The Influence of Structured Debriefing on Clinical Judgment in Associate Degree Nursing Students

2018 ◽  
Author(s):  
Andrea Johnson-Ramsay
2017 ◽  
Vol 3 (1) ◽  
pp. 48
Author(s):  
Tanya Sobaski ◽  
Sam Abraham

Background: The Lasater clinical judgment rubric is based upon Tanner’s clinical judgment model for developing clinical judgment and the incorporation of the Benner Novice to Expert theory. The Lasater clinical judgment rubric has been used in nursing programs at the baccalaureate level and with simulation exercises.Method: In this study, the Lasater clinical judgment rubric was used to compare instructor and associate degree nursing students’ evaluations in an acute care setting during their first nursing care rotation. Data analysis included a split-plot ANOVA with repeat measures. A sample size of 16 students yielded an effect size of .40 with a = .001.Results: There was no significant difference in mean scores between the five administrations of the assessment with different groups.Conclusion: The interactions between the evaluator and the scores over time were consistent between groups. Development of student’s ability to use self-evaluation, introspection, and self-awareness skills are foundational for thinking that is more complex.


1977 ◽  
Vol 5 (1_suppl) ◽  
pp. 18-27 ◽  
Author(s):  
Carolyn Chambers Clark

Learning outcomes of a simulation game designed to have one-to-one correspondence between behavioral objectives and game plays is reported The behavioral objectives were core concepts in psychiatric mental health nursing taught to associate degree nursing students. Decisions to use the simulation game method grew out of difficulties inherent in the community college nursing program, as well as the need for self-paced, efficient, learner-centered learning and evaluative tools. After the trial and revision of the game, a number of research hypotheses were tested Simulation gaming was found to be an effective mode of learning, and students who acted as teachers for other students learned significantly more than those who were taught. Some of the recommendations for further research were to study varied nursing populations, to add a control group, to test the long-range learning effects of playing the game, to decrease experimenter bias, to study transfer of learning to actual nurse-patient situations and changes in attitudes toward psychiatric patients, and to develop more simulation games for nursing education.


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