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Area of Science:

  • Nursing Education
  • Healthcare Simulation
  • Clinical Judgment Development

Background:

  • A decline in essential competencies among newly graduated Registered Nurses (RNs) poses a risk to patient safety and quality of care.
  • The gap in practice readiness necessitates innovative approaches to prepare nursing students for real-world clinical scenarios.
  • Traditional nursing education models may not adequately equip graduates with the critical thinking and decision-making skills required for novice practice.

Purpose of the Study:

  • To explore strategies for enhancing clinical judgment in nursing students.
  • To evaluate the effectiveness of an online simulation program in improving practice readiness.
  • To identify lessons learned from implementing simulation-based education to inform future nursing curricula.

Main Methods:

  • Implementation of an online simulation and quiz program within a classroom setting.
  • Utilized the Lasater Clinical Judgment Rubric for faculty and student assessment across three laboratory simulations.
  • Students engaged in self-reflection using the Guide for Reflection to process their simulation experiences.

Main Results:

  • Identified challenges included time constraints for complex simulations and technical issues with the new online platform.
  • Highlighted the critical need for comprehensive orientation, training, and preparation for both students and faculty.
  • Emphasized the importance of structured debriefing sessions and adaptive strategies to accommodate diverse learner needs in online simulations.

Conclusions:

  • Innovative teaching strategies, particularly online simulations, are crucial for strengthening nursing students' clinical judgment.
  • Addressing implementation challenges and providing adequate support are essential for successful integration of simulation into nursing education.
  • The findings underscore the need for continuous evaluation and refinement of simulation-based curricula to ensure graduates meet competency standards.