceptual definition of PCCDM in nursing simulation was established.
This definition provides a basis for future theoretical framework development.
The findings pave the way for creating instruments to measure PCCDM in simulation settings.