The Integrated Clinical Teaching Methods on Reflective Thinking, and Clinical Judgment in 3rd Year Nursing Students in Maternal Infant and Midwife Nursing Practicum Course I
Keywords:
Case study, simulation based learning, post conference, reflective thinking, clinical judgmentAbstract
This study was a quasi-experimental research for- one group with a pretest and post-test design in clinical practice. This study aimed to compare between the pretest and the posttest of Maternal infant and midwifery nursing knowledge, reflective thinking and clinical judgment when applied nursing practice, case study, simulation based learning and post conference in Maternal infant and midwifery nursing practice. The participants were 106 third year nursing students at Boromrajonnani College of Nursing, Phraputthabat. They were assigned to practice at prenatal clinic, labor and delivery department, and postpartum ward for eight weeks. The instruments consisted of a multiple-choice test, reflective thinking questionnaire, and clinical judgment observational checklist. The content validity was qualified by experts and reliability of reflective thinking questionnaire was 0.78. The data were analyzed using descriptive statistics, paired t-test, and one sample t-test. The results showed that after nursing practice, case study, simulation based learning and post conference were applied, there were significant differences between pretest and posttest of knowledge and reflective thinking scores at .05 significance level. The Maternal infant and midwifery nursing knowledge score was significantly increased from 34.88 to 39.04, and the reflective thinking score was also significantly increased from 3.55 to 3.99. When reflective thinking subcategories were considered, there were significantly higher scores in habitual action, understanding, and self-reflection, while critical reflection has no difference. Clinical judgment score was significantly lower than 50 percent at .05 significance level. There were 64.4 percent of participants who were categorized in the lowest clinical judgment level, and 20.6 percent of them were indicated in the low clinical judgment level.
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