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Effectiveness of a Simulation-Based Education Program to Improve Novice Nurses' Clinical Judgment Skills.

Yoshiko Kawase1, Shoko Takahashi1, Masako Okayasu1

  • 1Faculty of Nursing and Nutrition, University of Shimane, Izumo, JPN.

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Summary

Simulation-based education significantly improved novice nurses' clinical judgment skills, particularly in observation and assessment. The program enhanced theoretical and practical reasoning, with lasting effects observed two months post-completion.

Keywords:
clinical judgmentnovice nursesnursing educationsimulationsituation-based training

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Area of Science:

  • Nursing Education
  • Clinical Skills Development
  • Healthcare Simulation

Background:

  • Novice nurses often require enhanced clinical judgment skills for effective patient care.
  • Simulation-based education offers a controlled environment for skill acquisition.

Purpose of the Study:

  • To evaluate the effectiveness of a simulation-based education program in improving novice nurses' clinical judgment.
  • To assess the impact of simulation on theoretical and practical reasoning skills.

Main Methods:

  • A simulation education program was delivered to 21 novice nurses.
  • Surveys measured program satisfaction, learning outcomes, and clinical judgment skills.
  • Data collected pre-program, immediately post-program, and two months later.

Main Results:

  • Nurses reported high satisfaction and identified key learnings, including psychological care and patient observation.
  • Significant improvements in theoretical and practical reasoning scores were observed post-program.
  • The ability to grasp conditions through observation improved significantly two months after the program.

Conclusions:

  • Simulation-based education enhanced novice nurses' ability to observe, gather information, and assess patients.
  • While direct causality is complex, program completion correlated with improved clinical judgment.
  • The program shows promise for developing critical nursing competencies.