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KMID : 0869920140200020212
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Journal of Korean Academy Society of Nursing Education
2014 Volume.20 No. 2 p.212 ~ p.222
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Nursing Students’ Clinical Judgment Skills in Simulation: Using Tanner’s Clinical Judgment Model
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Kim Eun-Jung
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Abstract
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Purpose: The purpose of this study was to evaluate the nursing students`` clinical judgment skills in simulation using Tanner``s Clinical Judgment Model.
Method: Forty-five teams of a total 93 nursing students participated in a post-operative patient care scenario using human patient simulator. Data were collected from students`` responses in scenario and guided reflective journaling according to the framework of Tanner``s model which comprised noticing, interpreting, responding, and reflecting on response. Data were analyzed using descriptive statistics.
Results: The students`` responses of the situation were in accordance with the goals of scenario, i.e. relieving patient`` pain and preventing pulmonary complications. However, most of students needed clinical cues and focused on a given clue to solve the issues. They were lack of ability to collect additional information as well as connect the relevant clues in simulated clinical situation.
Conclusion: The nursing students have difficulty in what they notice, how they interpret finding, and respond appropriately to the situation. The simulation training using Tanner``s model could provide faculty and nursing students with an effective teaching and learning strategy to develop the clinical judgment skills.
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KEYWORD
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Nursing education, Nursing students, Decision making, Patient simulation
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