Effects of Simulation-Based Learning to Clinical Judgement Abilities among Nursing Students in Child and Adolescent Nursing Practicum Course
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Abstract
This quasi-experimental research, with a one-group pretest and posttest design, aimed to compare the clinical judgment abilities of nursing students using virtual simulations in the child and adolescent nursing practicum course. The sample comprised 64 third-year nursing students who studied in the child and adolescent nursing practicum course and were purposively selected. The participants received teaching the simulation-based learning with 3 scenarios. Data were collected by the Thai version of the Lasater clinical judgment rubric (LCJR). The reliability of the Cronbach’s alpha coefficient was at .92. Data were analyzed by descriptive statistics and paired t-test statistics.
The result showed that after teaching the simulation-based learning, most nursing students' clinical judgment were the proficiency levels, which were higher than before received teaching, in particular that were the developing levels. The clinical decision-making among nursing students was statistically and significantly higher than before teaching with simulation-based learning (Mean difference: 8.19, 95%CI: -6.62, p-value < .01). The average score of the student ability in the clinical judgment passed the criteria of 70.00 percent was 71.88 percent. These findings indicated that the simulation-based learning could increase nursing student’s abilities and clinical judgment in nursing practice; therefore, it should be applied to other contents and courses to enhance clinical nursing skills effectively.
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