J Korean Acad Nurs.  2017 Dec;47(6):842-853. 10.4040/jkan.2017.47.6.842.

Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial

• Jeong KI
• Choi JY

• KMID: 2408149
• DOI: http://doi.org/10.4040/jkan.2017.47.6.842

Abstract

PURPOSE
This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education.
METHODS
Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students' skill training, and evaluators' training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing.
RESULTS
ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p < .001), clinical judgment (F=18.33, p < .001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=−0.38, p=.704) between the experimental and control groups.
CONCLUSION
This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.

Keyword

Simulation training; Formative feedback; Nursing students; Hospice care; Judgment

MeSH Terms

Education
Formative Feedback
Hospice Care
Humans
Judgment*
Learning*
Nursing*
Simulation Training
Students, Nursing*

Figure

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  Figure 1. Research design.

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  Figure 2. Participants’ selection flow.

Reference

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