KMID : 1155220140390020013
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Journal of the Korean Society of Health Information and Health Statistics 2014 Volume.39 No. 2 p.13 ~ p.31
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Effects of Four Team-based High-risk Neonatal Nursing Simulation Methods Comprising Peer Turnover on Baccalaureate Nursing Students¡¯ Perceived Outcomes; Clinical Judgment, Core Skills Performance, and Satisfaction
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Cho Eun-Jung
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Abstract
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Objectives: This study was designed to determine the effects of four different methods of team-based simulation on nursing students¡¯ self-rated core nursing performance, satisfaction, and clinical judgment in high-risk neonatal care scenario.
Methods: Nursing students (N=177) from Y College in Daegu participated in a four-group quasi-experimental post-test only design in July 2014. The theoretical framework for this study was based on Tanner¡¯s Clinical Judgment Model and Lasater¡¯s Clinical Judgment Rubric, using Likert scales to measure student¡¯s perceptions of clinical competence.
Results: The ratings of students¡¯ perceived clinical judgment, core nursing skills performance, and satisfaction were high, showing the highest rating of high-fidelity simulation (HFS) group with conventional debriefing. However, the strongest positive correlation between team and individual clinical judgment was found in the HFS group implementing reflective debriefing.
Conclusions: The effect of reflective debriefing in HFS education for high-risk neonatal care seemed not to be greater than that of conventional debriefing. However, the result of this study implies the HFS groups¡¯ educational outcomes to be higher than LFS group¡¯s. Further research needs to explore whether a team-based high-risk neonatal HFS nursing education comprising a peer handover and reflective debriefing can enhance the study outcomes.
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KEYWORD
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Simulation, Nursing student, Clinical judgement, Handover
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