Evaluating the Impact of Simulation-Based Training on Nursing Student Clinical Decision-Making Skills
DOI:
https://doi.org/10.56294/mw2023101Keywords:
Nursing students, clinical decisions, SBT, training phaseAbstract
Nursing students must be able to make clinical decisions that have a direct impact on patient outcomes and quality of care. Traditional clinical training may not provide sufficient hands-on experience in complex or high-risk situations. Simulation-based training (SBT) provides a controlled environment where students can practice clinical decision-making (CDM), but its direct impact on decision-making competence requires further research. To evaluate the ability of SBT to improve nurse trainees' competence in CDM. To compare progress in reaction time, critical thinking, problem-solving, confidence, and decision-making before and after simulation training. A quasi-experimental pre-test/post-test approach was used, with nursing students in the clinical training phase. Participants underwent high-fidelity simulation (HFS) scenarios to evaluate their decision-making ability. Data were gathered by structured observational checklists, self-reported confidence questionnaires, and performance evaluations. ANOVAs and paired t-tests were used to compare the results before and after the intervention. Results showed that SBT significantly improved nursing students' ability to evaluate critical thinking, their level of confidence, and their ability to respond time effectively under pressure. The findings demonstrated that following the intervention, decision-making abilities significantly improved; SBT is an effective educational technique to help nursing students improve their CDM skills.
References
[1] Ludin SM. Does good critical thinking equal effective decision-making among critical care nurses? A cross-sectional survey. Intensive and Critical Care Nursing. 2018 Feb 1; 44:1-0. https://doi.org/10.1016/j.iccn.2017.06.002
[2] Dickison P, Haerling KA, Lasater K. Integrating the National Council of State Boards of Nursing clinical judgment model into nursing educational frameworks. Journal of Nursing Education. 2019 Feb 1; 58(2):72-8. https://doi.org/10.3928/01484834-20190122-03
[3] Ahmady S, Shahbazi S. Impact of social problem-solving training on critical thinking and decision making of nursing students. BMC nursing. 2020 Oct 7; 19(1):94. https://doi.org/10.1186/s12912-020-00487-x
[4] Padilha JM, Machado PP, Ribeiro A, Ramos J, Costa P. Clinical virtual simulation in nursing education: randomized controlled trial. Journal of medical Internet research. 2019 Mar 18; 21(3):e11529. https://doi.org/10.2196/11529
[5] Abubakar AM, Elrehail H, Alatailat MA, Elçi A. Knowledge management, decision-making style and organizational performance. Journal of Innovation & Knowledge. 2019 Apr 1;4(2):104-14. https://doi.org/10.1016/j.jik.2017.07.003
[6] Murray DJ, Boyle WA, Beyatte MB, Knittel JG, Kerby PW, Woodhouse J, Boulet JR. Decision-making skills improve with critical care training: Using simulation to measure progress. Journal of Critical Care. 2018 Oct 1;47:133-8. https://doi.org/10.1016/j.jcrc.2018.06.021
[7] Hung CC, Kao HF, Liu HC, Liang HF, Chu TP, Lee BO. Effects of simulation-based learning on nursing students' perceived competence, self-efficacy, and learning satisfaction: A repeat measurement method. Nurse Education Today. 2021 Feb 1; 97:104725. https://doi.org/10.1016/j.nedt.2020.104725
[8] Giordano C, Brennan M, Mohamed B, Rashidi P, Modave F, Tighe P. Accessing artificial intelligence for clinical decision-making. Frontiers in digital health. 2021 Jun 25; 3:645232. https://doi.org/10.3389/fdgth.2021.645232
[9] Elcokany NM, Abdelhafez AI, Samuel Sharaby VM, Belal S. Use of computer-based scenarios for clinical teaching: Impact on nursing students’ decision-making skills. Healthcare 2021 Sep 17 (Vol. 9, No. 9, p. 1228). MDPI. https://doi.org/10.3390/healthcare9091228
[10] Kim HK, Ryu S, Jang KS. Effect of structured pre-simulation preparation and briefing on student’s self-confidence, clinical judgment, and clinical decision-making in simulation. Contemporary Nurse. 2019 Sep 3; 55(4-5):317-29.https://doi.org/10.1080/10376178.2019.1641420
[11] Lee BO, Liang HF, Chu TP, Hung CC. Effects of simulation-based learning on nursing student competences and clinical performance. Nurse education in practice. 2019 Nov 1; 41:102646.https://doi.org/10.1016/j.nepr.2019.102646
[12] Hustad J, Johannesen B, Fossum M, Hovland OJ. Nursing students’ transfer of learning outcomes from simulation-based training to clinical practice: A focus-group study. BMC nursing. 2019 Dec; 18:1-8. https://doi.org/10.1186/s12912-019-0376-5
[13] Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-making. Diagnosis. 2019 Jun 26; 6(2):91-9.https://doi.org/10.1515/dx-2018-0084
[14] Raman S, Labrague LJ, Arulappan J, Natarajan J, Amirtharaj A, Jacob D. Traditional clinical training combined with high‐fidelity simulation‐based activities improves clinical competency and knowledge among nursing students on a maternity nursing course. Nursing Forum 2019 Jul (Vol. 54, No. 3, pp. 434-440). https://doi.org/10.1111/nuf.12351
[15] Hu F, Yang J, Yang BX, Zhang FJ, Yu SH, Liu Q, Wang AL, Luo D, Zhu XP, Chen J. The impact of simulation-based triage education on nursing students' self-reported clinical reasoning ability: a quasi-experimental study. Nurse Education in Practice. 2021 Jan 1; 50:102949. https://doi.org/10.1016/j.nepr.2020.102949
[16] Kose G, Unver V, Tastan S, Ayhan H, Demirtas A, Kok G, Guvenc G, Basak T, Bagcivan G, Kurtoglu PG, Acavut G. Embedded participants in simulation-based disaster education: experiences of nursing students. Clinical Simulation in Nursing. 2020 Oct 1;47:9-15. https://doi.org/10.1016/j.ecns.2020.06.011
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Copyright (c) 2023 Malathi H, Ashutosh Niranjan, Sasmita Das (Author)
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