EFFECT OF HIGH FIDELITY SIMULATION BASED LEARNING ON CLINICAL DECISION MAKING ABILITY OF NURSING STUDENTS Effect of High Fidelity Simulation Based Learning on Clinical Decision Making Ability of Nursing Students

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สมจิตต์ สินธุชัย
กันยารัตน์ อุบลวรรณ
ณัฐวุฒิ บุญสนธิ
ปริญญา ยอดอาษา
ภูมินทร์ ดวงสุริยะ


             This mixed-method research used quantitative research as a major method and qualitative research as a minor method to determine the effect of high fidelity simulation based learning on clinical decision making ability of nursing students. The study population consisted of 91 junior nursing students who studied Nursing Care of Persons with Health Problems in Practicum III in the Bachelor of Nursing Science Program of Boromarajonani College of Nursing, Saraburi. The simple random sampling was used to recruit 39 students into a treatment group which was taught using the high fidelity simulation based learning, including 4 situations; and each situation took 60 minutes. The instrument used in this study consisted of the clinical decision making ability tests including 4 situations. Each situation evaluated the 4 steps of the clinical decision making ability 1) data collection ability, 2) data interpretation and problem identification ability, 3) clinical decision making ability, and 4) clinical practice evaluation ability. The data analysis was done using the descriptive statistics of percentage, mean, standard deviation, and dependent t-test.

             The results of this study were as follows: 1) Mean score of clinical decision making ability in the treatment group after the experiment was significantly higher than the one before experiment at the statistical level of .05. 2) The results of the focus group showed the following data about clinical decision making ability: (1) assessment, the students saw more importance of assessment, learned the mistakes from assessment to apply in a new situation, and thought that pathophysiology knowledge will help them to complete patient assessment. (2) Data interpretation and problem identification, interpretation collected the needed data to know the normal values of the results of laboratory tests, understand pathophysiology, and know which data are important to identify problems and causes of patients. The ability of data interpretation helped nurses to provide correct treatment and nursing care and appropriate to patients’ problems. (3) Clinical decision making helped students to practice analytic thinking, decision making, grading the importance of nursing care, understanding the decision making and nursing roles as well as developing decision making, providing causes of nursing practice, and providing medicine. (4) Clinical practice evaluation, the students realized the important data that were evaluated after provided nursing care. The results of this study can be used for promoting high fidelity simulation based learning to develop clinical decision making ability of nursing students.


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